2019 Gala Registration
This form must be filled out for EVERY person attending the Gala.

For questions, please contact:
Breana Akerberg
breana.akerberg@gmail.com
608-438-2579

Attendee Information
Last Name *
Your answer
First Name *
Your answer
Attendee Email *
This email is collected to send reminders about the Gala event and to contact attendees in the case necessary information needs to be sent out.
Your answer
Attendee Phone Number *
Your answer
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