JLOSH Kids For Kids 2018 Registration Form

JLOSH Kids For Kids 2018 Registration Form

Questions? Please send an email to:
larisa_wick@yahoo.com

Date: Saturday, March 3, 2018
Time: 10:00am-12:00pm
Location: The Bauer Center at Taylor Park, Millburn, NJ

Name of Adult Attendee *

First Name Last Name

Email Address *

Telephone Number *

Mobile/Text

Home Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Attending with a group of children (8 children or more) such as a Girl Scout Troop, Cub Scout Troop or School Class?
Please let us know how many you anticipate having in your group so we may plan accordingly.
As we get closer to the event date, we will contact you via email to obtain the names and ages of the kids you'll be bringing to the event.

Number of Children Attending with the Adult? *

The Kids for Kids 2018 event is FREE!
We will be accepting items for our Donation Drive and encourage your help by supporting this initiative with your group.

To support JLOSH's ongoing efforts to improve the health and well-being of school children living in poverty, please select one or both of the following categories to collect items and bring with you to the event for collection:

Non-perishable food items
Travel sized toiletries

Any questions or comments for us?