GOA ANNUAL PICNIC 2015 et * uff B d e ere t a r ar C e d s un ou l ic i 5& n De e Hambu ildr rgers & Ch SUNDAY, June 28th, 2015 Voll eyba ll M atch 11 am— am—5 pm ‘McLaren‘McLaren-Sargent Shelter’ und for Playgro Lake Accotink Park 5660 Heming Avenue, Springfield, VA 22150 RSVP: June 18th Enjoy Pa ddle Boa ts, Canoes, Kayaks a nd Carouse l (Park F ees apply ) Use Rear Entrance to the Park as it is closer to shelter: Hotdog s for Kid s Fun Tea mE ven ts Kids Bin go /H ou sie Games for all Large Private reserved Shelter 5660 Heming Avenue, Springﬁeld, Va. 22151 • No Potluck this year. Enjoy a Yummy Indian Buffet . Complimentary Sodas. • Members are welcome to bring Snacks and Appetizers. Please cut form below and mail with check. Ages Questions? Please email: [email protected] [email protected] Make check payable to Goan Overseas Association Mail form & check to: Tina Noronha, 20579 Coppersmith Drive, Ashburn VA 20147 Important: Please complete all the information requested. Please print clearly. Name: _____________________________________________________________________________________ Address: ___________________________________________________________________________________ ___________________________________________________________________________________ Phone # (Evening) : __________________________ E-mail: ______________________________ (Must complete) # of Member Adults & Children over 10 years: ______ @ $8.00 Total: _____________ # of Children 6 to 10 years ______ @ $6.00 Total: _____________ # Of Guests: ______ @ $10.00 Total: _____________ # of Children 5 years and under : ______ @ no charge Total Check Amount: $___________ Please list ages of all children attending: Child #1: ____________ Child #2: ____________ Child #4: ____________ Child #5: ____________ Child #3: ____________ Remarks: ___________________________________________________________________________________ To avail of member price your membership dues must be current. Email [email protected] if not certain.