Count Me In Form

A Count Me In (CMI) is an event/party/experience hosted & paid for by a CL family/families that have a set price & set number of 'spots', so they can sell out!

Once you fill out the form, please email a photo of the family/families that are hosting for the online brochure to Kimi Ueda at . Thank you! 

Host Name(s): *
Host Name(s):
Phone *
Start Time *
Start Time
End Time *
End Time
Age group for this event (check all that apply):
(suggested range for kids events $25-50, adults $50-60)






Every dollar is meaningful and shows your support of Claire Lilienthal and the education of our children. This is a tax deductible donation. CLPTA (Tax ID 0094-2954256) is a 501 (c) (3) organization.