PLEASE ENTER YOUR CONTACT INFORMATIONLAST Name: *FIRST Name: *Email Address: *Phone Number: *Accessibility Requirements: Handicap Accessible ParkingHandicap Accessible EntrancePLEASE ENTER THE TOTAL NUMBER OF HOUSEHOLD MEMBERS IN YOUR RESERVATIONTotal number of household members (including yourself!) who will be coming to Mass: *1234567PLEASE ENTER THE NAME(S) OF THE ADDITIONAL HOUSEHOLD MEMBER(S) ATTENDING MASS WITH YOUName: *IMPORTANT! Please include last name if different from yours.Name: *IMPORTANT! Please include last name if different from yours.Name: *IMPORTANT! Please include last name if different from yours.Name: *IMPORTANT! Please include last name if different from yours.Name: *IMPORTANT! Please include last name if different from yours.Name: *IMPORTANT! Please include last name if different from yours.Is a Low-Gluten Host needed for you/anyone in your group? NoYesPlease let us know their first name(s): (Optional) Comment PLEASE SUBMIT YOUR RESERVATION BY CLICKING THE BUTTON BELOW. NameSubmit
