Holiday Hamper Registration To qualify for a Holiday Hamper, you must be a Slocan Valley resident and register by Friday 17th November 2023. One registration / one hamper per household. Hampers must be collected at WE Graham School on Thursday 21st December 2023 between 12 and 3pm. For more information contact 250-355-2484 or info@wegcss.org First Name* Last Name* I am a SeniorYesNo Contact Details Street* Address Line 2 City* Province*Postal Code* Phone Your email* Household Information Total Number of People in Household* Total Number of People Under 18* Total Number of Adults in Household* Our Household would prefer...* —Please choose an option—TurkeyHamSpecial Diet (Gift Card Option) Our Household is...* No Special DietVegetarianVeganGluten FreeDairy Free Specific Dietary Information PLEASE NOTE: We will list ingredients of food prepared in-house but our kitchen is not guaranteed allergen free. Additional Household Members Adults Adult 1 Senior?YesNo Adult 2 Senior?YesNo Adult 3 Name Senior?YesNo Adult 4 Senior?YesNo Adult 5 Senior?YesNo Additional Children in Household Please include names of all the children in your household (under 18). Please note: All children listed will have gifts included in the hamper, age and gender information helps us provide a suitable gift, if your child does not want a "boy" or "girl" gendered gift, please use the "neutral" choice. Child 1 Name Age Gender—Please choose an option—MaleFemaleNeutral Child 2 Name Age Gender—Please choose an option—MaleFemaleNeutral Child 3 Name Age Gender—Please choose an option—MaleFemaleNeutral Child 4 Name Age Gender—Please choose an option—MaleFemaleNeutral Child 5 Name Age Gender—Please choose an option—MaleFemaleNeutral Consent I consent to the collection, use, and disclosure of the information contained in this form for the sole purposes of WEGCSS internal record keeping and anonymized statistical reporting* Date This form uses Akismet to reduce spam. Learn how your data is processed.Δ
