YELLOW SPRINGS SENIOR CENTER
Image by Owantana from Pixabay. Logo art by Bob Huston.
Saturday, August 7, 2021 from 6–9 pm
$65.00 per person ($55 is tax deductible)
RSVP by July 15, 2021 (Seating is limited so please register early)
Please include all persons in your party, limit six, in the same envelope with payment. We will do our best to accommodate your request. All participants must be fully vaccinated.
For more information contact the Senior Center at 937-767-5751 or info@ysseniors.org.
To register for the event print this page, fill out the form below, and return it before July 15.
$65.00 per person ($55 is tax deductible)
RSVP by July 15, 2021 (Seating is limited so please register early)
Please include all persons in your party, limit six, in the same envelope with payment. We will do our best to accommodate your request. All participants must be fully vaccinated.
For more information contact the Senior Center at 937-767-5751 or info@ysseniors.org.
To register for the event print this page, fill out the form below, and return it before July 15.
Name(s):
Contact information for you or one person in your party:
Contact Person:
Address:
Cell #:
Email:
Vegetarian _______
Vegan ________
Gluten Free ____________
Other Dietary Restrictions
______________________________
Will everyone in your party be fully vaccinated by August 7, 2021?
My/Our check(s) in the amount of $ ____________ included (Checks made to YSSC)
___No, I/We cannot attend, but wish to make a donation of $ _______________.
Reservations are due by July 15, 2021. Mail to, or drop off at 227 Xenia Ave, Yellow Springs
In the interest of COVID safety, no large group reception will be held.
Contact information for you or one person in your party:
Contact Person:
Address:
Cell #:
Email:
Vegetarian _______
Vegan ________
Gluten Free ____________
Other Dietary Restrictions
______________________________
Will everyone in your party be fully vaccinated by August 7, 2021?
My/Our check(s) in the amount of $ ____________ included (Checks made to YSSC)
___No, I/We cannot attend, but wish to make a donation of $ _______________.
Reservations are due by July 15, 2021. Mail to, or drop off at 227 Xenia Ave, Yellow Springs
In the interest of COVID safety, no large group reception will be held.