Registration
We're so excited to have you and your daughter(s) join us February 5th from 3-5pm for our annual Daddy Daughter Dance. We will be hosting the event at our studio in Mount Dora. Tickets are $20 and valid for one daddy daughter couple, each additional daughter will be $5. If more than one daughter will be attending with dad please list their names below in the questions/comments section so we may adjust your account appropriately. Address: 2708 W Old US Hwy 441, Mount Dora, FL 32757
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
 
Additional Information:
 
 
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:*