Gala Registration

Art of Caring Gala Registration Form

How many individuals are you registering for?

Name Ticket Holder 1(Required)

First Last

Email Address Ticket Holder 1(Required)

Phone Number(Required)

Address Ticket Holder 1

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please choose from the menu options below:(Required)

STARTER: Beet carpaccio-Salt roasted beets, crisp fried feta, blonde frisee, balsamic reduction and olive oil dust. DESSERT: Artistry inspired decadent dessert.

Please list any dietary restrictions:

Name Ticket Holder 2(Required)

First Last

Email Address Ticket Holder 2(Required)

Address Ticket Holder 2

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please choose from the menu options below:(Required)

STARTER: Beet carpaccio-Salt roasted beets, crisp fried feta, blonde frisee, balsamic reduction and olive oil dust. DESSERT: Artistry inspired decadent dessert.

Please list any dietary restrictions:

Name Ticket Holder 3(Required)

First Last

Email Address Ticket Holder 3(Required)

Address Ticket Holder 3

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please choose from the menu options below:(Required)

STARTER: Beet carpaccio-Salt roasted beets, crisp fried feta, blonde frisee, balsamic reduction and olive oil dust. DESSERT: Artistry inspired decadent dessert.

Please list any dietary restrictions:

Name Ticket Holder 4(Required)

First Last

Email Address Ticket Holder 4(Required)

Address Ticket Holder 4

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please choose from the menu options below:(Required)

STARTER: Beet carpaccio-Salt roasted beets, crisp fried feta, blonde frisee, balsamic reduction and olive oil dust. DESSERT: Artistry inspired decadent dessert.

Please list any dietary restrictions:

Name Ticket Holder 5(Required)

First Last

Email Address Ticket Holder 5(Required)

Address Ticket Holder 5

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please choose from the menu options below:(Required)

STARTER: Beet carpaccio-Salt roasted beets, crisp fried feta, blonde frisee, balsamic reduction and olive oil dust. DESSERT: Artistry inspired decadent dessert.

Please list any dietary restrictions:

Name Ticket Holder 6(Required)

First Last

Email Address Holder 6(Required)

Address Ticket Holder 6

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please choose from the menu options below:(Required)

STARTER: Beet carpaccio-Salt roasted beets, crisp fried feta, blonde frisee, balsamic reduction and olive oil dust. DESSERT: Artistry inspired decadent dessert.

Please list any dietary restrictions:

Name Ticket Holder 7

First Last

Email Ticket Holder 7(Required)

Address Ticket Holder 7

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please choose from the menu options below:(Required)

STARTER: Beet carpaccio-Salt roasted beets, crisp fried feta, blonde frisee, balsamic reduction and olive oil dust. DESSERT: Artistry inspired decadent dessert.

Please list any dietary restrictions:

Name Ticket Holder 8(Required)

First Last

Email Ticket Holder 8(Required)

Address Ticket Holder 8(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please choose from the menu options below:(Required)

STARTER: Beet carpaccio-Salt roasted beets, crisp fried feta, blonde frisee, balsamic reduction and olive oil dust. DESSERT: Artistry inspired decadent dessert.

*Please list any dietary restrictions:

Does someone in your party require any special accommodations? If so, please tell us.

Should you wish to be seated with another group of guests (up to 8 per table) please indicate the guest(s) full name(s) below and we will work to accommodate.