5th Annual Holiday Party Registration
All attendees (parents/legal guardian) MUST have completed a registration form and received a confirmation email which will be used for admission. This is required for attendance as it allows us to maintain order and ensure that each child will receive their gift. Additional add-ons won’t be allowed thereafter, so please be sure to keep this in mind. Also, any posts on social media are solely for advertising the event. Comments and DMs will NOT be used in lieu of registration. This event requires us collect, wrap, and distribute gifts per our registration list. Please fill out ONE form per household. Any additional submissions will be voided and not honored upon arrival. We are also asking for a wish list, but this does not mean that they will receive what is asked for. We collect donations a couple of months prior to our event, and we do our best to make sure we can make the holiday season a bit more enjoyable.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How many children are you registering?
1
2
3
4
5
Name and Age
How did you hear about us?
Submit
Contact Us!
Info.events@pickingupthepieces.us www.pickingupthepieces.us (352) 816-3793
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