First Name

Last Name

Phone *

Email *

How will your family be participating in Gifts of Hope? *

Family Affected by Cancer - registering to receive Holiday gift

Community Supporter Family - attending the Christmas Party and bringing a new, unwrapped toy, or a gift card to bless a child or family affected by cancer

Community Supporter - making a donation, bringing a new unwrapped toy, or providing a gift card, but not attending the Christmas Party

Number of Adults Attending

Number of Children Attending

Ages of Children Attending

Child/Children's Name(s)

Gift Interests / Wishes for Child(ren)

How did you hear about this event?