8/21/15 Young Adult Dinner/Etiquette

Dinner and Etiquette
ASPIRE Center for Learning and Development

Friday, August 21, 2015

5:00pm-7:30pm

Fee: $45

Host: Samantha Maietta, LMSW

Location:

ASPIRE Center "The Garden"

2562 New York Avenue

Melville, NY 11747

*Registration and payment must be recevied by Wednesday, August 19th*
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
Cash or Check - postal mail*Cash or Check - in person*
By clicking "submit," you are indicating consent for your child's attendance at this event and responsibility for recreation fee listed above.
Should be Empty:

Dinner and Etiquette