CROPPIN' ON THE COAST

REGISTRATION FORM

 

 2017   REGISTRATION

DIAMONDHEAD CROPS

     ONLY $50!

 

LOCATION:  Diamondhead Community Center  I-10 exit 16 N.

                 Just 15 minutes from Gulfport and  20 minutes from Slidell.

 _____Winter Crop: February 3, 4, 5       _____ Summer Crop: July 28, 29, 30, 2017      _____Fall Crop:  October 20, 21, 22, 2017

 

          

Name_________________________________ Birthday! (mm/dd) _______________

 

Address _____________________________________________________________

 

City __________________________State ____________________zip ____________

 

Email ____________________________     Cell Phone_________________________

 

 ____ I will bring my own 6 ft table   OR   _____ I will share and 8 ft table

 

I would like to sit with…(across from or next to): ___________________________

 

______________________________________________________________________

 

 Expected arrival date/time____________________________________________

 

 

  _____ YES, I have joined the Croppin’ on the Coast Facebook group for easy details on

                this and upcoming events: 

  

 

 

 

PLEASE MAIL PAYMENT and REGISTRATION TO:

Janet Guillory    88154 Golf Club Drive    Diamondhead, MS 39525