Number of Adults Expected to Attend: 30
Number of Children/Youths Expected to Attend: 4
Range of Ages of Children/Youths Expected to Attend: 3-7
Time of Function: 1:00 pm
Time you will first need access to building: 9:00 am
Time you anticipate leaving (after clean-up): 4:00 pm
One time use or recurring event? (please check) __X_One Time ___Recurring
Family, Group, or Organization (print name) ______Family_______
What room(s) would you like to use? ___Kitchen & Dining Room___
Organization or Group: ___________________________________________
Contact Person Name: Heather Masse
Phone Number: _802-730-7941_
Email: heathermay362@gmail.com