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2024 Dining Out For Life® New Orleans Restaurant and Bar Signup Form
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Dining Out for Life® New Orleans Restaurant/Bar Agreement

As a participating Dining Out For Life® New Orleans location, you agree to:
  1. Commit to a percentage or fixed donation amount for Thursday, July 25, 2024, to CrescentCare's HIV/AIDS services and prevention programs.
  2. Allow CrecentCare to use your business' name, without cost or charge,  in materials promoting Dining Out For Life® New Orleans.
  3. Promote Dining Out For Life® New Orleans by displaying event materials provided by Dining Out For Life® New Orleans.
  4. Work Dining Out For Life® New Orleans into your in-house, website, and/or social media efforts as able to help drive patrons to your venue on Thursday, July 25, 2024.
  5. Inform wait staff, managers, and other bar or restaurant personnel about Dining Out For Life® New Orleans so they can promote the event by inviting your patrons to join you on Thursday, July 25, 2024.
  6. Send, deliver a check, or call for a pickup for the total contribution payable to CrescentCare by Friday, August 16, 2024 or make other arrangements for your donation.
In exchange, CrescentCare will:
  1. Produce, utilize, and distribute attractive, high-quality promotional materials for your use and for distribution in target communities.
  2. Orchestrate a visibility campaign to promote Dining Out For Life® New Orleans via local media and social media platforms. 
  3. Promote your participation in Dining Out For Life® New Orleans on multiple social media platforms to encourage diners to continue to support your bar/restaurant.
Restaurant/Bar Name: *
Primary Point of Contact: *
Email address: *
Phone Number: *
Business address: *
Website:
If you have multiple locations you would like to register, please list all locations here.
Seating capacity: *
Cuisine type: *
Type of Restaurant/Dress Attire: *
Average meal price per person (including drink, tax and tip): *
Check all that apply: *
Required
Please provide a brief description of your restaurant/bar if you like one included on the Dining Out For Life® New Orleans site:
If you use a reservation system, please provide the platform name: *
Restaurant meals serve: *
Required
There are multiple ways to support CrescentCare through Dining Out For Life® New Orleans. Choose the one that best fits your restaurant at this moment.
 *
Please indicate if you would like us to try and provide an on-site Ambassador: *
Required
Please let us know which marketing items you would like Dining Out For Life® New Orleans to provide: *
Required
By typing your name below, I am authorized to agree the above named restaurant will participate in Dining Out For Life® New Orleans on July 25, 2024 and donation will be made to CrescentCare no later August 16, 2024. (Please type your full name): *
THANK YOU for your support of Dining Out For Life® New Orleans! Please email jay.huffstatler@crescentcare.org once you've completed this form to be sure it was completed to be included on marketing materials. We've had several restaurants complete the form and Google did not record your response!
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