Sweetheart Dance Payment Information
Please indicate your choice on the form below:
Homeroom Teacher's Name *
Student's Last Name *
Student's First Name *
What is your preference for money paid for the sweetheart dance? *
Make refund check payable to (If refund is selected, it will be early to mid summer before it is received): *
Address to mail refund check (include zip code): Type N/A if no refund requested. *
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