LTBB Employee Toy Drive Registration Form

First Name *

Last Name *

Phone *

Email Address *

Donation Type: *

I am making a cash donation.

I am donating a new, unwrapped toy.

What is the amount of your cash donation? *

Please attach a photo of your donation. *

Please indicate the age range for the gift.

0-3

4-6

7-12

13 or higher

What location are you dropping your toy donation off at? *

LTBB Government Complex - Education Dept.

911 Building - Tribal Police

Health Clinic - Front Lobby

Casino - Staff Break Room

Would you like to be entered into the raffle? *

Yes

No

Date of Signature * +

By signing, I am verifying that I would like my toy and/or monetary donation to be used for purposes of the LTBB Toy Drive hosted by the Niigaandiwin Education Department. *

clear