Store It Safe Fundraiser Registration I would like to register attendees for the Store It Safe Fundraiser on Friday, November 20: 1 attendee 2 attendees 3 attendees 4 attendees 5 attendees 6 attendees 7 attendees 8 attendees 9 attendees 10 or more attendees If registering 10 or more attendees, you will be contacted by the Ohio AAP to plan your group's attendance. I would like to make an optional donation to support the Store It Safe Fundraiser: $10 $20 $50 $100 N/A OtherOther I would like to sponsor/exhibit as: Champion for Children - $5000 Advocate for Children - $3000 Friend of the Children - $1500 Event tickets only I would like to purchase raffle tickets to support the Store It Safe program of the Ohio AAP Foundation. 1 ticket - $10 3 tickets - $20 10 tickets - $50 20 tickets - $100 0 tickets - $0 (Optional raffle ticket purchase. Raffle tickets will be provided the week of November 16 to those with advance purchases; additional raffle tickets will be sold during the Store It Safe Fundraiser November 20. Raffle prizes will be announced in November 2020.) Please provide the name and email address for each fundraiser attendee; this will be used to provide the webinar joining information. Key Contact Information: * Name Email * Email Are you a student? Please check the box below if yes! Student Are you a parent looking to learn more about teen mental health and safe storage practices? Please check the box below if yes! Parent Name, company, or organization as you wish it to appear on donor recognition materials: Street Address * Street Address 2 (Suite/Building/Etc.) City * State * ----- Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone * Website: Twitter Handle: Facebook Handle: Total: If you are human, leave this field blank.