Dinner and a Movie

New Life Youth Group invites you to enjoy a night out! Join us for a 3-course dinner, a movie, and dessert auction.

Childcare will be provided. Please make sure you fill out this form completely. Include your name, number of attendees, and the number of children you would like cared for (please include child name and age).

Primary Contact Person's Name

This address will receive a confirmation email

Phone

Address

Attendees

Childcare

Child Name(s) and Age(s)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

February 21, 2026 6:00PM-9:00PM

Please fill out this form and click submit.

Dinner and a Movie

Description

Please Fix the Following