Giveaway Registration Form Presented by: CrossRoads Church / H.U.G Program Please Select Event Time Slot 12.00 PM - 1.30 PM 2.00 PM- 3.30 PM 4.00 PM - 5.30 PM Documents Required: -Picture I.D of PARENT -Proof of Children ( Birth Certificate, School I.D., of any state I.D.) -Proof of Residency (Mail under 30 days) Parent Information Your Name Email Address Phone Number Children Information Child 1 Gender Male Female Child 2 Gender Male Female Child 3 Gender Male Female Register Please Wait… Test using card number 4242 4242 4242 4242, any (future) expiration and any CVC. More test numbers here. For paypal test use email: payformbuyer@mail.com pass: 12345678
