Use the form below to make your reservations.  A club representative will confirm your reservations. Or you may email the club at with the required information stated below.

Your Name:*
Spouse or Dates Name:*
Select Month*
Are You Hosting A Table?*
If NOT hosting a table, whom do you want to sit with?
Guests at your table if your are hosting.
If you are hosting more than 1 table, are you sitting at this table?
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Working Hard for our Shrine Patients