4th Annual Homewood Community Wide Christmas Tree Lighting Registration

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When: Friday December 10th, 6PM

Where: Church of the Holy Cross
7507 Kelly St, Pittsburgh, Pennsylvania 15208

Please visit our website at: http://www.historichcpa.org/

Contact us at (412) 242-3209 or staff@historichcpa.org

PLEASE COMPLETE ALL REQUIRED SECTIONS OF THE REGISTRATION FORM (marked with *)

Registration will close on December 5th. Once you are registered, we will contact you to arrange your pickup time.

Thank You ❤️

Email *

Parent/ Guardian First Name *

Parent/ Guardian Last Name *

Street Address *

Zipcode *

Phone Number *

How many children in your household? *

First Child's Name and Age *

Gender?

Male

Female

Clear selection

Second Child's Name and Age

Gender?

Male

Female

Clear selection

Third Child's Name and Age

Gender?

Male

Female

Clear selection

Additional Children's Names, Ages, and Gender?

How Did You Hear About This Event?

Flyer in Community

School

Friend

Family

Other

Clear selection

Are you in need of any other types of Community Support?

After School Care

Summer Camp

Scouting

Senior Activities

Adult Learning

Other:

Clear selection

What is your prefered method of communication?

Postal Mail

Phone Call

Text Message

Clear selection

Comments and/or Suggestions?

A copy of your responses will be emailed to the address you provided.

Submit

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