DAYTIME SERVICE & GAMES

• P.S. 191/Hudson Honors
  61st Street & Amsterdam Avenue
  9am - 4pm

NIGHTTIME AFTER-PARTY

• Dorian's Red Hand
  1616 2nd Avenue at 84th Street
  8 - 11pm

DONATION ONLY

• If you cannot attend the event please make a donation, and let us know if you will be coming to the After-Party

Preferred Activity ___________________________________________________

Name ___________________________________________________________

Address _________________________________________________________

City ________________________________ State _________ Zip ____________

Phone ______________ Fax ______________ Email ______________________

I / We are unable to attend the event but wish to make a contribution: $_________

Payment:Check Money Order   Credit Card payments accepted at PayPal only

Kindly print this page and mail it with your check to:

Chelsea Morrison Foundation
19 E. 72nd Street
New York, NY  10021
phone: 212-288-0706

Please keep as your receipt | Market Value per ticket: $100 | Chelsea Morrison Foundation 501 (c) 3