Make Reservations for Holidays Party for Deaf Children

			ASDC Oregon/Washington Holidays Party for Deaf Children
					Holidays Party Reservation Form

Reservations are required by December 1, to be sure we have enough food and presents for everyone.

No one will be admitted without reservations.

Important Note:
To ensure that the most number of deaf children are able to attend, family members are limited to parents/guardians and siblings. If for any reason you are unable to use your reservations, please contact us as soon as possible so that we can extend an invitation to a family on the waiting list. Please be considerate so that the most number of deaf children can enjoy the Holidays Party.

Click on the Submit button at the bottom of the page to send your reservation to us.
If you don't hear from Chris within 48 hours, please email her directly here.

Please provide the following contact information for adults attending the party:

Adult #1 First Name

Adult #1 Last Name

Adult #2 First Name

Adult #2 Last Name

Street Address

City

State

Zip Code

Home Phone

Work Phone

Your Name

Your E-mail

How many adults are coming?

How many children are coming?

Please provide the following information for each child attending:

First Name

Last Name

Age

Sex Male Female

Mode Deaf Hearing

First Name

Last Name

Age

Sex

Male Female

Mode Deaf Hearing

First Name

Last Name

Age

Sex Male Female
Mode Deaf Hearing

Additional Information or
Questions

Adult #1 First Name
Adult #1 Last Name
Adult #2 First Name
Adult #2 Last Name
Street Address
City
State
Zip Code
Home Phone
Work Phone
Your Name
Your E-mail

First Name
Last Name
Age
Sex	Male Female
Mode	Deaf Hearing

First Name
Last Name
Age
Sex	Male Female
Mode	Deaf Hearing

First Name
Last Name
Age
Sex	Male Female
Mode	Deaf Hearing

Revised: October 19, 2007