ATTENTION!

Several dinner tickets have been graciously donated to help patient-families attend this event. Special thanks to members of the SSS board of directors for your unyielding support of San Diego's scoliosis community.

To obtain a donated ticket, please contact the SSS office at (619) 810-1430.

 

This program is made possible due to the continued support of Hero Sponsors:

NuVasive, Inc.

Depuy Synthes

K2M

Event Information

Quantity
Price
Total
Patient-Family
X
$
150.00=
$
0

General
X
$
250.00=
$
0

Patient-Family Table (RESERVED)

(8) patient-family tickets included. All guests must sit together.

X
$
1,200.00=
$
0

General Table (RESERVED)

(8) general tickets included. All guests must sit together. Located within first three rows from program stage.

X
$
2,000.00=
$
0

Child/Teen Ticket

10 years of age or younger

X
$
25.00=
$
0

Final Total:
$
0

Guest Information

Please provide the full names of each individual in your party. 

Guest Names:
Patient Names:
Children (10 & younger):

Guest Entree Selection

Please indicate the entree selection for each of your guests by providing their first name below. 

Grilled Filet Mignon with Shallot & Sage Butter
Organic Herb Chicken Breast with a Tarragon Cream Sauce
Vegetable Paella
Child's Plate

Primary Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

Share This Form

Powered by eTapestry.