HeartKids WA Gala Ball 2019

THE PARTY STARTS AT 40!!
 
Come along and celebrate 40 years of HeartKids.

The WA HeartKids Gala Ball returns to the magnificent Crown Perth Grand Ballroom on Saturday 4th May 2019.
 
The achievements of our organisation are the results of combined efforts of every individual.
 
Over 550 guests will join us for an evening of sophistication, gastronome dining and premier entertainment, while generously contributing to HeartKids. Highlights will include live and silent auctions and the raffle where guests will have the opportunity to bid on and win some amazing prizes before the live band takes the party through until midnight.
Quantity
Price
Total
Table of 10
X
$
2,500.00=
$
0

Individual Ticket(s)

If registering to sit on a specific table, please mention the person's name in 'Additional comments' below.

X
$
250.00=
$
0

Final Total:
$
0
Total number of guests*

Table Host

Job Title
Organisation
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Table Host Connection to CHD*
  • Child of Heart Kid Adult
  • Friend
  • Heart Angel Extended Family
  • Heart Angel Grandparent
  • Heart Angel Parent/Carer
  • Heart Angel Sibling
  • Heart Kid Adult
  • Heart Kid Adult Spouse
  • Heart Kid Extended Family
  • Heart Kid Grandparent
  • Heart Kid Guardian/Carer
  • Heart Kid Parent
  • Heart Kid Sibling
  • None
  • Professional
  • Staff
Table Host Dietary Requirements
  • Gluten Free
  • Dairy Free
  • Vegetarian
  • Vegan
  • Nut Allergy
  • Seafood Allergy
  • Other Allergy

If you are registering for more than 10 people or unable to complete registrant names at the time of booking, we will be in touch as the event gets closer to confirm details.

Registrant 2 - Name
Registrant 2 - Dietary Requirements
Registrant 3 - Name
Registrant 3 - Dietary Requirements
Registrant 4 - Name
Registrant 4 - Dietary Requirements
Registrant 5 - Name
Registrant 5 - Dietary Requirements
Registrant 6 - Name
Registrant 6 - Dietary Requirements
Registrant 7 - Name
Registrant 7 - Dietary Requirements
Registrant 8 - Name
Registrant 8 - Dietary Requirements
Registrant 9 - Name
Registrant 9 - Dietary Requirements
Registrant 10 - Name
Registrant 10 - Dietary Requirements

Payment Information

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

Security Code

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