Registration Form

Please join us for the 4th Annual Winter Funder-Land on January 18 at Jerry’s Sandwiches in Lincoln Square for an evening of games, prizes and fun-draising for Adventure Stage Chicago.

Please register as individuals ($25) OR as a Team of 4 ($80) using the registration form below.

   Individual Participants ($25 each)
   Team of 4 ($80)
If you are registering a team, please share your teammates' names and emails to receive details about the event.
Would you like to add a tax-deductible donation to your purchase?
   Other Amount:   .00 (No commas please)