Prime Timers Game Day

1:00 PM - 3:00 PMLibrary

* Name

Address

* Email

* Phone

	How many adults $5.00 Each
	How many child(ren) age 5 and up $5.00 Each
	How many child(ren) under 5 Free
	* Email Address Phone number * Please list names of all attendees
Total	$

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Tue, October 7 2025 15 Tishrei 5786