Event registration
Event Date: Tuesday June 15th- July 27, 2021
Event Time: 5:30-8:00  (dinner& childcare is provided at no cost to families)
Event Address: Family Resource Center
905 S. Walnut St.
Muncie IN 47302
 
Contact us at:  Purdue Extension Office 260-726-4707 or atbullio@purdue.edu 
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First & Last Name *
Email *
Best contact phone number *
Number of people in your family attending. (Total number in your family who will need a meal) *
Number of your teen(s) participating  and their age. (Example: 1-10yr old, 1-13yr old) *
Will you need free childcare for children 0-9 years of age? *
If you answered "YES" to the question above, how many children need childcare?
Does anyone in your family have dietary restrictions? *
Do you need any special accommodations to participate in the program? *
Required
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