Couple's First and Last Name (required)
Phone Number (required)
Email Address (required)
Wedding Date Including Year (required)
Street Address (required)
City, State, Zip (required)
Would you like to include a donation in your payment to sponsor a couple who might be financially challenged to attend the ball?
If so, enter the first and last name of the couple you wish to sponsor below
Special Seating Requests will be handled by selecting your table after you complete your registration and payment method.
Special Dietary Restrictions?
No RestrictionsGluten FreeVegetarianplease have someone contact me for special request
How did you find out about the Ball?
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