Corey Diamond Memorial Fund

 

Picnic Party in the Park FUNdraiser Registration Form

This form is to be used when registering for the event and you will be paying at the door. We prefer you pay on-line but if you can't then registering will let us know you are planning on attending so we can get a fairly accurate count for food etc.

If you will be registering and paying on-line, please use the Registration Page to do so.

Or you can print out the registration PDF and either fax it to (847) 506-9003 or send it in. *=required field.

Thank you for registering for the FUNdraiser. If you are trying to make a donation, please go to the donation page.

Corey Diamond Memorial Picnic Party in the Park FUNdraiser Registration Form
Your First Name:*
Last Name*
Day Phone
Street Address*
City*
State*
Zip Code*
Email*
Number of Adults Attending*
Number of Children under 12*
Comments/Questions
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Thank you for your support. We look forward to seeing you at the Picnic FUNdraiser Sunday, August 14th!