Name of person bringing children
*
First Name
Last Name
Email address for questions if we have any
*
example@example.com
Address - this event is for our service area only
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
*
Please enter a valid phone number.
Santa on the Midway December 7 5PM - 7PM
The Valley Lighthouse Santa Event December 21 10AM - 1PM
AGE LIMIT IS 13 PLEASE DO NOT ADD CHILDREN OVER 13
MOST KIDS AT AGE 14 AND OLDER ARE NOT PLAYING WITH TOYS SO WE DON'T HAVE MUCH TO OFFER FOR CHILDREN OVER 13
Please list all of the following for each child. Name, AGE, gender, clothes/shoes sizes and likes and dislikes. Learning disabilities and allergies. One box per child please
Please list all of the following for each child. Name, AGE, gender, clothes/shoes sizes and likes and dislikes. Learning disabilities and allergies. One box per child please
Please list all of the following for each child. Name, AGE, gender, clothes/shoes sizes and likes and dislikes. Learning disabilities and allergies. One box per child please
Please list all of the following for each child. Name, AGE, gender, clothes/shoes sizes and likes and dislikes. Learning disabilities and allergies. One box per child please
Please list all of the following for each child. Name, AGE, gender, clothes/shoes sizes and likes and dislikes. Learning disabilities and allergies. One box per child please
Please list all of the following for each child. Name, AGE, gender, clothes/shoes sizes and likes and dislikes. Learning disabilities and allergies. One box per child please
Please list all of the following for each child. Name, AGE, gender, clothes/shoes sizes and likes and dislikes. Learning disabilities and allergies. One box per child please
Please select the event you will be attending You must only choose one and you cannot change that choice after registration.
*
Please Select
The Midway in Tower City December 7 5PM to 7PM
The Valley Lighthouse December 21 10AM to 1PM
You cannot choose to change your location after registration is submitted.
Please Type YES if you understand that this event is a free sponsored event by Paws for a Cause PA, TPIO, and The Valley Lighthouse. We do this event to make childhood memories. You must have your child present to see Santa, view the events and receive the gifts.
*
Submit
Should be Empty: