Register below if you wish to pay by check.

First Name *
Last Name *
Title
Organization
Street Address *
City *
State *
Zip Code *
E-mail Address *
Phone # *
Please indicate if you would like a vegetarian meal.
Special Needs

Note: People with special needs will be contacted by the event coordinator.

Additional Guests
List any guests you are bringing.

* If you do not know your guest information we will contact you for this information at a later date.

Number of Individual Tickets?
How many individual tickets are you purchasing?

If you see this paragraph and the element below, then your browser doesn't properly support cascading style sheets. Do not change the values in the form elements below. They are used to prevent spam bots from using this form to send spam.

* Indicates a required field

Please mail payment to:

KidsFirst
Attn: Awards Luncheon
7311 Galilee Road, Suite 105
Roseville, CA 95678

Payments must be made in advance by mailing a check or money order.

Cancellation Policy: No refunds or credits will be issued after April 16, 2010 or after sponsor benefits are received. If you are unable to attend we encourage you to contact us with your replacement name.

KidsFirst is a 501(c)(3) tax-exempt charity. Tax ID number 68-0195225. Please consult your tax advisors regarding donations and gifts. The estimated value of each meal is $25. The total value of goods and services associated with each sponsorship level are: Blue Ribbon $4, 950; Visionary $3,575; Guardian $2,325; Champion $1,600; Leader $1,050; Prtner $550; Friend $475.

If you would like more information please contact Heather Tanfani at events! at 916/608-8686 or e-mail ht@eventswebpage.com.