Celebration of Hope Dinner Registration | Healing Hearts of Waukesha County, Inc.

ONLINE REGISTRATION PAGE

Welcome to the Healing Hearts of Waukesha County online registration page for our

2021 Celebration of Hope!

Please complete the registration form entries below to participate in this wonderful annual event.

Celebration of Hope Dinner Registration

Primary Registrant / Point of Contact

First Name *

Last Name *

Phone *

Email *

Dinner Choice *

Chicken

Ravioli

Registration Type *

Individual ($80.00)

Table of Six ($500.00) - includes a special 'Putting on the Ritz Surprise Box' to share with each member of the table!

We are unable to attend - but wish to donate ($50) and receive a 'Putting on the Ritz Surprise Box’, to be picked up at Healing Hearts on May 13 or 14

Names of Table Guests (if any)

First Name

Last Name

Dinner Choice

Chicken

Ravioli

Add Name Remove Name

Healing Hearts is a 501 (c) (3) nonprofit charitable organization. Contributions are acknowledged by letter. We appreciate your support as we strive to provide services to children, families, and our community coping with isolation, uncertainty, loss, and grief.

You will receive further payment instructions via email. Payment can be made via check or credit card.

Click below to submit your Registration Form.

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