Gala Meal Selection & Guest Information Form

2023 Grand Gala - Guest Meal Selections

Please provide us with the names of your guest(s) for The Dragonfly Grand Gala.

Please submit your selections by 4/7/2023.

Our menu options are:

Duet of Panko Parmesan Chicken w/ Lemon Caper Beurre Blanc and Short Rib Cannelloni
Vegetarian Option: Black Garlic Risotto Cake, Roasted Tomato Puree, and Marinated Artichoke Hearts
Child's Plate

Primary Guest Information

First Name

Last Name

Mobile Phone

REQUIRED: Original Registration Type

Total Number of Individual Tickets Originally Purchased?

Guest 1

MyselfSomeone Else

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

Who Is Your Table Captain/Sponsor

Please provide guest names and meal selections below.

GUEST 2

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 3

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 4

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 5

First Name

Last Name

Mobile

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 6

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 7

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 8

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 9

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 10

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 11

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 12

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 13

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 14

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 15

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 16

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 17

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 18

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 19

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

GUEST 20

First Name

Last Name

Mobile Phone

**Please use an UNIQUE email address**

Our menu options are:
--Duet of Panko Parmesan Chicken & Short Rib Cannelloni
--Vegetarian Option
--Child's Plate

Thank you for providing us with this information. We will have their names at registration.

Please notify us if you have any cancellations or changes.

If you have any questions please contact Ally Brokaw at [email protected] or 513.746.1605.

We appreciate your support and look forward to seeing you!

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2023 Grand Gala - Guest Meal Selections

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