Clone of CIPAS 55th Christmas Party

CIPAS 56th Christmas Party

Attendance Registration Form
Full Name

First NameLast Name
Email Address
example@example.com
Contact Number
Format: (000) 000-0000.
Please enter the total number of:

ADULT(s) [ages 13 years old and older]; and

KID(s) [ages 6 - 12 years old] that are coming with you.

Include yourself in the count.
Number of Adult(s)
$75 per person
Total Amount Due: Adult(s)
Number of Kid(s)
$20 per person
Total Amount Due: Kid(s)
List Names of Adults (13 years old and older)
List Name of Kids (6-12 years old)
Please enter the total number of kids ages 5 and below that are coming with you.
Number of Kid(s)
Free of charge
Do you need a high chair?
Enter the number of high chair(s) needed:
Total Amount Due:
Acceptable Payment Methods
Check payable to CIPAS and please mail check to:

1 Downing Ln., Springfield, IL, 62712
Please click the Zelle link below and pay online:

Zelle

Note: Register if you are new to Zelle.
Should be Empty:

CIPAS 56th Christmas Party