Laulima Pahoa xmas day Toy Delivery Registration

1
NameFirst and last name of the parent/ guardian who is registering Keiki
First Name
Last Name
2
EmailE-mail address to send confirmation after sign up
example@example.com
3
How many Keiki are in your household this Christmas ? Laulima Pahoa Elves will be dropping one wrapped Christmas gift per Keiki , limit of 5 per registration, for Puna families with more then 5 Keiki, please email for special registration form ❤️‍🔥🛷🤶🎁
4
Are you a low income LERZ Puna resident in one of the following neighborhoods : Pohoiki to Kalapana , Opihikau, Black Sands, Leilani Estates, Pahoa, Waa’waa / beach road ? The Laulima SLEIGH will depart on Christmas morning from Pohoiki Road Ranch and make its way Ho’ho’ho’ing all the way up to Pahoa . To be a family we stop at , you must be in the service area ❤️‍🔥
5
If you have more then one Keiki , please write how many boy gifts, and how many girl gifts to bring (example - 4 kids ; 3 boys 1 girl )or you can type your child’s name , we will try to label every gift with child’s name, but if we can’t we would at-least like to mark them by gender so we don’t give a 1 year old boy a princess doll or vise verse ! Want to make sure each child has a fitting gift from Santa xox
6
Have you been affected by the 2018 lava flow that erased over 700 homes or Have you been negatively affected by the pandemic ? (This toy delivery is for families who are struggling and can’t afford presents this year for their Keiki. Please, if this is not you, allow the others who are really in need to register. Mahalo and happy Holidaze.)
7
Are you a member of Laulima Pahoa Community Non-Profit ? We have many sectors and many opportunities for you to make a difference in the lives of others here in Puna , Hawaii. Please sign up today at laulimapahoa.org !
Yes!
Nah I no like , I’m to busy
Not yet , but I will be signing up soon!
Now I am not, Please E-mail me the member sign up form at email address provided
8
did you know we have social media platforms , Facebook, Instagram, Twitter ?Facebook.com/laulimapahoa & laulima_pahoa on IG and Twitter
Yes , following!
I did not know thank you
Headed to follow now !
9
Last but not least : your physical address for the Sleigh on Xmas day to deliver . (Please note you have to be in a neighborhood listed in sign up)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
10
MAHALO FOR REGISTERING FOR OUR FIRST ANNUAL LAULIMA PAHOA XMAS TOY DELIVERY ! This would not be possible without the amazing community members and individuals who donate to the Pahoa Keiki Toy Drive. Please check your email for confirmation within 1-3 business days.Any other info you would like us to know , please leave comment here ! And special requests or instructions to get to your driveway on Xmas morning, etc. Aloha .
11
One last thing, Phone NumberPlease provide a number we can TEXT you morning of so your child and you can track Laulima Sleigh as we make our way to you , if you prefer to not have the text to notify you of arrival time , just write n/a. This will only be used to text you for toy delivery on xmas
Please enter a valid phone number.
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