Junior/Senior Prom & Lock-in Registration
HOLY CROSS HIGH SCHOOL
Class?
Junior
Senior
Back
Next
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Back
Next
Are you attending prom?
Yes
No
Which statements best describes you:
*
I'm purchasing a single ticket for prom. ($50)
I'm purchasing a ticket for myself and the ticket for another Holy Cross student. ($100)
I'm purchasing a ticket for myself and the ticket for an outside guest. ($100)
Holy Cross Student's Name
*
First Name
Last Name
Outside Guest's Name
*
First Name
Last Name
Outside Guest's School
*
Is there anyone you would prefer to sit with at your table?
Are you attending Senior Lock-in? ($25)
Yes
No
Back
Next
Form Calculation
Prom/ Lock-in Payment Fee
prev
next
( X )
USD
Prom/ Lock-in Payment Fee
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please verify that you are human
*
Submit
Should be Empty: