Casino Night Registration | Legacy Of A Hero

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Casino Night
October 16, 2026

First name

Last name

Email

Guest 1 Name

Guest 2 Name

Guest 3 Name

Guest 4 Name

Guest 5 Name

Guest 6 Name

Guest 7 Name

Guest 8 Name

Guest 9 Name

Guest 1 Email

Guest 2 Email

Guest 3 Email

Guest 4 Email

Guest 5 Email

Guest 6 Email

Guest 7 Email

Guest 8 Email

Guest 9 Email

Registration Fee

$

The registration fee for Casino Night is $100 per person. If you are submitting this form for multiple guests, please be sure to account for the full sum.

Thanks for submitting!

Casino_Night_REGISTRATION FORM 2026.pdf

Casino_Night_REGISTRATION FORM 2026.pdf

Prefer to mail your registration? Download this form

Legacy of a Hero is a 501(c)3 not for profit organization founded in honor of L/Cpl Chris Cosgrove III, created to help all heroes, military and first responders, and their families who are in need.

973-943-0197

LCPLcbcIII@LegacyOfaHero.org

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