Casino Night Event Registration Form 2026 Please complete this form to register for the event. "*" indicates required fields Step 1 of 5 20% I am interested in:Select All That Apply Becoming A Sponsor Purchasing A Casino Night Ticket Purchasing A Bus Ticket Select All Diamond Monthly Clinic Sponsor $5,000$5k covers two months of all costs associated with providing pediatric services to the community. Your name (or company name) will also be prominently displayed throughout the evening of the event and will be highlighted on our website for the entire year. Enjoy 10 Casino Night tickets – valued at $1,500 – as a special thank you.Not SelectedDiamond Monthly Clinic Sponsor $5,000Gold Black Jack Tournament Sponsors $3,000There will be men’s, women’s, and unisex blackjack tournaments with exclusive gift basket prizes. Your name (or company name) will be prominently displayed on the table. In addition, this sponsorship includes a full screen slide in our sponsorship video. Enjoy six Casino Night tickets – valued at $900 – as a special thank you.Not SelectedGold Black Jack Tournament Sponsors $3,000Silver Sponsorship Craps Tables $1,500These are the most popular and busiest tables. Your name (or company name) will be prominently displayed on the table. This sponsorship includes a full screen slide in our sponsorship video.Enjoy four Casino Night tickets – valued at $600 – as a special thank you.Not SelectedSilver Sponsorship Craps Tables $1,500Roulette Tables $1000Always a crowded table, your name (or company name) will be prominently displayed on the table. This sponsorship includes a full screen slide in our sponsorship video. Enjoy two Casino Night tickets – valued at $300 – as a special thank you.Not SelectedRoulette Tables $1,000Poker Tables - $500Your name (or company name) will be prominently displayed on the table. In addition, this sponsorship includes a full screen slide in our sponsorship video.Not SelectedPocker Tables $500Black Jack $350Your name (or company name) will be prominently displayed on the table. In addition, this sponsorship includes a full screen slide in our sponsorship video.Not SelectedBlack Jack $350Sponsor Video Full Screen Slide $100We encourage our sponsors to submit their own marketing slide for our presentation in one of the following formats: .pdf, .jpeg, Word, or PowerPoint. If you would like us to create the slide, please email any information you want included in the slide and we can create one for you. We will ask for your approval prior to finalizing the presentation. For more information on advertising or to submit an ad, please email Kristin Preziosi at Kristin.preziosi@novahope.org.Not SelectedSponsor Video Full Screen Slide $100Upload Marketing SlideMax. file size: 50 MB. Purchasing A Casino Night Ticket Quantity Price: $150.00 Quantity Bus Ticket To & From Casino for $35/person QuantityThe bus will leave from Midtown Manhattan at 6 PM and will return to New York at the close of the Casino Night. Only 30 spots are available. Price: $35.00 Quantity Additional Donation To Continue Support Our MissionDonate to help NOVA continue its mission of providing medical care to the community of Cavaillon Haiti. Proceeds to benefit the furnishing of our newly rebuilt medical clinic and annual operating expenses. 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