Table Captain Registration
Please tell us about yourself.
Billing Address Line 1
Billing Address Line 2
District of Columbia
Phone number(s) we can use to contact you:
Which phone number would you prefer us to use?
Let us know how you would like your name to appear on our materials. If you want to co-captain with your spouse, partner, or a friend, please include their name. (If your Table Captain listing is longer than 40 characters, please email Niamh Foley at firstname.lastname@example.org.)
If you have a table co-captain, please list their name and email here.
I will be a Table Captain for the following number of tables:
Dinner Party Table Captain Agreement
By agreeing to be a Table Captain, I understand that I should contact Fenway Health by Friday, March 27, 2020 to pay for unsold seats at my table or release those seats back to Fenway Health to fill.