­čĹ╗What are you doing ­čÄâHalloween Night?
All registrants will be entered into our drawing. Our drawing will take place live on social media on Halloween Night. No need to be present to win! We want you reaching out to your neighbors and having FUN!!
Email address *
Location (Address) *
Your answer
Planned Activities *
Your answer
Expected number of adults to visit your home or business: *
Your answer
Expected number of children to visit your home or business *
Your answer
T-Shirt Size for Raffle (Quantity 4) *
XS
S
M
L
XL
XXL
First T-shirt for raffle
Second T-Shirt for raffle
Third T-Shirt for raffle
Fourth T-Shirt for raffle
Contact Person *
Your answer
Phone Number (Internal Purposes Only) *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Love Madera.