Canton Rejoicing Spirits - Host Home Registration
Email address *
Contracting Agency *
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Contractor Name *
Your answer
Phone Number (cell number preferable)
Your answer
Can we text you at this number with service information?
Street Address (to send a thank you card) *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Date of Service *
Number of people attending *
Your answer
Describe any food allergies or special dietary needs for your family. Please include people's names so that we can set aside something special just for them!
Your answer
Anything else that would be helpful for us to know about your family (for example, if anyone has sensory disorder)? We will try to take everything into account to create a great experience for everyone!
Your answer
A copy of your responses will be emailed to the address you provided.
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