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 RESERVATIONNumber of household members (including yourself!) who will be coming to Mass. *12345678910PLEASE ENTER THE NAME(S) OF THE OTHER 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. 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? NoYesSo we can be prepared, please let us know the first name(s) of the person(s) in your group needing a low-gluten host: (Optional) Comment PLEASE SUBMIT YOUR RESERVATION BY CLICKING THE BUTTON BELOW. NameSubmit
