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CODIE’S ANNUAL EVENT

Children's Holiday Drive-Thru

Days

Hours

Minutes

Seconds

The event has ended. Thank you so much for your support!

December 17, 2022 | 9:00 AM – 12:00 PM

CODIE, 1737 Atlanta Ave, H3A, Riverside, CA 92507

Children's Holiday Registration Form

2022 Children's Holiday Drive Thru

Registration Form

Information about your children

Your first child's name(Required)

First Name

Your first child's age(Required)

Your first child's gender(Required)

Non-Binary

Girl

Boy

Your second child's name

First Name

Your second child's age

Your second child's gender

Non-Binary

Girl

Boy

For large family

Do you have more than two children?(Required)

Yes

No

How many children do you have?

Your third, fourth, fifth...childrens' first name(s), ages, and gender.

Example: John Doe, Jr., 3, Male Jane Doe, 10, Female Harry Doe, 12, Non-Binary

Parent / Guardian's Information

Parent's / Guardian's Name(Required)

First Name Last Name

Email(Required)

Please contact us at 951-801-5674 videophone, 951-275-5000 voice if you don't have an email.

Enter Email Confirm Email

Alternative Contact Information

Preferred Contact Method

E-mail

Videophone

Voice

Mailing Address

CAPTCHA

Outreach & Regional Offices

contact us

951-801-5674
951-275-5000
info@codie.org
1737 Atlanta Ave, H3A, Riverside, CA 92507

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