Online Registration Form
Please fill in the following information. Indicate the quantity in each box or a donation amount. Be sure to include the name(s) of the attendee(s) at the bottom.
The Bash: Patron Packages
PLATINUM
$15,000
Premium Reserved Table for 12
Premium Wine Served at Your Table
Name in The Aspen Times & Dinner Program
Framed Event Photo
GOLD
$10,000
Preferred Reserved Table for 10
Premium Wine Served at Your Table
Name in The Aspen Times & Dinner Program
Framed Event Photo
GOLD
BUDDY
$1,000
Preferred Seating for 1 - CREATE YOUR
OWN PARTY
WITH MULTIPLE TICKETS AT THIS PRICE!
Premium Wine Served at Your Table
Name in The Aspen Times & Dinner Program
Framed Event Photo
SILVER
$5,000
General Seating for 6
Name in The Aspen Times & Dinner Program
Framed Event Photo
BUDDY
$750
General Seating for 1
Name in The Aspen Times & Dinner Program
Underwriting
We would be DELIGHTED if you were able to HELP US by UNDERWRITING A PORTION of our PROGRAM this year.
Complete Buddy Pair Support for One Year* ($3000)
Monthly Life Skills Sessions for 30 At-risk Youths for One Full Year ($2800)
Outward Bound Weekend for One Buddy Pair ($1200)
Summer Latino Camp for One Local Youth ($1000)
Four Hours of Free Counseling ($400)
Background Screening and Training of a Volunteer Mentor ($275)
*training and screening, activities, scholarships, counseling and continuous case management
Donation
I cannot attend the bash but would like to make a donation
Donation Amount:
First Name:
Last Name:
Phone Number:
Email:
Street:
City:
State:
Zip:
Total Amount:
Guest Name(s) (comma-separated):