8/29/15 Women's Brunch

Monthly Women's Social Brunch Registration
ASPIRE Center for Learning and Development

Garden Location

2562 New York Avenue, Melville NY 11747

Saturday, August 29th

10:30 AM - 12:00 PM

Fee: $35

*Registration and payment must be recevied by Thursday, August 27th*
Attendee Name
Attendee DOB

MonthDayYear
Home Address
Primary Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
E-mail Address
Allergies or Medical Concerns
Form of Payment ($35.00 recreation fee)

Cash or Check - postal mail*Cash or Check - in person*
By clicking "submit," you are indicating consent for attendance at this event and responsibility for recreation fee listed above.
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Monthly Women's Social Brunch Registration