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 [$125]

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:

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! Your message was sent successfully.

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

That's Right! Each time you donate to and register for a membership with our Paycare Program, you not only receive a membership to our program, but you are also improving the lives of children across the entire United States!

Join Us In Our First Cause & Campaign of 2023:

"Yacht Party" Family/Friends Event!

*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

DEADLINE: March 20, 2023

ANNOUNCEMENT: FB LIVE on 3/25/23 at 3pm

*VOID WHERE PROHIBITED*

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