Egg My House Order Form

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We'll fill and hide your Easter eggs so you don't have to!

Each egg (plastic, in pastels and primary colors) will be stuffed with name-brand candies, all sealed in individual packaging, as well as some fun little trinkets and toys (erasers, bouncy balls, etc.). Golden eggs are larger than the other eggs and will be filled with a variety of name-brand candies, small toys, and an Easter message. Please note that we are currently unable to accommodate the needs of children with food allergies and sensitivities.

At this time, we can only deliver eggs to houses in the Northern Lebanon School District boundaries.

Eggs will be delivered and hidden in your front yard between 8-10 PM, Saturday, April 11. Please complete this form by Wednesday, April 1 to submit your order.

All proceeds will benefit Zion Evangelical Lutheran Church's Youth Group in Jonestown.

My name is: *

My phone number is *

My email address is *

If you are paying through PayPal, what email address are you using?

My street address where the youth group will deliver the eggs is *

Any special instructions for finding your house?

This is what I want the youth group to do: *

I have an easily accessible front yard (no locked gates, etc.) AND I want the youth group to hide Easter eggs in it.

I want the youth group to leave a basket of filled eggs on my front porch or at my front door INSTEAD of hiding them in my yard.

I do not have a front yard AND I want the youth group to leave a basket of filled eggs on my front porch or at my front door.

How many eggs would you like to add to your order? *

25 filled eggs - $30

50 filled eggs - $40

100 filled eggs - $75

Required

How many golden eggs would you like to add to your order? *

Should we include Bible verses and religious Easter messages in some of the eggs (ie. "He is risen," "Jesus loves you," etc.)?

Yes

Clear selection

I understand that this is a fundraiser for a youth group and that children will hiding eggs on the front yard of my property. I understand that I will receive a phone call prior to the youth group arriving at my house to let me know when they will arrive. *

Yes

Required

I will notify all adults in the house that people will be on the property. I will have all pets in the house or tied up during this time. I will ensure that no weapons will be brandished, discharged, or otherwise used while the youth group is at my house. *

Yes

Required

If the weather is bad (substantial rain or snow), I understand that the filled eggs will be left on my front porch in a basket. The youth group will not come back to hide the eggs. *

Yes

Required

If you will be throwing away or recycling your plastic eggs after Easter, we would love to pick them up from you to reuse them again for next year. Please let us know if you would be interested in doing this: *

Yes! I will leave a bag of eggs on my front porch for pick up on Monday, April 13.

No, I am not interested.

I understand that this is a donation to the Zion's Lutheran youth group and that all donations are final. There will be no refunds. *

Yes

Required

I will make a payment through PayPal (http://www.zionsjonestown.com/giving/) or by a check to Zion's Youth Group and mailed to Zion's Lutheran, PO Box 658, Jonestown, PA 17038.

My payment will be through PayPal.

I am sending a check.

Submit

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