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Queer Prom 2026
It's Queer Prom - Roaring 20's is the theme
For LGBTQ+ high school age students 
It is free to attend
We just want to get a head count of who's attending 

April 11th
7 PM - 10 PM
Clock Inc. LGBTQ+ Community Center
4102 46th Ave
Rock Island, IL 61201

 Please note that all students attending must complete this RSVP form.
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Name *
Pronouns *
Email *
What high school do you attend? *
What grade are you in?  *
Are you bringing a date? If so, what is their name, pronouns and grade? If not, simply enter N/A *
I agree to ask my date to complete to complete this form as well
Please list any music you would like to hear at PROM.
Song title and artist 
Are you comfortable with your picture being taken?  *
Please list the name of a parent or guardian for an emergency contact and their phone number. *
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