Christmas Is...Registration - Nathaniel's Hope

CHRISTMAS IS... REGISTRATION

"*" indicates required fields

Parent Information

Disclaimer: We will not provide a chaperone or Buddy for your VIP(s) at this event.

Parent/Guardian Name*

Legal First Name Legal Last Name

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Cell Phone*

Home Phone (if different from cell phone)

VIP Membership Number:*

Only one VIP membership number is required.

How many tickets do you need for yourself and your party?*

How many wheelchairs users/adaptive strollers are in your party?*

Confirmation Deposit*

Price:

Nathaniel's Hope Keep 'm Smiling Credit Card Policy: Activities are planned based on a limited number of tickets. In order for us to secure your registration to the event, we require your authorization for a $10 hold on a valid Credit Card. Submitting this form will AUTHORIZE a $10 HOLD on your credit card. Your card will ONLY be charged the $10 fee if you DO NOT attend the event, or DO NOT cancel your ticket reservation by Monday, December 1, 2025 by 12:00 noon. You will see a temporary $10 Hold on your card, but this will be removed on December 11, 2025 AFTER the event (Including those that have canceled prior to 12/1/25) when we verify your attendance. The time release of the Hold will depend on your Bank's Policy for posting funds to your account. This $10 Hold will NOT be applied to the purchase of any additional discounted tickets.

Total

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder's Name as it appears on card

Billing Address*

Street Address Apt/Unit # City State / Province / Region ZIP / Postal Code Country

As it appears on billing statement.

VIP Birthday Club

Prayer Support

Fun Activities for Kids

Resources for Parents

VIP Families/Get a Break

Buddy/Be A Friend

Churches/Give a Break

Florida

Ohio

Current Volunteer Needs

Celebrating Kids with Special Needs, our VIPs