EmailMe Form - Kindred Life Ministries Sippy Cup Sign Up

Name *
First Last
Email *
Phone *
### - ### - ####
What is your Home Church or nearest Kindred Life Office (Antioch, Gurnee or Wheeling)? *
YOUR SIPPY CUP DRIVE INFORMATION
Please give your Sippy Cup Drive a name based on the group that will be participating(example Smith Family Drive, Gurnee Quilters, Grayslake Boy Scouts): *
When would you like to start your Sippy Cup Drive? *
MM / DD / YYYY
When would you like to end your Sippy Cup Drive? * We recommend a 2-week drive *
MM / DD / YYYY
How many Sippy Cups would you like? *
Any Questions or Comments? Someone from Kindred Life will contact you soon to arrange how to drop off and collect your Sippy Cups.
THANK YOU FOR HELPING A TEEN PARENT AND THEIR FAMILY TO THRIVE