Survey - 2011 Holiday Heroes Sign Up Form

2011 Holiday Heroes Sign Up Form

Holiday Heroes Updated Horizontal

By completing this form you, or your group, will be assigned a wish list (or lists) so you can shop for gifts and deliver them to the correct Youth Villages office by that location's deadline. You will also have the opportunity to attend a Holiday Heroes party or event (event opportunities vary by location).

*1.

Question - Required - Where are you interested in being a holiday hero?

*2.

Question - Required - How will you be involved with Holiday Heroes?

3.

Question - Not Required - If you answered "Group" to the previous question please supply your Group Name:

*4.

Question - Required - How many Children would you like to sponsor:

5.

Question - Not Required - Indicate number of children you would like to sponsor if more than 10:

6.

Your Information:

*

Name:

Title	First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from Youth Villages.

Yes, I would like to receive postal mail from Youth Villages