Tricky tray registration form

A Pathway to Hope's 2016 Tricky Tray

Please complete the form below to purchase admission tickets or sponsor our event.
Full Name*

PrefixFirst NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
My Products*
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Admission Ticket includes a sheet of raffle tickets and dinner from Gencarelli’s$35.00

Quantity

Value Package: Includes 2 level 1 sheets, 2 level 2 sheets, 3 tickets for level 3(savings of $11.50). Does not include admission. Must purchase admission above separately.$40.00

Quantity

Children's Sign Up (for children 5 and up. Includes pizza dinner). Must purchase one ticket for EACH child.$25.00

Quantity

Sponsorship Showcase includes your pet or family's photo or business ad as a page in our virtual journal$100.00

Quantity

Sponsorship listing includes 3 lines of text (no pictures)$25.00

Quantity

Total $0.00
If you signed up children for the event, please list their name(s) below.

All children attending must fill out a Coastal Sports participation waiver. It can be filled out electronically by following the link below.

Participation Waiver
1st Child's Name
1st Child's Age
2nd Child's Name
2nd Child's Age
3rd Child's Name
3rd Child's Age
4th Child's Name
4th Child's Age
If you selected a program sponsorship please write the 3 sentences you would like displayed below.
Enter any seating requests below(tables seat 8).
Should be Empty:

A Pathway to Hope's 2016 Tricky Tray