Registration Form

Participants must pre-register no later than April 7, 2008
Suggested Donation is $50.00 per person.
Please return registration form to St. Susanna as soon as possible to arrange space.
If group, please submit all names in group on form below.

Name: ______________________________________________________

Address: ______________________________________________________

City / State / Zip: ______________________________________________________

Telephone: (__________)-__________________________________________

List total number in Group (if applicable) _____ Total Donation enclosed: $ __________

Print all names in group: ________________________________________________

________________________________________________________________________

________________________________________________________________________

Please return to St. Susanna Church / 262 Needham St. /Dedham MA 02026
A confirmation will be sent upon receipt of registration. All Are Welcome!