Phone # (                   ) ________________________________

Email ____________________________________________________________________________

Children Name                                            Age              Adoptive Country/ or Biological

___________________________________     ______          __________________________________

___________________________________     ______          __________________________________

___________________________________     ______          __________________________________

___________________________________     ______          __________________________________

___________________________________     ______          __________________________________

___________________________________     ______          __________________________________

Guests Attending 

Name   ________________________________________

            ________________________________________

Lunch is $8.00 per person (adults and children) please enclose a check for the total.

____________ x $8.00 = $_________

Please make check to:
Children’s Hope International     11780 Borman  Drive,    St. Louis ,   MO  63146