• Potluck Sign-up Form

• 
  
• Name
• Email
• Phone

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• 
  
• Number of Adults Attending (including yourself)
• Number of Children Attending
• Type of dish you are bringing Select Appetizer Dessert Main Dish Salad Soup Snacks Beverages and Ice
• Name of the food item you are bringing
• Will you need a warmer or electrical outlet?

  Yes No
• Non-Food Item Select Plates. Napkins, Cups Plasticware Tablecloths Decorations
• Can you help with set up and clean up?

  Yes No
• I want to donate cash, instead of bringing an item.

  Yes No
• Does your dish contain nuts or other food allergens? (MUST BE LABELED)*
  Yes No

  What food allergen does it contain? (MUST BE LABELED)
• Do you or your guest(s) have any food allergies?*
  Yes No

  What type of allergy?