Interfaith Ministries for Greater Houston

Registration is now closed for this event. Please contact bboucher@Imgh.org with any questions.

*1.	Question - Required - First Name
*2.	Question - Required - Last Name
*3.	Question - Required - Address
*4.	Question - Required - City
*5.	Question - Required - Zipcode
*6.	Question - Required - Email
*7.	Question - Required - Phone
*8.	Question - Required - Age
*9.	Question - Required - Faith
	If you are bringing a guest, please fill out the below information:
10.	Question - Not Required - Guest's First Name
11.	Question - Not Required - Guest's Last Name
12.	Question - Not Required - Guest's Email
13.	Question - Not Required - Guest's Age
14.	Question - Not Required - Guest's Faith
*15.	Question - Required - Have you attended a Dinner Dialogue in the past?
*16.	Question - Required - How did you hear about us?
17.	Question - Not Required - Dietary Restrictions/Special Needs