Bella Fundraiser

Bella is a Rush Memorial Hospital Foundation fundraiser that is the perfect combination of entertainment, style, and purpose.  Featuring a live auction of authentic designer handbags (Kate Spade, Michael Kors, Coach, Brighton and many more), this has become the social event of the year!

2019 Bella Registration

1 Registration

2 Waiver

3 Payment

• Registration Information

• I would like to register:*
  • Register to Attend
  • Event Sponsor
• Name*
  First Last
• Address*
  Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Phone*
• Email*
• Age*
  Attendees must be 21 years of age or older to attend.
• Seating Preference
  If you would like to be seated with a business or group of friends, please list below. We will make every effort to honor your wishes, but preferred seating is not guaranteed.
• Product Name
  • Presenting Sponsor
  • Gold Sponsor
  • Silver Sponsor
  • Bronze Sponsor
  • Partner Sponsor
  • Friend of Bella
• Additional Donation Amount
  • $25
  • $50
  • $75
  • $100
  • Other
• Other Amount
• How did you hear about us?*
  • Attended Event Last Year
  • Rush Memorial Hospital Employee
  • Community Signage
  • Social Media
  • Word of Mouth
• Please read and check the following*
  • I am aware that any photographs taken during the event may be used in future publications and I grant the Hospital and the Foundation all rights to use these photographs in any medium for educational, promotional advertising, or other purposes that support the mission of the Hospital and the Foundation.
• Signature*
• Date*
• Total
  $0.00

• Rush Memorial Hospital Foundation / Rush Memorial Hospital

  Release and Waiver of Liability, Assumption of Risk, Indemnity and Parental Consent Agreement
• Please read and check each of the following*
  • IN CONSIDERATION of being permitted to participate in any way in any Rush Memorial Hospital Foundation or Rush Memorial Hospital event (“Activity”) I, for myself, my personal representative, assigns, heirs, and next of kin:
  • ACKNOWLEDGE, agree and represent that I understand the nature of sports activities and that I am qualified, in good health and in proper physical condition to participate in such activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the activity.
  • FULLY UNDERSTAND that: (a) SPORTS ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by my own actions or in-actions, the actions or in-actions of others participating in the activity, the conditions in which the activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, and DAMAGES I incur as a result of my participation or that of the minor in the activity.
  • HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Rush Memorial Hospital or the Rush Memorial Hospital Foundation, their administrators, directors, agents, officers, members, volunteers, other participants, sponsors, advertisers, and if applicable, owners and lessors of premises on which the activity takes place, (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF the “RELEASEES”, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation, expense, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.
  • I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
• Printed Name of Participant*
• Phone*
• Address*
  Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Participant Signature*
• Date*

• Payment Information

• Total
  $0.00
• Credit Card
  American Express

  Discover

  MasterCard

  Visa

  Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date   Security Code Cardholder Name