Let Us Know You're Coming!

We’re so glad you’ll be joining us for the Hope and Healing for Haiti Luncheon on Saturday, September 20, 2025 at Christ the King Catholic Church – Marion Hall, from 11:30 a.m. to 12:45 p.m.

This special gathering will include the presentation of the inaugural Theresa Patterson Fiat Awards honoring the generous hearts behind our mission.


One guest per submission, please — so we can be sure to welcome each individual by name and stay in touch.  Please note an email address is required to complete the form.  If you do not have an email address, please call 615-400-8543.

If you have any questions, reach out to Stacy Cornwall at info@visitationhospital.org.

Sign in to Google to save your progress. Learn more
Email *
Full Name:

Please share your first and last name as you’d like it to appear on your name tag.
 *
Mailing Address (optional but encouraged):
Phone (optional):
Dietary restrictions *
Would you be interested in a sponsorship opportunity?
Clear selection
Were you invited by a Table Captain or Award Recipient?  If so, please select their name from the dropdown list so we can seat you accordingly. If you are not connected to a table, simply select “N/A” and we’ll gladly assign you to one and make sure you feel welcome. *
Comments or Questions:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
reCAPTCHA
PrivacyTerms
This form was created inside of Visitation Hospital.