TOYS FOR TOTS (2023)

Resurrection Lutheran Church
186 Main Street
Cairo, NY 12413
(518) 622-3286

PLEASE COMPLETE FORM BELOW TO REGISTER.

THE DEADLINE TO REGISTER IS NOVEMBER 18TH!

Please Enter FULL NAMES for ALL Adults and Children. Thank You!

ADULT INFORMATION
Name of Adult: Name of Adult: First Last
Phone Number: Phone Number: - ### - ### ####
CHILD #1 INFORMATION
Name of Child #1: Name of Child #1: First Last
Age of Child #1:
Sex of Child #1:
Does this child have Special Needs?
CHILD #2 INFORMATION (if applicable)
Name of Child #2: Name of Child #2: First Last
Age of Child #2:
Sex of Child #2:
Does this child have Special Needs?
CHILD #3 INFORMATION (if applicable)
Name of Child #3: Name of Child #3: First Last
Age of Child #3:
Sex of Child #3:
Does this child have Special Needs?
CHILD #4 INFORMATION (if applicable)
Name of Child #4: Name of Child #4: First Last
Age of Child #4:
Sex of Child #4:
Does this child have Special Needs?
CHILD #5 INFORMATION (if applicable)
Name of Child #5: Name of Child #5: First Last
Age of Child #5:
Sex of Child #5:
Does this child have Special Needs?

TOYS FOR TOTS (2023)

TOYS FOR TOTS (2023)

ADULT INFORMATION

CHILD #1 INFORMATION

CHILD #2 INFORMATION (if applicable)

CHILD #3 INFORMATION (if applicable)

CHILD #4 INFORMATION (if applicable)

CHILD #5 INFORMATION (if applicable)