Take Heart: Hope Clinic's 2022 Gala - Hope Clinic for Women

To register to attend the Gala, please fill out the following form and click the submit button when you are done. If you would like to pay for your sponsorship online, you will be directed to the Gala donation page after you have submitted your registration. If you do not plan on attending, but would like to donate on-line, click here.

Gala Registration

My Registration Information
Name*
First Last
Spouse's Name (optional)
First Last
Email*
Phone*
Reservation Options
Reservation Options*
- I would like to sponsor a table of eight and fill it.
- I would like to reserve a complementary table of eight and fill it.
- I would like to attend as a guest of a table that is sponsored/hosted by someone else.
- I would like to reserve a seat/seats at an open seating table.
Name of the business, church, or person you would like your table listed as:*

If you prefer to remain anonymous, type "Anonymous." We will not print your name publicly, but we still need it for seating purposes. Please advise your table guests to register so that we can get a head count for catering purposes. They would select the option of attending as “a guest of a table” and fill in the blank with your name.
Sponsorship Level*
Sponsorship Payment*
- Pay online
- Mail a check
How would you like to remit payment for your sponsored table? A link to our donation page will appear on your registration confirmation, if you prefer to submit an online payment.
Table Sponsor/Host Name*

Please verify with your host that they know you are planning to be at their table.
Number of Seats I am Reserving*
Open seating tables will be available for parties of less than eight. You may choose your seating from the open seating tables at the Gala but be aware that other guests might be seated with you.
If you know the names of your guests, please enter them here:
Provide the first and last names of each guest for whom you've reserved a seat.