Hoopeston Jaycees Birthday Club
2017 Registration Form
Hoopeston Jaycees Birthday Club Registration Form
The Hoopeston Jaycees are proud to continue an extension outreach program from our annual Toys for Kids Project. The Hoopeston Jaycees "Birthday Club" will serve Hoopeston Area School District families monthly in 2017.

WHAT: Parents and guardians of children, aged 0-10, may register for their children to be enrolled in the Birthday Club program. Adults will then be able to shop for (2) new toys per child per birthday from a selection of toys.

WHO: Families are asked to have qualified for the book waiver fee through the school district. If a child is under school age, please be prepared to show additional proof of income.

WHEN: Shopping will take place on the final Saturday of each month for the following month's birthdays (i.e., April birthdays will shop on Saturday, March 25), with private appointments for each family.

WHERE: Shopping location will be in Hoopeston and will be determined on a monthly basis. Participants will be notified of location and appointment times by mail and/or phone.

REGISTRATION: Please complete the fillable form below. Participants must be signed up no later than the 15th of any given month to be able to shop in that qualifying month, with the exception for January birthdays. Participants are encouraged to sign up early for planning purposes. This fillable form is only good for the 2017 calendar year. You must sign up again each year.

Parent/Guardian's Name:
Your answer
Telephone Number:
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Address
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