Sign Me Up For The 9th Annual Ripple Effect Dinner Fundraiser:

My name: *
First Name
Middle
Last Name
Email:*
Phone number:*
How many will be attending:*
Special seating requests:
I will need childcare: *
Number of children and their ages:
I will plan to bring a dessert to serve 20 people:*
I would like to donate a song:*
Song title:
Our theme this year is Rock of the Ages. Our goal is to feature 2 songs from each decade beginning in the 50"s. Song deadline date: October 22. Checks made out to Harderwyk Missions (memo line - Ripple Effect). Please mail check or drop off in the church office.
I would like to request the following to perform this song:
I would like this person (s) to perform my song:
Recording artist (s):
Why is this a favorite:
May we share this information: