REACH Thanksgiving Community Dinner

November 20, 2022 @ 5PM | Please fill out this form and click submit.

November 20, 2022 @5PM
Dinner served between 5:00 - 6:00pm.
Grocery Distribution between 6:00 - 6:30pm.

3699 Hwy 59
Mandeville, LA 70471
985-778-2065

Registration

Name

*

Date of Birth

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Spouse's Name

Spouse's Date of Birth

Children & Teen Registration

Child 1 Name

Child 1 Date of Birth

Child 2 Name

Child 2 Date of Birth

Child 3 Name

Child 3 Date of Birth

Child 4 Name

Child 4 Date of Birth

Child 5 Name

Child 5 Date of Birth

Child 6 Name

Child 6 Date of Birth

How many will be dining?

*

Please select one option.

1 2 3 4 5 6 7 8

How many in your household for groceries?

*

Please select one option.

Not interested in groceries. 1 2 3 4 5 6 7 8

Description

November 20, 2022 @ 5PM

Please fill out this form and click submit.

Please Fix the Following

Close