Supper Club Participation Form Name * First Name Last Name Email Address * Phone I/We would prefer (check all that apply) Eating Out Eating In Potluck I want a kid friendly Supper Club I don't want to bring my kids to Supper Club I/We will have children joining us for dinner/lunch Yes No Special Needs (food allergies, etc) My/Our main interest in Supper Club is Getting to know new people Bonding with others like me Discussing theological issues I/We want to meet others who are Young Singles/20's Young Families/30's Families with school age children/40's Mature Families/50-60's Older Singles Seniors/70-80's Thank you for your information!