Heart of the Community Awards Gala

Guest Information

May 20, 2026

Please use the form below to submit the names and contact information for the guests joining your table for the Heart of the Community Awards Gala.

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Date & Time

Wednesday, May 20, 2026
6:00 p.m. – 9:00 p.m.

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Location

The College Basketball Experience
1401 Grand Blvd
Kansas City, MO 64106

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Attire

Formal and cocktail attire requested.

Helpful Tips
Before you begin, please have each guest’s name, organization, email address and phone number ready. You can submit up to 10 guests. Only the number of guest sections you select will appear in the form below.

Heart of the Community Awards Gala Guest Information

How many total guests are joining your table?(Required)

Please complete a field for each person that will be sitting at the table.

Guest 1

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions? If yes, please contact Rory Kirk at rkirk@samrodgers.org with this guest’s dietary details.(Required)

Yes

Unsure

Guest 2

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Guest 3

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Guest 4

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Guest 5

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Guest 6

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Guest 7

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Guest 8

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Guest 9

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Guest 10

Name(Required)

First Last

Guest's Company/Organization(Required)

Email(Required)

Phone

Does this guest have any known dietary restrictions?(Required)

Yes

Unsure

Please share known dietary restrictions:

Questions about your guest list? Please contact Rory Kirk at (816) 889-1949 or rkirk@samrodgers.org

Guest Information

May 20, 2026

Please use the form below to submit the names and contact information for the guests joining your table for the Heart of the Community Awards Gala.

Date & Time

Location

Attire

Heart of the Community Awards Gala Guest Information

Guest 1

Guest 2

Guest 3

Guest 4

Guest 5

Guest 6

Guest 7

Guest 8

Guest 9

Guest 10

Contact Us

Find a location
See clinic hours

Appointment Line

(816) 474-4920

Downtown Campus

825 Euclid Ave.
Kansas City, MO 64124

Your support goes far.

Guest Information

May 20, 2026

Please use the form below to submit the names and contact information for the guests joining your table for the Heart of the Community Awards Gala.

Date & Time

Location

Attire

Heart of the Community Awards Gala Guest Information

Guest 1

Guest 2

Guest 3

Guest 4

Guest 5

Guest 6

Guest 7

Guest 8

Guest 9

Guest 10

Find a locationSee clinic hours

(816) 474-4920

825 Euclid Ave.Kansas City, MO 64124

Find a location
See clinic hours

825 Euclid Ave.
Kansas City, MO 64124