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We can't wait to see you on Saturday, October 18th at 6pm!
If you are the table captain and you are updating your guests' information, fill out the information for one guest at a time and click submit.
If you are a guest of a table captain, fill out your information below and click submit.
 
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Registration opens: Wednesday, June 18, 2025
Registration closes: Friday, October 10, 2025
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I authorize PROVAIL to use the credit card entered on the submission page at event Powering Inclusion: A Night Out with PROVAIL. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.