Light the Sky Registration Form

Light the Sky Registration Form

Register today to Light the Sky with Hope, Love, and Courage for every child who has or who is battling cancer!
My Products*
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1 Lantern
$10.00



Family Package Lanterns
3 Lanterns

$25.00



Memory Wall
Submit picture w/name & diagnosis to our memory wall

$5.00 Non-Players Eating



Survivors Wall
Submit picture w/name, diagnosis, BD

$5.00 Quantity



Total

$0.00
If you are submitting a photo for the memory/survivors wall please email your photo with your ticket order confirmation# along with the information you would like to be displayed to:

axlsarmy304@gmail.com
Name

First NameLast Name
Phone Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: