EIPHC Party Host Registration Question Title * 1. Name Question Title * 2. Address Question Title * 3. Phone Question Title * 4. Email address Question Title * 5. Party Date & Time Question Title * 6. Party Location Question Title * 7. Party Theme (if determined) Question Title * 8. I am interested in having a Make-A-Wish representative attend my party to provide a short presentation about local wishes? Yes No Question Title * 9. I am interested in showing a Make-A-Wish video during my party? Yes No Done