Feed Nicaragua Are You Signing Up As An Individual or A Team?*IndividualTeamName First Last Team Name*i.e. Smith Family, Smith Community Group, KWHS Football Team, NC Football Team, ABC Bank Team.Your Name* First Last Email* Your Phone Numer*Names of Additional Team Mates*There is a max of 12 people for each table including yourself. For each additional team member, hit the + button to enter their name.First NameLast Name Phone*Choose Your Shift*Select a shift7:30am - 9:00am (121 positions free)12:00pm - 1:30pm (117 positions free)1:30pm - 3:00pm (131 positions free)Would You Like To Make A Donation To Feed Nicaragua?*Feeding a child in Nicaragua costs only 35 cents a day. For $20 dollars you can help feed 57 kids. For $50 dollars you can feed 142 kids. Your donation can help make a huge impact in the lives of the people of Nicaragua. Your donation will be used to purchase the ingredients (Chicken, Veggie, Soy, Rice) for the food packing event on October 5, as well as help with shipping costs. Yes, I would be happy to.No, not at this time.Feed Nicaragua Donation Amount* Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.