Your First name
Your last name
Your email
Your Full Address (House Address, City, State & Zip)
Your Phone Number
List your Children: First and Last Name, Age, Gender
Your Child(ren) must be present with you to receive the gift! You may pick it up on the 21st of December at The River Church in Coshocton, Ohio. Please, checkmark the box if you understand 🙂 I Understand
