2026 Hospice Gala - Jefferson Hospice

the Rebel and the Rose Hospice Gala

September 12, 2026 6pm-11pm

the Rebel and the Rose - Hospice Gala 2026 - Please Check Box Where Indicated

Crystal Table for 10 - Rubies and Wranglers$1,200.00

Premier seating with complimentary bottle of Champagne or Josh Prosecco

Couple - Rubies and Wranglers$275.00

Two Attendees

Gala Attendee - Rubies and Wranglers$150.00

Individual Attendee

I can not attend. Please accept my donationFree

Debit or Credit Card
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Dinner Options

Born To Be Filet

8 oz Filet Mignon Bordelaise

Glazed & Confused

Bone-In Pork Chop with Maple Bourbon Glaze

The Reel Deal

Pan-Seared Salmon with Lemon Butter, Garnished With Fresh Dill

Rebel Without The Meat

Curried pan-fried tofu, with a coconut red curry sauce, served with red pepper, onion and mushroom, served over a bed of basmati rice

*We will do our best to accommodate guests with food sensitivities. Please let us know of any modifications when you're reserving since we need to communicate with the venue. Modifications may not be available the night of the event.
Number of Dinner Selections
Guest One

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest One
If none, please insert N/A
Guest Two

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Two
If none, please insert N/A
Guest Three

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Three
If none, please insert N/A
Guest Four

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Four
If none, please insert N/A
Guest Five

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Five
If none, please insert N/A
Guest Six

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Six
If none, please insert N/A
Guest Seven

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Seven
If none, please insert N/A
Guest Eight

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Eight
If none, please insert N/A
Guest Nine

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Nine
If none, please insert N/A
Guest Ten

First NameLast Name
Meal Choice for Guest One
Modifications or Food Sensitivities for Guest Ten
If none, please insert N/A
Should be Empty:

the Rebel and the Rose Hospice Gala

the Rebel and the Rose - Hospice Gala 2026 - Please Check Box Where Indicated*

the Rebel and the Rose - Hospice Gala 2026 - Please Check Box Where Indicated