Community Candlelight Registration Building bridges of hope for lowcountry families since 1980 Please enable JavaScript in your browser to complete this form.Reservation InformationYour Name *FirstLastEmail *Are you a Stepping Stones Family ? Yes (My child(ren) have participated in programs)NoDonation Amount$10.00 - One Luminaries$20.00 - Two Luminaries$30.00 - Three Luminaries$40.00 - Four Luminaries$50.00 - Five Luminaries$60- Six Luminaries$70- Seven Luminaries$80- Eight Luminaries$90-Nine Luminaries $100- Ten LuminariesOther*The suggested donation of $10/luminary provides grief support to children & families at this event & throughout the year OtherLuminary InformationYour Last NameAll luminaries will be in alphabetical order around the lagoon, by the person who reserved the luminaries last name. Please indicate your last name for this purposes. Luminary 1 Name1. VeteranTrueFalseLuminary 2 Name2. Veteran TrueFalseLuminary 3 Name3. VeteranTrueFalseLuminary 4 Name4. Veteran TrueFalseLuminary 5 Name5. Veteran TrueFalseLuminary 6 Name6. Veteran TrueFalseLuminary 7 Name7. VeteranTrueFalseLuminary 8 Name8. VeteranTrueFalseLuminary 9 Name9. Veteran TrueFalseLuminary 10 Name10. Veteran TrueFalseRSVP InformationI plan to attend Community Candlelight. *YesNoMaybeHow many people, including yourself, will be attending? *Please list names of all those attending: *Would you like to Sponsor a Luminary for a Stepping Stones Family?NoYes, I would like to Sponsor in addition to my own reservation.Sponsor Amount$10.00 - One Luminaries$20.00 - Two Luminaries$30.00 - Three Luminaries$40.00 - Four Luminaries$50.00 - Five Luminaries$60- Six Luminaries$70- Seven Luminaries$80- Eight Luminaries$90- Nine Luminaries$100-Ten LuminariesBilling InformationAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeStripe Credit CardCardName on CardTotal$0.00Name *FirstLastSubmit Get Started Enroll Complete the Stepping Stones Membership Form Schedule Schedule time with our staff to discuss your needs & our support l Register Sign-up to attend one of our activities or events
