Looking For a Little Extra Cheer?

Name

Email

Phone Number

City

State / Province / Region

Postal Code

Please List Ages and Genders of Children

Disbursement Preference

Confirmation

I consent to being contacted by the George Wiley Center of Pawtucket, RI to complete the registration process. I understand that only one family may be signed up per address
I acknowledge that submitting this form does not guarantee receiving of holiday gifts, and that verification of need will be required to participate in Toys From 23. I will not hold IATSE Local 23, George Wiley Center, or any of their affiliates or sponsors liable for issues pertaining to signups, collection, disbursement, or any facets related to donations