Open Opportunity Service Winter Gala Ball 2026 Registration Form

Open Opportunity Service Winter Gala Ball 2026 Registration Form

Saturday 21st November 2026 Louis Fitzgerald Hotel, 5pm - Late. For any queries, please contact Aisling: aniceochaidh@sbhi.ie |M: 087 119 0100 or Rosemary: rmckenna@shi.ie . Please note: Tickets are non - refundable except in extremely sympathetic circumstances.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of tickets required:
Maximum of 20 tickets per booking.
Please state the names of those attending below:
Please state any specific dietary requirements:
Please provide any additional comments below:
Please note: Once we receive your registration form, we will send you a Sum-Up payment link to pay for your requested tickets.

If you need to book an accessible room please contact us
Media Consent

Spina Bifida Hydrocephalus Ireland (SBHI) hosts many events for our service users and members, some of which you or your family may attend. During these events SBHI may take photographs, video recordings or audio recording/quoted remarks which include service users/members, their families, volunteers and staff. From time to time, these forms of media are used by Spina Bifida Hydrocephalus Ireland for printed publications/materials, electronic publications or presentations, the SBHI website, or other SBHI social media platforms (Facebook, Twitter, Instagram, or similar). In compliance with General Data Protection Regulation (GDPR) SBHI is obliged to ask you to sign a consent form for your prior approval.
Please tick your preference and sign below:
Should be Empty: