2020 Mother Son Dance, Saturday April 4th 6PM to 8PM
Please complete all fields on this registration. Cost is $25 per couple, and $10 for each additional child. We will invoice in PayPal if you prefer to pay online. Checks can be mailed, and you will receive instructions via a PayPal invoice, with mailing information. Please email questions to tstone323@gmail.com or kerriderosa@q.com! We look forward to seeing you!!
Email address *
Adult Attending *
Your answer
Name of Child Attending *
Your answer
Grade of Child *
Required
Name of Additional Child Attending
Your answer
Grade of Additional Child Attending
Name of Additional Child Attending
Your answer
Grade of Additional Child Attending
I give the Panthers Booster Club permission to use my child's photo for future event promotion or photo uploads to the booster club Facebook page or other social media. *
Required
I hereby agree to release PACT Charter School, Panthers Booster Club from any medical liability in the event my child is injured during the dance. *
Required
We will send invoice to you via PayPal. If you do not want to send payment via PayPal, please state that below and you will receive a PayPal invoice that has instructions for alternative payment options. *
Required
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