2011 Party in the Park Reservation Form

Monday, July 25, 2011 -  Time 6:00 to  9:30 p.m. -  Como Park Visitor Center & Cafesjian's Carousel, St. Paul
By registering for the Party in the Park on-line and using our secure and safe payment page, you can:

• Skip the lines registering at the event,
• Receive an immediate receipt for your tax deductible contribution to Rein in Sarcoma and
• Just pick up your name tags and auction bid numbers at the "Registration Will Call" signs at this year's "Party".

Important Note: If you are planning to attend the RIS Family Picnic which takes place before the "Party", please complete a separate picnic reservation form instead of completing this form by clicking here..  Thanks! 

Personal Information

First Name: *

Last Name: *

Address 1: *

Address 2:

City: *

State: *

Zip: *

Phone: *

Email: *

Attendees

Names of Persons Attending - Please enter one name (first & last) per line :

Reminder: Please enter one name (first & last) per line for each person attending with your group. This is needed for name tags.

Your Relationship to Sarcoma Survivor/Patient:

I am a Sarcoma Patient/Survivor:

Check, if yes

Relationship with Sarcoma Patient/Survivor (please select): select...-None-Aunt/UncleBrother/SisterBrother in-law/Sister in-lawChildDaughter-in-law/Son-in-lawFamily FriendFather/MotherFather-in-law/Mother-in-lawFormer SpouseFriendGrand ChildGrand ParentNiece/NephewParentSelfSpouseParent/Step-ParentSignificant OtherWidowOther

Choose none, if you have no particular relationship with a sarcoma patient/survivor

Survivor/Patient First Name:

Survivor/Patient Last Name:

Type of Sarcoma (if known):

Year of Diagnosis (if known):

If you have lost a loved one to Sarcoma:

Please complete if you have lost someone to Sarcoma

Name of Sarcoma Patient: Name:

Please provide us the name of the person lost to Sarcoma.

Total number of attendees, including yourself: * #

Additional Comments:

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