private school enrollment

Annual Community Youth
Holiday Party

Requirements Child’s age, 5 -12, child’s attendance is required from the beginning to the end of the party to receive his/her gifts. Every child will have gifts to take home.

Complete one registration form per child.
Non-Refundable Registration fee of $15.50 per child must be paid at the time of registration.
We ask parents to complete a brief survey after the party to let us know how we are doing.

REGISTRATION STARTS: SEPTEMBER 1ST AND ENDS: NOVEMBER 1ST

When: Saturday December 20th Time: 1:00 pm – 4:00 p.m. Phone # 352-556-2768
Website: www.foreach1reach1.com

Party Location: 7318 Sunshine Grove Road Brooksville, FL 34613

Instructions: Complete and submit!

Annual Community Youth Holiday Party

First Name

Last Name

Date of Birth

AGE

School:

Race:

Grade:

Gender:

Parent Name:

Phone:

Address

Address Line 1

City

State

Zip Code

How did you hear about our program?

(1) List 3 Items gift items that you would like, please be detailed, if you list clothes or shoes, you must list the size.

(2) List 3 Items gift items that you would like, please be detailed, if you list clothes or shoes, you must list the size.

(3) List 3 Items gift items that you would like, please be detailed, if you list clothes or shoes, you must list the size.

Please Choose One

I would like to do karaoke

I would like to share my talent at the party

List your Talent

I give permission to For Each 1 Reach 1 Mentoring Program, Inc. Reach Academy to take photos of my child and to use them for marketing purposes, website, social media, brochures, flyers, business cards etc. in a positive way.

Parents’ Signature:

Date:

private school enrollment

Annual Community Youth Holiday Party

REGISTRATION STARTS: SEPTEMBER 1ST AND ENDS: NOVEMBER 1ST

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Annual Community Youth
Holiday Party