Winter Wonderland Registration Form

Winter Wonderland Kinship Christmas Celebration Registration Form

Fill out the form carefully for registration
Email*
example@example.com
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
How do you Identify*

Black-African AmericanLatinxAsianMulticulturalPacific IslanderCaucasian
Do You belong to a support group?*
Support Group Selection*
How Many Children will be attending ?*
Boys and ages?*
Boys
Girls and ages?*
Boys
Any Alergies*

Non DairyNutsVeganVegetarianGluten
Do you have a moblity challenge*

YesNoWalkerCaneOther
Would you like to be added to our mailing list for future events?

YesNo
Would you be interested in volunteering at future events?

YesNo
Should be Empty:

Winter Wonderland Kinship Christmas Celebration Registration Form