RSVP for

Event Description

This is where you can enter a description of your event.

Your Information (Fill out your information here. All Household and member guest information is to be filled out in the "Member Guest Information" section.)

First Name

Last Name

Email Address

Preferred Phone Number

999-999-9999

Address

City

State

Zip Code

I'm attending this event

Your Cost

$

Please Select a Meal

Do you have any food or allergy restrictions?

Veg 0

Yes

Child0

Yes

Total member guests attending

(Not including yourself or children for Childcare)

Please do not use your email, duplicate emails, or make them up. Our system tries to match guests based on their unique email. If you do not know your guest's email, please leave it blank.

Member Guest 1 Info

Age of Guest

First Name

Last Name

Email Address

Guest 1 Cost

$

Please Select a Meal

Do you have any food or allergy restrictions?

Guest 1 Name

Veg 1

Yes

Child1

Yes

Member Guest 2 Info

Age of Guest

First Name

Last Name

Email Address

Guest 2 Cost

$

Please Select a Meal

Do you have any food or allergy restrictions?

Guest 2 Name

Veg 2

Yes

Child2

Yes

Member Guest 3 Info

Age of Guest

First Name

Last Name

Email Address

Guest 3 Cost

$

Please Select a Meal

Do you have any food or allergy restrictions?

Guest 3 Name

Veg 3

Yes

Child3

Yes

Member Guest 4 Info

Age of Guest

First Name

Last Name

Email Address

Guest 4 Cost

$

Please Select a Meal

Do you have any food or allergy restrictions?

Guest 4 Name

Veg 4

Yes

Child4

Yes

Member Guest 5 Info

Age of Guest

First Name

Last Name

Email Address

Guest 5 Cost

$

Please Select a Meal

Do you have any food or allergy restrictions?

Guest 5 Name

Veg 5

Yes

Child5

Yes

Member Guest 6 Info

Age of Guest

First Name

Last Name

Email Address

Guest 6 Cost

$

Please Select a Meal

Do you have any food or allergy restrictions?

Guest 6 Name

Veg 6

Yes

Child6

Yes

RSVP

RSVP for this Event

Outreach ID for child event

Childcare

Unfortuantely, childcare registration is closed. If you have any questions, please contact The Temple at 502-423-1818.

Childcare

We will have on-site childcare provided with activities and pizza for the children too. Children of all ages are welcome but must be registered by Tuesday, February 27.

Would you like to RSVP for Childcare?

Child

First Name

Last Name

Age

Comments/Notes (allergies, etc.)

Childcare Outreach ID

Cost

I am paying by	I would like to cover the transaction fee
Subtotal $	Fee $
Final Total $	Subtotal Hidden $

Credit Card Payment Information

Credit Card Number

Verification Code

Exp Month

MM

Exp Year

YYYY

ACH/eCheck Information

Bank Routing Number

Bank Account Number

Bank Account Type

Bank Name

Account Holder Name

Only enter one name

Date

Notification Email

OutreachID

Guest Names

DesignationID

Payment Required

EB in Effect?

Meal?

Event?

Yes

Active Event?

Yes

Mobile App?

Yes

Parent Event?

Yes

Children Total

Veg Total

This form is not available. Please contact Benji at benji@thetemplelouky.org for help.

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