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Winter Wonderland Dance

Full Name (Parent)*

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Student Name & Grade:

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If purchasing more than one ticket, please list the names of those attending:

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Parent - Email Address*

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Billing Address

Street Address*

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City*

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State*

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Zip/Postal*

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Tickets*

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$20.00 - Individual Ticket

$35.00 - Siblings (Two Sisters)

Confirmation Email

Confirmation Email *

Email Required