Claus for a Cause - Event Registration
Join Valeri Orthodontics and Children's Dentistry of Kenosha for a festive day of fun! Enjoy photos with Santa, milk & cookies, a toy drive, and our "Adopt a Yeti" program. When: Saturday, December 12th | 10:00 AM - 1:00 PM
Full Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
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Preferred Arrival Time Slot: 📢 Please Note: You are welcome to arrive at any time during your selected 30-minute arrival window! Please keep in mind that Santa will be heading back to the North Pole at 12:45 PM.🎅📸
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Total Number of Attendees (Including Adults & Children)
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How many children will be attending?
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Are you interested in bringing a new, unwrapped toy to donate to Children's Wisconsin? 🧸
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Yes, we plan to donate!
No / Not at this time
Are you interested in participating in our "Adopt a Yeti" program during the event? ❄️
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Yes, we'd love to adopt a Yeti!
No / Not at this time
Tell me more about it!
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Are you or your children current patients at either practice? (Check all that apply)
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Yes, Children's Dentistry of Kenosha
Yes, Valeri Orthodontics
No, we are not currently patients
Are you interested in learning more or scheduling an appointment / consultation?
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Yes, I'd like more information about Children's Dentistry of Kenosha
Yes, I'd like to schedule a free orthodontic consultation with Valeri Orthodontics
No, thank you
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Smile for the Camera! 📸We love capturing the magic of our community events! A photographer will be on-site taking photos and videos of families enjoying Santa, milk & cookies, and the Yeti adoptions. These images will be shared on the website and social media pages for Valeri Orthodontics and Children's Dentistry of Kenosha.
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I understand and agree that photos and videos will be taken at this event, and I grant permission for my family to be included in promotional and social media materials for both practices.
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