Register/Donate Page

We Thank You For Your Registration & Donation!

Name*

Email Address*

Message

Telephone #*

ID# or Driver's License #*

Will also be your membership # and your ticket# for the Upcoming Event!

Ticket/Registration Entry *

As a Thank You for your membership, you can select between 1 or 2 Entries for the Upcoming Event!

1 Entry [$75]

2 Entries [$90]

Pay via ZELLE (*email: ccagle@paycareprogram.org) *note: put your email in 'notes' section to receive your contest map!

Enter your Routing#

Enter Your Checking Acct#

Credit or Debit Card #

Expiration Date

3-digit Code

I Fully Understand.....*

Be Sure To Click All Boxes Below: Required

My donation is for the benefit of the children and families serviced by Paycare Program. In exchange for my donation, I receive a 1-year membership in the Paycare Program, which potentially allows me repeat access to funds that benefit children for whom I am responsible. *All funding is subject to verification.

My donation also grants me entry to possibly be selected as the recipient of a 3-day yacht cruise for my family's use & enjoyment.

I am aware that 1 recipient will be announced on 3/25/23.

I am responsible for any damages to the yacht and my financial information will be kept on file to be charged in the event of any such damages to the property.

That my donation is Tax-deductible due to Paycare Program being a program under a 501(C)3 Non-profit organization.

Donation/Entry Date *

Select the date of your donation/entry

Thank you! You will be provided a New Paycare membership number as a token of appreciation for participate in our efforts to support families with childdren!

Paycare Program thanks every Donor/Registrant for making children's lives more and more wonderful!

That's Right! Each time you register, donate or participate, you are not only automatically enrolled for a membership with our Paycare Program as a show of our gratitude, but you are also improving the lives of children across the entire United States!

Coming Soon in June!

Join our cast at a "Yacht Party" on a 39-foot yacht!!

*************************

*Sleeps 6 with 1 bathroom, boat accommodates 15 to 18 folks

*39-foot Double Decker Boat with Sundeck, Waterslide, Parlor, kitchen, full stateroom, full bath, TV, DVD

player, heating and A/C, huge gas grill, linens, dishes, towels.

Yacht Sail Away: from 9a-3p on Friday

Yacht to Return by 5pm on Sunday

TICKET PRICE: $45.00

DATE: June 2025 [TBD]

*VOID WHERE PROHIBITED*

Proceeds go to the benefit of:

New Jerusalem Cathedral Children's Church

Love & Faith Youth Department

*Paycare Program

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