2022 AZ Homeschool Prom Registration

2022 Arizona Homeschool Prom Registration
I am registering and paying for myself (I am a homeschooled Junior or Senior)I am registering and paying for myself and a guest (I am a homeschooled Junior or Senior and am bringing a guest that I am paying for)I am registering and paying as an invited guest (I am coming with a Junior or Senior).
Student Info
Student Name*

First NameLast Name
I am the invited guest of...
Student Email*
example@example.com
Parent Email*
example@example.com
Student Phone Number*

Area CodePhone Number
Student's Class:*
*Please note: Invited guests must be 15 years old by April 1, 2022 and no older than 20 years old.
Student's Birth Date*

MonthDayYear
Date
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Guest Info
Guest Name*

First NameLast Name
Guest Email*
example@example.com
Guest Phone Number*

Area CodePhone Number
Guest Class:*
*Please note: Invited guests must be 15 years old by April 1, 2022 and no older than 20 years old.
Guest Birth Date*

MonthDayYear
Date
Guest Emergency Contact Name*

First NameLast Name
Guest Emergency Contact Phone Number*

Area CodePhone Number
Table Information
Dinner will be served at the tables, and tables will be assigned. In the blank below, please list who you would like to sit with at your table. You are guaranteed to sit with your invited guest. This list is optional other friends you would like to sit with. We will do our best to accommodate your requests.
YesNo
Participation Agreement & Guidelines
Participants in the 2022 AZ Homeschool Prom are required to read through and agree to the Prom Participation Agreement below. If you are registering for a guest, it is your responsibility to make sure that your guest understands and abides by this agreement. You can download or print this agreement.
Payment

Please pay immediately for your prom registration.

Prom 2022 REGISTRATION FEE $115 (incl transaction fee)$118.70

"I am paying for myself!"

Prom 2022 REGISTRATION FEE $115 PLUS $115 GUEST (incl transaction fee)$237.40

"I am paying for myself and a guest!"

Enter coupon

Total $0.00

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2022 Arizona Homeschool Prom Registration

Student Info

Guest Info

Table Information

Participation Agreement & Guidelines

Payment