Christmas Party Application 2021

The Elexicon Energy Pediatric Christmas Party

    The party will be hosted via Zoom ( and a link to access the live feed will be sent out closer to the party by email. All gifts will be mailed.
  • MM slash DD slash YYYY
  • Child 1

  • Child 2

  • Child 3

  • Child 4

  • We will not be sending gifts this year due to rising shipping costs. Instead, we will be mailing gift cards in advance so that you are able to purchase presents. We ask that you have one gift wrapped and ready for each child to open during the Christmas party. Please double check to ensure your mailing address is correct.

  • Audio/Visual release
    I understand that by authorizing this Audio/Visual Release form, I am irrevocably releasing the use of any likeness dialogue which has been recorded of my family for Shine Through the Rain, including its employees, agents or servants for any multi-media purpose that could include reproducing it on our website, or any other printed media associated with the organization, such as promotions, single images, or as wallpaper. All audio/visual records, recordings, negative and/or slides together with any prints shall constitute the property of Shine Through the Rain, solely and completely. Shine Through the Rain respects your privacy. We protect your personal information and adhere to all legislative requirements in protecting your privacy. We do not rent, sell, or trade our mailing lists. We see your personal information to provide services to keep you informed and up to date on our activities.