Annual Medicine Ball Fundraiser Tickets & RSVP

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Hello UT Community! Please use this form to RSVP to attend Medicine Ball 2024.

The deadline to purchase tickets is January 10th, 2024

This is the appropriate form to purchase tickets for yourself/personal guests.

Ticket options include:

Dinner + Dancing $60

Dancing only $30

Drink Package $25

*Drink package includes 4 drink tickets that can be redeemed for beer or wine. Cash bar is available outside of this package.*

The UTCOMLS 6th Annual Medical Ball Fundraiser will take place on Saturday January 27th, 2024.

100% of the money raised by this event goes directly to patient care efforts at CommunityCare Clinics, global health outreach through Students for Medical Missions, and student mentorship & development programs through the American Medical Student Association.

We have a fun filled night planned including silent and live auctions, dinner, dancing, networking and more! We are so excited to see you there!

Please direct questions to Sarah Bon (sbon@rockets.utoledo.edu).

First and last name of ticket buyer *

First and last name of guests (can put N/A if none) *

Class or residency rank of ticket buyer (M1, M2, P1, P2, PA-S, PGY1, PGY2, etc. or N/A) *

Department (if applicable - ex: internal medicine UTMC)

UT/ProMedica email *

Number of DINNER + DANCING tickets I am purchasing ($60)

Number of DANCING ONLY tickets I am purchasing ($30)

**Note**: Dancing only tickets are not permitted to enter until 8:00pm and will not have a table reservation.

Number of DRINK PACKAGES I am purchasing ($25)

Food Allergies/Dietary Restrictions:

Names of People I'd like to sit with: (tables seat 10 people). Please communicate with your group! Reminder that everyone in the group must have their own ticket.

Note that another form for final table assignments will be sent out after ticket sales close.

I understand.

Have you sent Eric Lassiter @EricLassiter1 your payment on Venmo? *

I have sent Eric the payment on Zelle (preferred) phone # 919-452-3370 description: MedBall2024

I have sent Eric the payment on Venmo (description: MedBall2024)

I will contact Eric eric.lassiter@rockets.utoledo.edu to work out another payment option

Some UT/ProMedica faculty are potentially willing to sponsor student attendance at MedBall. Please use this question to indicate your need and reasoning for financial assistance to attend the event. Sponsored tickets will be awarded on the basis of need, availability, and nomination by peers/colleagues. This information will not be publicly shared.

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