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

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.

Please send the following information in an email to info@deafkidsparty.org.
If you don't receive a confirmation email from Chris within 48 hours, please email her directly here.

Adult #1 First Name:

Adult #1 Last Name:

Adult #2 First Name:

Adult #2 Last Name:

Street Name:

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 or Female):

Mode (Deaf or Hearing):

Additional Information or Questions:

Revised: October 18, 2007