KAH Illinois
Event Registrations

---

Individual Registration

Please enter information in the form below to process registration for event Open Pack | May 3, 2025.

First Name  *

Last Name  *

Phone  *

Email  *

Participant Age  *

--Select-- Under 16 6-22 22-40 41-60 61 & above

Do you want to be informed of future packing events and special events?

Yes

No

An adult typically packs 1 box (216 meals) per packing hour - 216 meals @ .30 per meal = $65. Would you like to give a donation to cover part or all of your pack today?

Yes! I want to make a donation.

Yes

No

Donation Amount

--Select-- 5 10 15 20 25 50 75 100

Payment Information

Amount

$

Payment Method

Paypal

Credit Card Number*

Expiration Date*

01 02 03 04 05 06 07 08 09 10 11 12 / 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035

Card (CVV) Code*

Card Holder Name*