Building Futures - MAS Bay Area Fundraising Dinner
Saturday, October 4, 2025 | 5:00 pm
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
2025 Fundraising Dinner Tickets
*
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( X )
Adult
Or Child 11 and older
$
75.00
Quantity
1
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8
9
10
Item subtotal:
$
0.00
Child (3 - 10 yrs)
Special Children's Program
$
35.00
Quantity
1
2
3
4
5
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8
9
10
Item subtotal:
$
0.00
Child (under 3)
FREE
$
Free
Quantity
1
2
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9
10
Table for 10
$
700.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Photo Release Authorization
*
I grant permission for photos or videos taken of me or my child(ren) during MAS Bay Area events/classes/camps/activities to be used on the MAS Bay Area website, in brochures, on social media, and in newsletters for promotional, educational, or informational purposes.
I do not give permission to be photographed, and if I am, I request that my photo not be published.
Liability Waiver
*
By submitting this form, I release and agree to indemnify and hold harmless MAS Bay Area and its officers, employees, agents, and volunteers from any liability, claims, damages, or costs arising from my and/or my child’s participation in MAS Bay Area events, classes, camps, and activities, whether conducted at MAS Bay Area Office or any other sites where such events may take place.
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