Dining Room Experience Form

Due January 9, 2025

COVID-`19 SAFETY AND PRECAUTIONS

All guests, vendors, staff and volunteers are required to submit documentation of vaccination against COVID-19. This information must be provided prior to or upon arrival, or show proof of a negative PCR test within 48 hours of the event.

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BUSINESS NAME

I will donate the agreed upon goods/services for Great Chefs & Wineries 2025

Yes!

CONTACT NAME

First Name

Last Name

CONTACT TITLE

Email Address

PHONE NUMBER

(###)

###

####

BUSINESS LOGO

Check all that apply. Please email logos to Jen Hudson, jhudson@lifehouseagency.org

I will email our business logo in high-resolution jpg.

You already have our logo on file.

Help us promote your participation! Responses may be featured in event publicity.

Has your life been touched by someone with a developmental disability? If so, please share your story.

Why do you choose to support Great Chefs & Wineries and Lifehouse?

What would you like our event guests to know about your business?

Goods or Services Donation for Great Chefs & Wineries 2025

Please list the goods or services that you will be providing for the Dining Room Experience at Great Chefs & Wineries