Registration or Donate Form

Full Name

Email

Phone

Company Name

Your position of organization?

Who invited you to join or how did you find out about CW Gala 2026?

Agency Partners & Esteemed Guests Registration Do you Need a Coupon Code?

Yes No

Dinner Meal Preference Guest 1

Guest Name 2

Dinner Meal Preference Guest 2

Desert

Salad

NOTE: All Additional Guest Names

NOTE: Add your guest information. for additional info ( or added guest food or requirements )

Interested in supporting future events

Will you need assistance of any kind?

If you need assistance (Brief Description)

Are you or anyone in your network interested in:

Donating to Silent Auction? Supporting Future Events? Sponsoring a Table? Us following up with you about supporting CW? Volunteering at CW Events?

If you have any other questions, concerns and / or information please let us know.

Required Commitments:

On behalf of myself and my guests, we agree and commit to honoring the physical space. I recognize our event venue as sacred ground for our community. I promise to treat the property, artwork, and surroundings with deep respect, committing to no vandalism, destruction, or misuse of the space. I commit to emotional and physical safety. I promise to show up with kindness and awareness of those around me. I understand that my words and actions have an impact, and I choose to contribute to an environment free from harassment, discrimination, or intimidation. I commit to personal accountability. I promise to prioritize safety and take full responsibility for my own actions, choices, and boundaries during this special evening. If I feel overwhelmed or activated during the event, I will practice self-care or reach out to the designated support staff. I commit to a community-first mindset. I acknowledge that we are all interconnected. I agree to respect the personal boundaries, consent, and lived experiences of fellow guests, staff, and volunteers. I understand that this is a black tie elegant event and I am expected to dress for the occasion. By checking the box above, I acknowledge that I have read and understood these community agreements. I choose to enter this space in the spirit of celebration, mutual respect, and shared safety. Not Applicable (donation only)

🌟 Sacred Ground & Commitment to Safety Agreement As we prepare to gather for the 2026 Community Wraparound Celebration & Gala, we invite you to help us co-create a space dedicated to honor, healing, and joy. To ensure our celebration is a sanctuary of safety, respect, and belonging for every individual, we ask all attendees to review and agree to these community commitments as part of their pre-registration.

Media Release

Yes No

Please Choose One (We love capturing and sharing the joy, connection, and success of our community! Photography and video recording will take place during the 2026 Gala to help us tell our story)

Additional questions or concerns? Let us know.

Community Wraparound "Gala2026"