Primera Iglesia Bautista de Santa Maria

PO Box 713 Santa Maria, Texas 78592

(956) 202-9084

Dental Clinic Calendar and Reservation form
 
 
  R= Reserved  



 

For More Information

call (956) 202-9084

In the event that more than one team asks for a date, before that date is posted as reserved the earliest date will receive the reservation.

All will be notified by email confirming a reservation. 

Thank you

If you wish to cancel a reservation please fill out the same form and write "Please cancel our reservation "

in the Notes

Please give me at least a 30 day notice so that those day can be reserved by others.

The church has 4- RV hookup for those who wish to use them.

  The clinic has 2 chairs.  5 for the Dentist, 1 as an exam and x-ray, and one for the dental hygienist.

We do not have digital x-rays  


Calendar


Please fill out this form to reserve a date:

 Date: mm/dd/yyyy

Name of Team:

Team leader:

Team Leader Tel.#     

area code-###-####

Email Address  

Address -1

Address-2

City: 

State: 

Zip Code:  

# of Dentist:

# Dental Hygienist 

Starting Date: mm/dd/yyyy

Ending date mm/dd/yyyy

Notes:

March 2008
Mon 3 10 17 24
Tue 4 11 18 25
Wed 5 12 19 26
Thurs 6 13 20 27
Fri 7 14 21 28
Sat 1 8 15 22 20

April 2008
Mon 7 14 21 28
Tues 1 8 15 22 29
Wed 2 9 16 23 30
Thurs 3 10 17 24
Fri 4 11 18 25
Sat 5 12 19 26
 

May 2008
Mon 5 12 19 26
Tues 6 13 20 27
Wed 7 14 21 28
Thurs 1 8 15 22 20
Fri 2 9 16 23 30
Sat 3 10 17 24 31

June 2008
Mon 2 9 16 R-SA 30
Tues 3 10 17 R-SA
Wed 4 11 18 R-SA
Thurs 5 12 19 26
Fri 6 13 20 27
Sat 7 14 21 28
 

July 2008

Mon. 7 14 R-AC 28
Tues 1 8 15 R-AC 29
Wed 2 9 16 R-AC 30
Thurs. 3 10 17 R-AC

31

Fri. 4 11 18 R-AC
Sat. 5 12 19 R-AC
 

 

August 2008

Mon. 4 11 18 25 Sept 2008 October 2008
Tues. 5 12 19 26 Mon 1 8 15 22 6 13 20 27
Wed. 6 13 20 27 Tues 2 9 16 23 7 14 21 28
Thurs. 7 14 21 28 Weds 3 10 17 24 1 8 15 22 29
Fri. 1 8 15 22 29 Thurs 4 11 18 25 2 9 16 23 30
Sat. 2 9 16 23 30 Fri 5 12 19 26 3 10 17 24 31
Sat 6 13 20 27 4 11 18 25
November 2008 December 2008
Mon 3 10 17 24 Mon 1 8 15 22 29
Tues 4 11 18 25 Tues 2 9 16 23 30
Wed 5 12 19 26 Wed 3 10 17 24 31
Thurs 6 13 20 27 Thurs 4 11 18 25
Fri 7 14 21 28 Fri 5 12 19 26
Sat 1 8 15 22 29 Sat 6 13 20 27