Cleveland University-Kansas City Spring 2022 President’s Banquet

Below is your online RSVP for the President’s Banquet.

Please complete the form below and click submit.

Graduating students, you and three guests may attend. Additional tickets may be purchased for $25 each for a maximum party size of 8 per graduate. CUKC Employees and Board Members, you and one guest may attend.

Schedule
Date | Thursday, April 21, 2022
Cleveland University-Kansas City Dining and Assembly Hall
Social | 5:30 p.m.
Dinner and Presentation | 6:15 p.m.

Please email marjorie.bradshaw@cleveland.edu. We hope you enjoy the evening!

Attendee Information
Please indicate*
(Please select)
- Graduating Student
- CUKC Faculty / Staff
- Board / Foundation / Alumni Association Member
Your Name*
Please add your full name.
Full Name
Email Address*
Phone Number*
Please indicate any special dietary needs or other accommodations.
(e.g: Sugar-free dessert, low carb, gluten-free, food allergy)
Will you be bringing guests?
- NO
- YES
Guest Information
Guest Information (for Graduates)*
Please add your guest’s full name and mark applicable categories if any. Up to three guests are invited per graduate. Additional guests, up to the maximum party size of 8, can be reserved on a first-come, first-served basis for $25 per guest. NOTE: To add multiple guests, please click the icon.
Full Name Chiropractor? (Y/N) Alum? (Y/N) Child Under 12? (Y/N)
Guest Information*
Please add your guest’s full name and mark applicable categories if any.
Full Name Chiropractor? (Y/N) Alum? (Y/N) Child Under 12? (Y/N)
Please indicate any special dietary needs or other accommodations of your guests.
Please indicate per guest name. (e.g: Sugar-free dessert, low carb, gluten-free, food allergy)
- Summary:
- Total Cost for Addl. Guest(s)
- Total Attendees
- Billing Information
- Billing Name*
  First Last
- Billing Address*
  Street Address Address Line 2 City State ZIP / Postal Code
- Credit Card
  American Express
  Discover
  MasterCard
  Visa
  Supported Credit Cards: American Express, Discover, MasterCard, Visa
  Card Number Expiration Date Security Code Cardholder Name
- Total to be charged
  $0.00
COVID19 Consent Agreement
Check the consent box to indicate you have read this statement and will abide by the policy.*
COVID-19 Protocols:
CUKC strongly recommends universal indoor masking for staff, students, and visitors, in accordance with the guidelines of the Center for Disease Control (CDC).

For the Covid-19 protocols, please link to this page: https://www.cleveland.edu/covid19/
I agree to the Cleveland University-Kansas City COVID-19 protocols.
CAPTCHA

Full Name	Chiropractor? (Y/N)	Alum? (Y/N)	Child Under 12? (Y/N)

Cleveland University-Kansas City Spring 2022 President’s Banquet

Below is your online RSVP for the President’s Banquet.

Attendee Information

Guest Information

Summary:

Billing Information

COVID19 Consent Agreement