Giveaway Registration Form

Date
Decenber 7th, 2019
Time
10:00 am - 6:00 pm
Address
Jessie Turner Center
15556 Summit Ave, Fontana CA 92335
Presented By: Cross Roads Church / H.U.G. Program
10 am - 11:30 am12:00 pm - 1:30 pm2 pm - 3:30 pm4 pm - 5:30 pm
*Please Print Application and bring ALL required documents. Please show up 30 mins PRIOR to the Event Time Slot you've selected.
Documents Required:
-Picture I.D of PARENT
-Proof of Children ( Birth Certificate, School I.D., of any state I.D.)
-Proof of Residency (Mail under 30 days)

Screeners are NOT to copy nor write down your information. Visual varification only !
PARENT INFORMATION
This section is for PARENT INFORMATION ONLY.
Phone Number*
Area CodePhone Number
Full Name*
First NameLast Name
E-mail*
CHILD INFORMATION
This section is to be completely filled out with child's NAME, GENDER and AGE.
Children:*
Rows Name ( First / Last ) Gender ( M / F ) Age ( 0 - 17 )
Child #1
Child #2
Child #3
Child #4
Child #5
Child #6
Child #7
Child #8
Should be Empty: