* 1. Please select a date from the following list.

* 2. Contact Information:

* 3. Contact Information:

* 4. Contact Information:

* 5. Contact Information:

* 6. Contact Information:

Please register by Thursday, August 10 to help with a count for the meal.

Please contact Jill Davis at (515)-576-7666 or jill@iowadistrictwest.org with any questions.

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