Events Registration

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Event Registration

Company Name *

Contact Info

(the person filling out this form)

First Name*

Last Name*

Email *

Phone *

Registration Selection (Individual Seats or Table) *

Payment Options *

If you choose "by credit card online" you will be sent to PayPal to securely enter your payment information after you click "Register". Your registration is NOT complete until we receive payment.

Payment Options *

by credit card online

Check will be mailed within 5 days

Please Enter the Names of Participants

Please Enter the Names of Participants

Attendees *

First Name (1st attendee)

Last Name (1st attendee)

Additional Participants

(First, Last Name, and email) One per line

Additional Participants

Comments

Contact Us

Phone

503-323-2812

info@kidschanceoforegon.com

Address

Kids’ Chance of Oregon
PO Box 1728
Lake Oswego, OR 97035

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