Evergreen Park – Duck Derby | Houston-Galveston Area Council (H-GAC)

Evergreen Park – Duck Derby Purchase Form

Join us on Saturday, August 23 at Evergreen Pool for the Inaugural Evergreen Duck Derby! Get your ducks and race them in the pool! With the help of our fire department, these ducks will move!

Fun prizes for the kids and the best part, this event benefits our beloved Evergreen Pool and Park Complex!

We are grateful for your support and can't wait to see you all at the Duck Derby!

Your Contact Information

All fields are required unless noted otherwise.

First Name

Required

Last Name

Required

Email Address

Required

The email address entered is not valid.

Phone Number

Required

Purchase Your Ducks

All fields are required unless noted otherwise.

Ducks for the Evergreen Duck Derby can be purchased at a cost of $5 per duck.

Discounted bundles are available.

How many ducks would you like to purchase?

Required

Please specify the number of ducks you would like to purchase.

Required

Additional Donation

All fields are required unless noted otherwise.

Would you like to make an additional donation to Evergreen Park as part of your ticket purchase?

Required

Donation Amount

Required

Billing Information

Please complete the requested billing information.

All fields are required.

First Name

Required

Last Name

Required

Email Address

Required

Address

Required

City

Required

State

Required

Zip Code

Required

Payment Information

Please complete the requested payment information.

All fields are required.

Credit Card Type

Required

Credit Card Number (numbers only, no dashes)

Required

Credit Card Number must be a 16 digit number.

CVV (3 Digit Number)

Required

CVV must be a 3 digit number.

Credit Card Expiration Month (2 Digit Month)

Required

Credit Card Expiration Month must be a 2 digit number.

Credit Card Expiration Year (2 Digit Year)

Required

Credit Card Expiration Year must be a 2 digit number.

Review and Submit Your Purchase

Item	Quantity	Cost
Number of Ducks Purchased
Total

Required

Contact Information

For any questions about this event or about WeAreEvergreen, please contact:

City of Bellaire Council Member
Cindy Taylor
713-662-8222
[email protected]

Or visit weareevergreen.org.

Alert!

Evergreen Park – Duck Derby Purchase Form

Your Contact Information

Purchase Your Ducks

Additional Donation

Billing Information

Payment Information

Review and Submit Your Purchase

Contact Information