Registration Form for Keeping Dreams Alive Sneaker Ball 2024

TICKET GUIDE
All tickets include admission to attend the Keeping Dreams Alive Sneaker Ball, dinner,
and unlimited non-alcoholic beverages. Cash bar available*.
*CASH BAR ONLY. No debit or credit card payments will be accepted at the bar.

Name of Ticket	# of Tickets	Price	Tax Deductible Amount
Individual Ticket	1	$85	$40
Table of Ten	10	$850	$400

INDIVIDUAL SPONSORSHIP GUIDE
Individual sponsors will be recognized on our website and on signage at the event.
This additional donation is 100% tax-deductible. Attendance to the event is not required.

Name of Sponsorship	Donation
Old Skool Sponsor	$100
Chucks Sponsor	$250
Slam "Dunk" Sponsor	$500

Kindly respond by October 11, 2024.

Event Ticket Selection

Individual Ticket$85.00

Qty

Sub Total$0

Old Skool Sponsor$100.00

Qty

Sub Total$0

Chucks Sponsor$250.00

Qty

Sub Total$0

Slam "Dunk" Sponsor

Qty

Sub Total$0

Attendee Information

Meal SelectionAmish Chicken Breast with Prosciutto Asparagus, Blackberry Cous Cous, Carrot PureeSeared Scottish Salmon with Haricot Verts, Wild Rice, Dill CreamVegetable Fettuccini Alfredo with Bell Peppers, Poached Tomato, Charred Onion, Roasted Carrots, Spinach, Garlic Cream SauceSpecial Dietary Restricted Meal Needed

Do you have any food allergies?

Please list the name of your guests, their food choice (Chicken, Salmon, or Vegetarian), and any food allergies.

Please share a song request we will provide to the DJ!

Gift

Frequency

Contact Info

First Name

Last Name

Country

Address 1

Address 2

Postal Code

City

State/Province

Phone Number

Email Address

Yes, I would like to receive email communications.Yes, I would like to receive email communications.

Payment

Card Number

Card Type

Expiration Month

Expiration Year

Name On Card

CVV Code

Account Number

Routing Number

Name On Account

Account TypeCheckingSavings

Billing Address 1

Billing Address 2

Billing Postal Code

Billing City

Billing State

Billing Country

Promo

For any questions, comments, or concerns regarding the 2024 Keeping Dreams Alive Sneaker Ball, please reach out to Development Coordinator Rachel at rachel.f@anewdv.org.