Registration Form | MAB Wellness

First name

Last name

Please complete this form to reserve your place at this special luncheon. Your contributions will support our mission to consistently impact holistic living practices-mind, body and spirit- community-wide, both virtually and in-person, guided by Luke 2:52. Our luncheon theme: "Together We Go Farther".

Email

Phone

Address - ( City/ State Only)

Please share Your Connection to our Village or Our Story and/or Mission? (Ex. Partner, Friend, Family, Teacher, Law Enforcement, Church, Participant, Mentor, Neighbor, New Supporter)

PLEASE SELECT ONE::

Yes, I will attend and submit my $34 payment.

No, I am unable to attend, but I would like to:

Make a donation to the support the mission.

Sponsor a guest ticket ( $34 per guest)

No.# of Guest Sponsored

After we receive the registration payments, we will email your receipt and admission ticket. Emails will be sent individually every Friday. You may print your ticket or display on your phone for admission the day of the event. Thank you!

Do you have any accessibility requests?

Tickets are $34 per person, (in honor of Michael's 34th birthday). All proceeds support the mission and programs of MAB Wellness Outreach. Please note again: Each guest must register individually. This will ensure an accurate headcount and seating. Many thanks!!

TICKET PAYMENT OPTIONS: Please select your preferred method of payment. Be sure to include your full name in the payment note so we can match it with your registration. Thank you!

PayPal ( Go to link below. Make payment online.)

Cash App ( Pay Offline- $MikeChellEvents1)

Zelle ( Pay Offline- seeb211@yahoo.com)

Check: payable to MAB Wellness Outreach- P.O. Box 6023- Portsmouth, VA 23703

In-person Deposit at any Towne Bank - (Specify -Special Event Acct. - 3769)

Please make sure to provide your full name with all payment transactions. We greatly appreciate your support and look so forward to your honored presence at the event!!

https://www.paypal.com/ncp/payment/NQRTSSBFTQPDS

Together, we’re expanding wellness and hope across all communities — because every step we take together moves us farther toward better health for all.

Together, we’re expanding wellness and hope across all communities — because every step we take together moves us farther toward better health for all. Whether you attend in person or give in another way, your involvement helps us continue our faith-driven, healing-centered wellness work, transforming lives through holistic living practices inspired by Luke 2:52.

By checking this box, I acknowledge that I am participating in this MAB Wellness Outreach Luncheon Fundraiser event voluntarily and at my own risk. I agree that MAB Wellness Outreach, its staff, volunteers, and affiliates are not responsible for any injury, loss, or harm that may occur during the event.

By checking this box, I acknowledge that I have reviewed the luncheon menu and understand that I am responsible for making food choices that align with my personal dietary needs or restrictions. The planned menu includes:

Fresh Salad with Ranch & Italian Dressing
Baked Chicken
Green Beans
Macaroni and Cheese
Rolls
Sweetened/Unsweetened Tea
Water/Coffee