The Children's Center of Medina County

Contact Information

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Attend Healing Hearts - An Evening of Hope & Inspiration

Attendees	Quantity
$125 - per attendee

Attendee Name *

First Name

Last Name

Meal Selection *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 2 Name *

First Name

Last Name

Meal Selection - Attendee 2 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 3 Name *

First Name

Last Name

Meal Selection - Attendee 3 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 4 Name *

First Name

Last Name

Meal Selection - Attendee 4 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 5 Name *

First Name

Last Name

Meal Selection - Attendee 5 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 6 Name *

First Name

Last Name

Meal Selection - Attendee 6 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 7 Name *

First Name

Last Name

Meal Selection - Attendee 7 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 8 Name *

First Name

Last Name

Meal Selection - Attendee 8 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 9 Name *

First Name

Last Name

Meal Selection - Attendee 9 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Attendee 10 Name *

First Name

Last Name

Meal Selection - Attendee 10 *

Braised Boneless Beef Short Rib

Jack Daniels Salmon

Stuffed Portabella Mushroom Cap

Please seat me with:

Event Sponsorships

Event Sponsors

$10,000 - Radiant Heart - Presenting Sponsorship - Includes 10 guests - SOLD

$7,500 - Brave Heart - Speaker Sponsorship - Includes 10 guests

$5,000 - Joyful Heart Sponsorship - Includes 8 guests

$2,500 - Tender Heart Sponsorship - Includes 4 guests

$1,000 - Helpful Heart Sponsorship - Includes 2 guests

$500 - Kind Heart Sponsorship

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As it should appear on promotional materials. Please include capitals and punctuation.

Additional Donation

Donation Amount

$