THE TRIBE HAS SPOKEN... Outwit, Outlast, Outparty - to help end family homelessness!     Purchase Tickets or Make a Donation

* First Name  * required * Last Name  * required   Spouse Name   Company Name * Address  * required * City, State  * required * Zip Code  * required * Phone  * required * Email Address  * required * How did you hear about Shake It? Mailed Invitation E-mail Facebook Poster Word of mouth Other (please specify below)       EVENT TICKETS - Levels of Support  Ticket contributions in excess of $35 per ticket are tax deductible as a charitable contribution.  Shake It is a fundraising event.  We encourage you to buy tickets at the highest possible level - so that COMPASS for homeless families can continue its great work! Sole Survivor $250 (includes Survivor Buff, entry in Team Challenge and two free drinks) Tribal Council $100 (includes Survivor Buff and entry in Team Challenge) Immunity Idol $50           Please enter the total ticket dollar amount in the box below:      * required     Please include guest names below:         CORPORATE GROUP TICKETS Get Involved - Team Build - Make a Difference   I/we would like to purchase the following: Volunteer Level - $25 per person Group Level - $35 per person Challenge Level - $100 per person     MAKE A DONATION If you cannot attend the event and would like to make a donation, please fill out below: I/We would like to make a donation to support COMPASS for homeless families in the amount of:       *   PAYMENT OPTIONS     I/we would like to pay for our tickets/donation by Check I/we would like to pay for our tickets/donation by Credit Card             Please make checks payable to: COMPASS for kids 4 Militia Drive, Suite 7 Lexington, MA 02421

COMPASS for kids (formerly Parenting Resource Associates) 4 Militia Drive, Suite 7 | Lexington, MA 02421 781.862.4446 | www.compassforkids.org