SBTX Holiday Party 2019 Holiday Party Name of child with Spina Bifida*This party is for children with disabilities only, adults have a party on a separate day at a different venue.Birthdate of child with SB*Address, City and ZipcodeIndividual Filling out the form*Email**Must have a valid email address for registration. You will receive a confirmation email with information, if you do not receive an email, please call 210-826-7289 Email Confirm Email Phone*Did you attend SB-250?*NoYesDessert for cakewalk*Number of ADULTS Attending (17yrs +)*If you have an older child who doesn't want a gift, please add them as an adult.Number of ADULT Spaghetti & Meatball Plates*Number of ADULT Salad dinner plates*Number of ADULT Chicken Alfredo dinner plates*Number of Children Attending (0-16yrs)*Child 1 - Child with SBNameAge/GenderGift Choice ($5-10)Spaghetti & meatball dinner, salad, OR chicken Alfredo dinner Child 2NameAge/GenderGift Choice ($5-10)Spaghetti & meatball dinner, salad, OR chicken Alfredo dinner Child 3NameAge/GenderGift Choice ($5-10)Spaghetti & meatball dinner, salad, OR chicken Alfredo dinner Do you need to add more children?*We will contact you via email or phone to add more children. YES No Confirm you understand the following:* Registering and failing to attend can lead to ineligibility for future sponsorship You are registering for this event and are not currently ineligible You understand that if you fail to confirm your registration, your spot will go to the next family NameThis field is for validation purposes and should be left unchanged.