K.I.S.S. Women in Recovery 2026

Luncheon Registration

COMPLETE ALL INFORMATION IN THE BOXES BELOW.

Event Details:

Date: Saturday, June 27th, 2026

Time: Noon-2:00 pm

Cost: $25 per person. Location: Dixie Academy Ballroom (3rd Floor of Children’s Museum), 86 S Main Street, St. George,  UT 84770. 

Name *

First

Last

Email *

Telephone Number *

Number of Attendees *

Event Ticket

Price: $25.00

012345678910

Ticket Price includes Lunch

Extra's

• Coffee Mug w/Theme Logo – $5.00
• 1 Raffle Ticket – $1.00
• 6 Raffle Tickets – $5.00
• 12 Raffle Tickets – $10.00
• 25 Raffle Tickets – $20.00

Name (Additional)

First

Last

Name (Additional)

First

Last

Additional Comments

Total

$0.00

PayPal Commerce *

PayPal CheckoutCredit Card

Card Number

Expiration Date

Security Code

Card Holder Name

Submit