Sweetheart Dance 2026

Sweetheart Dance 2026

SATURDAY, FEBRUARY 7TH~ 7:00PM - 9:30PM
Parents Name*

First NameLast Name
Parents Name

First NameLast Name
Child #1 Name

First NameLast Name
Child #2 Name

First NameLast Name
Child #3 Name

First NameLast Name
Child #4 Name

First NameLast Name
Child #5 Name

First NameLast Name
Child #6 Name

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Registering for this event, you are granting permission for participant(s) to be included in pictures and publicity connected with the BCC with no compensation to me. All pictures and video remain the property of the BCC.

I agree to release the Becker Community Center, City of Becker, their employees and leaders, of all liability related to accidents or injuries which myself or member of my family might incur while participating in this activity. If necessary, I authorize the Becker Community Center to administer first aid and/or authorize medical treatment if this becomes necessary. Participants are not covered under the Becker Community Center's or the City of Becker's medical insurance policy.
Cost:

$25 per couple $10 per additional person

Please call the Becker Communtiy Center after online registration to complete payment. You are not registered until we receive payment. Space is limited-be sure to complete registration to ensure your reservation.
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