Communities in Schools of Lakewood · Champions for Youth Breakfast 2021

Registration Information

Name

*

First Name

Last Name

Phone

*

Email

*

Verify Email

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Are you a public or elected official?

*

Yes

No

Organization/Employer

What is your title?

Additional Guest Information

Guest #1 Name

First Name

Last Name

Email

Verify Email

Guest #2 Name

First Name

Last Name

Email

Verify Email

More tickets?

Would you like to register more guests?

Yes

No

Guest #3 Name

First Name

Last Name

Guest Email

Verify Email

Guest #4 Name

First Name

Last Name

Guest Email

Verify Email

Guest #5 Name

First Name

Last Name

Additional Guests? You can email your list of names to info@lakewoodcis.org or have them complete their registration at www.lakewoodcis.org/events/champions2021

Donation (optional)

Tickets for the event are FREE but donations are always appreciated! There will be a request for donations during the event.

$5,000 - Champion Sponsor

$3,500 - Leader Sponsor

$2,000 - Event Sponsor

$750 - Table/Community Sponsor

$350

$150

$75

$

Donation Schedule (One Time or Monthly)

Sponsor Information

Organization/Business

If different than one listed above.

Phone

If different than number above

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Sponsorship Benefits and Information

More information to come. Contact Kerri Pedrick to learn more about the sponsorship opportunities (kerri@lakewoodcis.org or 253-254-6640)

Logo Upload

Logos should be submitted in high resolution format with transparent background. You can also email you logo to info@lakewoodcis.org