Discovery Ball 2019
Guest List Form

Providing the names, addresses, email and cell phone information of your guests will allow for a seamless and expedited check-in process the day of the event. All guests will be properly acknowledged after the event and will NOT be included in our mailing lists or solicitations, unless they make a personal contribution to the Wilmot Cancer Institute.

Table Name

Guest Full Name


City, State, Zip

Email Address

Cell Phone

Dietary Restriction