CELEBRITY ESCORT ACCEPTANCE FORM

It is with great pleasure we thank you for applying to be a Celebrity Escort in Children's Cancer Fund's 35th Anniversary Gala & Fashion Show. You are creating a memory for these brave children, one which they will never forget!

The CCF team will be in touch once your application has been reviewed.

Name: *

Phone: *

Title (to be listed in print): *

Email: *

Headshot:

Address *

City *

State *

Zip Code *

Biography Information: *

Would you like to be seated for dinner after you walk the runway? *

Yes

Will a spouse or guest be seated for dinner?

Yes

Guest Name:

Event Schedule

6:00 PM – Celebrity Arrival, Wedgwood Ballroom

7:00 PM – All Celebrity escorts and models line up for show

7:15 PM – Program begins

8:00 PM – Fashion Show Begins

9:30 PM - Grand Finale

Cocktail attire or your occupational uniform/costume.

Most escorts provide a gift for their patient model. Our staff will send you the patient's profile so you know their name, age, and interests. Please reach out with any questions.

*Please understand that due to a variety of reasons, patient models may have a last minute cancelation, and are not able to attend. If your patient model can not attend, CCF staff will have a seat for you and your guest in the ballroom to enjoy the gala. We appreciate your flexibility, as we have many children with varying conditions and circumstances.

By submitting this form to the CCF office, you consent to your picture or video being used in television, newspapers, magazines, websites and other media prior to, during and after the Gala.

For further information, please contact the CCF office: (972) 664-1450 or info@childrenscancerfund.com