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Mystery Dinner Registration Form


Attendees must be 21+

(First Last, First Last, etc.)

(Please list guest name followed by their dietary restriction(s).)

Child care:

Child care is offered during the event for $20 per child and includes a pizza dinner.

Name a TIki centerpiece:

Join our TIki family!

Payment required to name a TIki.

Event sponsorship:

If you're interested in becoming a sponsor of this event, please check the box below and someone will get back to you as soon as possible. Thank you!

YES, please contact me with sponsorship information!

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information


Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

For added Security please check the box below.