Purchase 50/50 and Basket Tickets, additional Chips, or make a Donation to KCNY! Registration closes 10/1/2024 so get signed up now! 2024 Fall FUN-draiser - Registration Registration SelectionEvent Admission Tickets - $150 per guest*# of Admission Tickets1x ticket2x tickets3x tickets4x tickets5x ticketsPlease select the number of admission tickets you would like to order. GIft BasketsWould you like to donate a gift basket?*YesNoGift Basket Donors: Please describe your gift basket contents below. (optional)Payment Method SelectionPayment Type*OnlineCheckChecks are payable to :Kids’ Chance of New YorkMail to: Gary Osborne, TreasurerKids’ Chance of New York75 Southridge Road, Southbury, CT 06488Order TotalTotal $0.00 Registrant InformationName First Last Organization*Title*Email* PhoneAdditional CommentsGuest InformationPlease enter contact information for your guest(s) below. If you are unable to provide this information at the time of your order, please enter "TBD" in the fields below. We will contact you after your order is received to collect your guest(s) information.1st Guest InformationGuest Name* First Last Guest's Organization*Guest's Email Address* 2nd Guest Information2nd Guest Name* First Last 2nd Guest's Organization*2nd Guest's Email Address* 3rd Guest Information3rd Guest Name* First Last 3rd Guest's Organization*3rd Guest's Email Address* 4th Guest Information4th Guest Name* First Last 4th Guest's Organization*4th Guest's Email Address*
