Wufoo

Father's Name (or Uncle, Grandfather etc. whoever is escorting girl(s) to the dance) * First Last
Email
Phone Number ### - ### - ####
Number of girls on this registration? *
One ($15) Two or More ($25)
Name(s) of girl(s) on this registration. *
Note about payment

You can pay in advance or you can pay at the door on the night of the dance. Contact Holly or Dave Schapiro for advance payment choices.
Can you help with the party? (Mom, Aunt, Grandmother?) *
Pre-Party Set-up? During Party? Provide some food? Post-party clean-up? Sorry, I can't. Other
Have Questions?

If you have any questions about this event contact Holly or Dave Schapiro at 813-741-9448 OR 813-361-5576 OR by e-mail at dschapiro@tampabay.rr.com
Do Not Fill This Out

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