St. Rose of Lima

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Trivia Night #3 - please Register Below!

- Pathways in Faith

Trivia & payment registration
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- Saturday, November 9th! Doors open at 6:30 PM
  
  Dinner included!
  
  Beer & Wine available
  
  Teams of 8-10 $160 Per Table - Limit 20 Tables
  
  Individual Registration - $20 (Will be assigned to teams)
- Team Captain First & Last Name(Optional) Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Individual players, select the 'YES' check box Yes
- Choose Registration Payment REQUIRED
  Individual Players: $10 Tables: $100
  Please fill out this field.
Total:

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