Swing Central 2018 Registration
Please complete the information below. If paying by check, send payment to Central High School Music Boosters, PO Box 1226, Champaign IL 61824-1226, or deposit in the payment box in the band room. Your name will be added to our list of reservations upon receipt of payment.
Name *
This is the name your reservation will be under at the Swing Central door
Your answer
Contact Email or Phone *
(In case there is a problem with your order)
Your answer
Number of Adult Dinner Tickets *
Number of Student Dinner Tickets *
Number of Adult Dance-Only Tickets *
Number of Student Dance-Only Tickets *
Total Amount *
Your answer
Payment Method *
Student Information *
Example: "Joe Smith, Drummer, Central, Lab Band"
Your answer
Your answer
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This form was created inside of Vagrant Aristocrat.