Form A Very Merry Christmas

Tickets for RODF A Very Merry Christmas
Our event will start at 10 am. There may be delays due to unforeseen circumstances. If we are not available precisely at 10 am, please bear with us as we are doing our best to get you in quickly. It may be Hot or Cold, and please prepare accordingly if you have to wait outside to get in.
Group Home or Organization Name
Parent or Guardian name*

First NameLast Name
How many Special Needs Adults will be attending the event?*
This will hold your seats. Please let us know if your reservation changes.
How many Kids will be attending the event?*
This will hold your seats. Please let us know if your reservation changes.
How many Chaperones will be attending the event?*
This will hold your seats. Please let us know if your reservation changes.
"This Event is for Special Needs Families only." Do you have a Special Need Child or Adult*

YesNo (This event is for Special Needs Families)
Are you Registered with our Program?*

YesNo (please call us to get registered, 760-998-2241)
E-mail
example@example.com
Mobile Number*
Additional Comments
Donate to A Very Merry Christmas (Not required to attend.)

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USDA Very Merry Christmas Thank you for your donation! :)

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