Strafford Ball 2018 Pre-Registration Form
Couples at the same mailing address should register together using this form; couples with different addresses should use two of these forms. Admission priorities are the same for those registering together or separately. Please send a print of email confirmation with your payment check. Important: Due to hall size limitations a lottery is held to determine who is accepted into the ball; filling out this form does not guarantee acceptance. You will only know that you have been accepted when your check is cashed or when you get an acceptance package.
First Name #1
(as you would like it to appear on your name tag)
Last Name #1
electronic confirmation of this form will be sent to this address
Your preferred number: use one phone type indicator (h)=home, (w)=work, (c)=cell
if not USA
Choice of catered meal:
no catered ball dinner (you may bring your own and sit with us)
I am under 30 years old (admission: $16)
Over 30 and proud of it and/or under 30 in spirit (admission $32)
Apply for or donate to the Lucy Young Scholarship Fund (for Ball Ticket cost only)
I/we would like to *request* scholarship assistance
I/we would like to *contribute* to scholarship fund
Any comments about this form or registration process. Volunteers check these forms periodically; feel free email or call us if our response is not quick enough.
Connection (partner with different US Mail address)
Optional name of partner with a different US Mail address applying separately using another form like this. For couples at the same US mail address, check the box below instead to add a second person to this form. No partner necessary, but if you would like us to know that you are connected with someone applying via another form, enter their name here.
No partner necessary. If you are registering a second person (spouse / partner) at the same US Mail address. NOTE: For a partner at a different US Mail address, submit an additional form.
Enter second person (same mailing address)
Page 1 of 3
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service