2025 Annual Dinner Reservation: Student Awardees and Guests Reservation Information - Student AwardeeAll student awardees receive a complimentary reservation, as well as complimentary reservations for two (2) parents/family members and one (1) teacher. Additional reservations are $100.00 per person. Student Name(Required) First Last School(Required)Email Adress(Required) Mobile Phone Number(Required)By providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entrée(Required)We will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entrée. Yes No Reservation Information - Parent/Family and TeacherParent / Family Member Name(Required) First Last Vegetarian entrée(Required)We will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entrée. Yes No Parent / Family Member Name(Required) First Last Vegetarian entrée(Required)We will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entrée. Yes No Teacher Name(Required) First Last School(Required)Vegetarian entrée(Required)We will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entrée. Yes No I would like to register additional guest(s):(Required) Yes No Reservation Information - Student Awardee Guest(s)Guest reservations are $100 per person. Additional Guest Reservation(s) Quantity Price: $100.00 Quantity For each guest, please provide the guest name, company / organization, and whether a vegetarian entrée is required.Guest First NameGuest Last NameGuest Company / OrganizationVegetarian Entrée (Y/N) Add RemoveTotal I would like to pay by:(Required) Invoice Credit Card PhoneThis field is for validation purposes and should be left unchanged.
