Ticket Holder Registration

Each ticket holder needs to register and be on the guest list in order to attend. The form below is for ticket holders to register for the guest list. This is not the form for purchasing tickets. Please visit www.eldercarebbq.org/order to purchase tickets.

Ticket buyer name
Please tell us who purchased your ticket(s), so we can keep track.
First Last
Primary Registration Name*
The primary registrant will be assigned a unique bidder number for use at the silent/live auction. Secondary registration below will be grouped with Primary, to share the bidder number assigned.
Prefix First Last
Secondary Registration - Spouse/Partner/Plus-One Name
Secondary registrant details allow us to add their name to the guest list, grouped with the primary registrant above. Secondary registrants will not be assigned a bidding number automatically as we assume they will share the primary registrant's. A separate bidder number may be requested on check-in at the event.
Prefix First Last
Email
Enter Email Confirm Email
Phone
Address
Street Address Address Line 2 City State ZIP Code
Phone
This field is for validation purposes and should be left unchanged.