HCH Foundation Mom & Me Charcuterie Adventure Registration
Name
First Name
Last Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Names and Ages of child(ren) attending:
Select one:
prev
next
( X )
Mom + 1 Child
$
50.00
Mom + 2 Children
$
60.00
Mom + 3 Children
$
70.00
Mom + 4 Children
$
80.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: