Panther Pups

Welcome to the Family!

We are excited to help welcome your newborn to the Elder Family through our Panther Pups program! Please take a moment to complete this form. At this time, we are only able to ship items to addresses located within the United States.

Only items marked with an asterisk ( * ) are required.

*Child's name

*Child's birthdate

MM/DD/YYYY

*Mother's full name

*Father's full name

*Home mailing address

Address line 2 (if needed)

*City

*State

*Zip code

*Phone number (including area code)

Congratulations on the new addition to your family! Please click/tap here to email us a picture if you would like Elder to use it for publication purposes. Please provide any specific instructions and/or limitations of use within the body of your email.

*Father's year of graduation from Elder (if applicable)

If Father is an Elder grad, then please complete the following so that we may update his contact information in our alumni database. If he is not an Elder grad, then please skip the remainder of this form and click/tap 'SUBMIT' now.

Father's email address

Father's mobile phone number

Father's home phone number

If Father's mailing address is different from the address listed above, then please provide his mailing address in the following section. Otherwise, please skip the remainder of this form and click/tap 'SUBMIT' now.

Home mailing address

Address line 2 (if needed)

City

State