Veterans – Mukwonago Baptist Church

Veterans Banquet

Registration Form

Name *

First

Last

Add Guest

Select to add a guest

Email *

Branch of Military Service *

Phone *

Years in Service *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Childcare Options For Parents

0 - 12 Months
13 - 24 Months
2 yrs - Kindergarten
1st - 6th Grade

Please choose any or all of the above options.

Additional Information - please list any food allergies

About Us

Media

Contact Us

Location

Address:

1610 Honeywell Rd Mukwonago, Wi 53149

Phone:

1-262-363-4197