RSVP or Sponsor Guests Here!
Name
*
First Name
Last Name
Organization, if Applicable
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How many guests are you registering/sponsoring ($25/person, or $200 for a table of eight)?
*
Please indicate if you are personally attending the event or sponsoring other guests?
I plan to fill all of these seats myself
I am attending, but also sponsoring others for Breakaway to invite (You may include more details below if needed)
I am sponsoring seats for Breakaway to fill
I am a guest or registering for a guest
Other, details provided below
Preferred Method of Payment
*
Please Select
Email me a digital invoice
I'll donate online at www.breakawayoutreach.com
I'll mail a check by March 10th
N/A
Please let us know if you are interested in staying after dinner for a good ol' fashioned square dance, called by Jarrett Wilhoit of the Calico Squares?
Yes! That sounds like so much fun!!
Hmmmm...I might give it a try
Nope, my dancing shoes are retired, sorry!
Additional information about guests, food allergies, questions, etc.
Submit
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