Welcome!!

EVENING
CHAPERONES

$Coach Co.\ Partners$

EVENING CHAPERONES will be at Wal-Mart at 4:30pm have a short meeting and wait for the children to arrive on the buses. You will be assigned a child to shop with. After they are finished, you will be responsible for returning that child to the correct bus and staying with them until a All Day Chaperone returns to their bus.

IMPORTANT! The info below is the way we will contact you. PLEASE spell your entries correctly, use the fields correctly and check your entries before hitting submit. If we can't read your submission or your email address is entered incorrectly, we can't contact you.

Name:
Address:
City:		State:	Zip:
Day Phone:	- -
Evening Phone:
Email:	ONLY ONE PER LINE
Re-Enter Email:	ONLY ONE PER LINE
By checking this box, I understand that, for Security Purposes, I am REQUIRED to bring & show A VALID PHOTO ID , or I will not participate in the Event.

Have you every been a chaperone before?	Yes No How many years?
Do you have medical training?	Yes No If yes, choose:
¿Hablas español?	Yes No

Wait! Please be sure that you add the following Christmas 4 Kids
E-MAIL ADDRESSES TO YOUR "FRIENDS or NON-SPAMMER LIST"
so that we are not blocked as SPAM or you will not be able to receive our important updates.
cyndylcarroll@gmail.com

Once you submit this form, you will recieve an email within 48 hours.
If not, email cyndylcarroll@gmail.com, to verify your info.

You will ONLY be contacted BY EMAIL with important info & updates,
it is vital your email address be correct.

Be sure to read the

Christmas 4 Kids (A Division of Christmas For Kids, Inc.)