Senior Prom Reservations
You are invited! 
Each resident in Health Care & Assisted Living Communities may have up to 2 guests in attendance.  It will be a fun night to get dressed up and create memories with our loved ones!  
Registration is required so we know how many to prepare for. 
Only up to 2 guests are allowed per resident due to space limitations.
Residents are no charge - Guests can pay $5 via PayPal link below or by paying at the door via cash, credit or check.
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Email *
Your name: *
What is the name of the resident you will be attending with?  *
If you are registering more than yourself, please list the 2nd guest's name:
Complete your purchase via PayPal by clicking HERE or pay at the door via cash, credit or check.
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