Party Contact Name (First & Last)*

Home Address*

Phone*
Email*

2nd Person in Party

Name (First & Last):

Child?
NoYes

If yes, Age:

Additional Attendees at $10/guest:

3rd Person in Party

Name (First & Last)

Child?
NoYes

If yes, Age:

4th Person in Party

Name (First & Last)

Child?
NoYes

If yes, Age:

5th Person in Party

Name (First & Last)

Child?
NoYes

If yes, Age:

6th Person in Party

Name (First & Last)

Child?
NoYes

If yes, Age:

7th Person in Party

Name (First & Last)

Child?
NoYes

If yes, Age:

8th Person in Party

Name (First & Last)

Child?
NoYes

If yes, Age:

Will your party require any special accommodations for seating arrangements? If yes, please explain in the box below:

Elevate Hope House has my permission to take pictures of my party at the Mother's Tea to potentially be used for social media to promote non-profit.*

NoYes

If you would like to pay in advance through paypal or GiveMN.org, please click here to make your donation!

If you have any questions, please email [email protected] or call/text Melinda McDermott directly at 612.615.8824

To ensure you're a real person please answer the following:

What is 9 + 2?