Picnic on Saturday, July 8, 2017
* Required
Last Name:  *   
First Name:  *   
Are you attending the Event? :  *   
Contact Number:    
Contact Email:    
Are you a member of STICA (for 2017)? :  *   
Number of Full Members Attending (Ages 12 & Up)  *   
Number of Full Members Attending (Ages 5 to 11)  *   
Number of Persons (Non-members/Guests of Full Members) Attending (Ages 12 & Up)  *   
Number of Persons (Non-members/Guests of Full Members) Attending (Ages 5 to 11) :  *   
Number of Kids (Ages less than 5yrs):  *   


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