CHILDCARE

We are ecstatic to be able to provide childcare(Age 5-11) during Fiesta Royal Auction.

Please fill out the following information below. If there is more than one child, please fill out their name, age, grade, and allergies.

**When registering four children, the fourth child's registration will be FREE of charge. Kindly register your child and input '3' instead of '4' in the payout section.**

Name*

First NameLast Name

Age and Grade*

Allergies (if no allergies put N/A)*

Name*

First NameLast Name

Age and Grade*

Allergies (if no allergies put N/A)*

Name

First NameLast Name

Age and Grade

Allergies (if no allergies put N/A)*

Name

First NameLast Name

Age and Grade

Allergies (if no allergies put N/A)*

Emergency contact*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

My Products

Child CareRCS GALA

$20.00 number of kids

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country