FBC :: Registration

Enter your information below to make dinner reservations. All reservations must be made by noon on Tuesday.

* = required field

*First Name:

*Last Name:

Address:

City:

State:

Zip:

Telephone:

*Email:

If you are making dinner reservations for all 13 weeks, select "Yes" below.
If you are making reservations week to week, select "No" and enter the week you are reserving in the corresponding box.

Permanent?:

Yes
No

If "No", Week Of:

Number of Adults:

Number of Children :

Meal

# of Children/ # of Pizza Slices (please indicate both)

# of Children eating in The Cove (4th-6th graders; choice of 5 items at $1/item)