Registration

Monday, December 31, 2018 (8:30pm - 12:30am)
Waltz Lesson 8:30 - 9:30pm
Dance Party 9:30pm - 12:30am
Delectable Dessert Room, Water & Punch, Light Hors doeuvres, Sparkling Cider Toast
Cost: $35pp by 12/27, $45 at the door

Important: Please Read
There won't be any paper tickets. All PAID Guests will be on a Pre-paid Guest List
Please SKIP the "Add New Student" section
Please enter the names of all guests (including yourself) that you wish to pay for in the "Questions/Options" section


Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
YOUR NAME (For the Pre-paid Guest List)*
Enter Name of each guest you want to pay for
Enter Name of each guest you want to pay for
Enter Name of each guest you want to pay for
Enter Name of each guest you want to pay for
Enter Name of each guest you want to pay for
 
Additional Information:
 
Ticket Policy
You will not be receiving paper tickets for this event. Your names will be on a paid guest list at the door. Be sure to include all the names when registering so we can include them on the paid guest list.
I've read the above and agree.
 
Refund Policy
There are no refunds. You may give or sell your tickets to someone else but there are no refunds. You will need to notify us of the name or names of who you want to go in your place. We have a paid guest list at the door.
I've read the above and agree.
 
Payment
I agree to pay the ticket fee for each person I enter on the list above.
I've read the above and agree.
 
Ticket Price
I agree my Advance ticket price is $35.00 per person by midnight December 27th 2018.
I agree that my ticket price is $45 per person if I am purchasing after December 27, 2018 or "At-The-Door".
This will guarantee that I will be on the Pre-paid Guest List.

I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*