Host a Table or Reserve a Seat

Thank you for supporting Providence Life Services. We invite you to reserve a table for yourself and your guests at our 62nd annual Torchlight Celebration of Ministry, held from 6-11pm on Friday, November 1, at the Old Post Office in Chicago.

Please fill out the form below to reserve your seat or host a table at Torchlight!

Individual Information

Number of Seats

(1) Full Name *

(1) Email *

(1) Cell Phone Number *

(2) Full Name

(2) Email

(2) Cell Phone Number

(3) Full Name

(3) Email

(3) Cell Phone Number

(4) Full Name

(4) Email

(4) Cell Phone Number

(5) Full Name

(5) Email

(5) Cell Phone Number

Additional Information/Dietary Restrictions

Include any additional information or dietary restrictions

Host Information

(1) First Name *

Last Name *

Email *

Cell Phone Number *

Name of Sponsor/Business

Guest Information

(2) Guest | First & Last Name

(2) Guest | Email

(3) Guest | First & Last Name

(3) Guest | Email

(4) Guest | First & Last Name

(4) Guest | Email

(5) Guest | First & Last Name

(5) Guest | Email

(6) Guest | First & Last Name

(6) Guest | Email

(7) Guest | First & Last Name

(7) Guest | Email

(8) Guest | First & Last Name

(8) Guest | Email

(9) Guest | First & Last Name

(9) Guest | Email

(10) Guest | First & Last Name

(10) Guest | Email

Additional Information/Dietary Restrictions

Include any additional information or dietary restrictions

Torchlight Host/Individual Registration 2024

Host a Table or Reserve a Seat

Individual Information

Additional Information/Dietary Restrictions

Host Information

Guest Information

Additional Information/Dietary Restrictions

For more information about how you can support Providence Open 2024, please call (708) 548-9371 or email events@provlife.com.