Embedded Form Page - Pride Online

Get Param WOS

Get Param Wes

Primary Key Param

Registration Limit from Part 1

Number of registrants

Extra Peps Calc

Slap hand over limit calc

Event Link

The registration limit for this event has been reached.
Please reach out to Carol Salmon for any questions or to see if a waitlist is available.

Event Information

Event Details

Date & Time: 10/19/2023 - 10/19/2023 5:30 pm - 8:00 pm
Address: 440 Miamisburg Centerville Road Dayton Ohio 45459
Event Name: Kettering Backpack Program
Event Description: Kettering Backpack Program
Event Link: https://ohgemcity.adpialumnae.org/events/
Hosted By: OH Gem City Alumnae Association
Contact Person: Carol Salmon

Your Information

Your Name

Your Chapter

Email

Phone Number

Would you like to register anyone else?

Yes

No

How many people would you like to register?

There are 100 spots left for this event. *

Additional Attendee 1

Name

Chapter (if applicable)

Email

Phone Number

Additional Attendee 2

Name

Chapter (if applicable)

Email

Phone Number

Additional Attendee 3

Name

Chapter (if applicable)

Email

Phone Number

Additional Attendee 4

Name

Chapter (if applicable)

Email

Phone Number

Additional Attendee 5

Name

Chapter (if applicable)

Email

Phone Number

Additional Attendee 6

Name

Chapter (if applicable)

Email

Phone Number