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2021 Banquet: Reserve a Seat

Has a table host invited you sit at his or her table? If so, who *

YES
NO

Table Host

Name of Person Attending *

First

Last

Is more than one person attending the banquet with you?

YES
NO

Name of Person Attending

First

Last

Name of Person Attending

First

Last

Name of Person Attending

First

Last

Name of Person Attending

First

Last

Phone *

Email *

I acknowledge that if I am not able to attend the banquet for any reason, I am responsible for contacting CLC Executive Director, Jennifer Colson, at jennifer@gilmerclc.org prior to the night of the event. *

YES
NO

Is there any special accommodations with you or your guest that we need to be made aware of? *

YES
NO

Please list all accommodations

Are you a parent or relative of a student that is currently enrolled in a CLC class? *

YES
NO

What are the student's name(s)

Signature *

Date *

Home
About
Outreach
Classes
Contact
5K
Banquet
Donate

183 Bobcat Trail | P.O. Box 471 Ellijay, GA 30540 | Phone: 706.635.7100 | Email: office@gilmerclc.org