Dining Out For Life Chicago 2023 Ambassador Registration

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THANK YOU for joining Dining Out For Life Chicago as a restaurant Ambassador! You will be helping us make sure your assigned establishment has a fun and exciting event. These participating locations are leaders by supporting Chicago's HIV-affected communities on Thursday, April 27, 2023. With your assistance we will create an enjoyable night of food, fun and advocacy. We will supply you with the tools you need to spread the word and are open to your ideas to make the event special. If you have any questions, please email Andrew at a.miller@tpan.com. Thank you for your participation and support!

There will be a quick training on Wednesday, April 19 at 6pm. You may attend virtually or in person. If you cannot attend, we are happy to speak with you individually.

First Name *

Last Name *

Please let us know if you are part of a group that is volunteering together.

Preferred Neighborhood

Preferred Meal

Dinner

Lunch

Preferred Location

Have you been an Ambassador for Dining Out For Life before?

Yes

Are you available for a training on Wednesday, April 19th 6:30-7:30pm?

You may attend in-person at the TPAN office or virtually via Zoom. If you cannot attend, we can set up a one on one training time.

Yes, in person at the TPAN office.

Yes, virtually with link to be provided later

No, let's find another time.

Required

Preferred Email Address *

Preferred Phone Number

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