Home/Free Community Film Night Registration Survey

1.NAME:(Required.)

2.CELL PHONE:(Required.)

3.EMAIL ADDRESS:(Required.)

4.Seating for this event is FREE but registration is required due to limited seating. Please check the boxes below after reading:

I understand that completion of this online form serves as my registration for this event. NO TICKETS will be issued in hardcopy; however, my name will be added to the attendance list.

Doors open at 5:15 pm for "attendance check-in," light refreshments & information tables

Film starts at 6:00pm

Due to seating limitations, persons who have not registered may need to wait to be seated.