ATTENDEE INFORMATION
If you want to register multiple people, please fill this out individually and submit for each person.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about this event?
*
Personal invitation
Social media
Home for Every Child website
Other online source
Other
Which event are you registering to attend?
*
Surrey, BC (Peace Portal Alliance Church) May 4 at 6pm
Nanaimo, BC (Salvation Army Church) May 26 at 6pm
MEDIA AGREEMENT
Any video or photograph captured and shared with the event may be used later for promotional or fundraising purposes. Your registration gives Home for Every Child permission to use these images.
*
Yes
No
Anything you want us to know?
Submit
Should be Empty: