Signups Signups "*" indicates required fields Mother's Name* First Last Father's Name* First Last Guardian's NameONLY if different than the parents First Last Household Address*Please put the address where you live. *Only Mason Co. residents accepted* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number**This number will be used to contact you, if its wrong or becomes disconnected you will not be contacted.*Can you receive text messages at this number?* Yes No Additional Phone NumberEmail Click to be put on signup mailer Add me to future mailers Utilities / BillsMoney paid out by the parents or guardians.Rent/MortgageWaterGasElectricCablePhoneTrashIncomeIncome for the HouseholdPrimary Income*Secondary IncomeSSIFood StampsChild InfoHow many children are in the household?*123456789101. First ChildFirst Child's Name*First Child's Birthday* First Child's Gender* Boy Girl First Child's Clothes / Shoe SizeFirst Child's Interests2. Second ChildSecond Child's Name*Second Child's Birthday* Second Child's Gender* Boy Girl Second Child's Clothes / Shoe SizeSecond Child's Interests3. Third ChildThird Child's Name*Third Child's Birthday* Third Child's Gender* Boy Girl Third Child's Clothes / Shoe SizeThird Child's Interests4. Fourth ChildFourth Child's Name*Fourth Child's Birthday* Fourth Child's Gender* Boy Girl Fourth Child's Clothes / Shoe SizeFourth Child's Interests5. Fifth ChildFifth Child's Name*Fifth Child's Birthday* Fifth Child's Gender* Boy Girl Fifth Child's Clothes / Shoe SizeFifth Child's Interests6. Sixth ChildSixth Child's Name*Sixth Child's Birthday* Sixth Child's Gender* Boy Girl Sixth Child's Clothes / Shoe SizeSixth Child's Interests7. Seventh ChildSeventh Child's Name*Seventh Child's Birthday* Seventh Child's Gender* Boy Girl Seventh Child's Clothes / Shoe SizeSeventh Child's Interests8. Eighth ChildEighth Child's Name*Eighth Child's Birthday* Eighth Child's Gender* Boy Girl Eighth Child's Clothes / Shoe SizeEighth Child's Interests9. Ninth ChildNinth Child's Name*Ninth Child's Birthday* Ninth Child's Gender* Boy Girl Ninth Child's Clothes / Shoe SizeNinth Child's Interests10. Tenth ChildTenth Child's Name*Tenth Child's Birthday* Tenth Child's Gender* Boy Girl Tenth Child's Clothes / Shoe SizeTenth Child's Interests Δ Follow us on Facebook for updated information! Facebook
