Ties & Tiaras Dance

HCL Children's Ministry daddy-daughter dance for girls ages 4 years to 5th grade.

How many daughters are you registering today? *

Daughter 1 Name *

First Name Last Name

Daughter 2 Name

First Name Last Name

Daughter 3 Name

First Name Last Name

Daughter 4 Name

First Name Last Name

Dance Date Information

We realize that not every girl is able to bring their daddy, so we invite grandpas, uncles, or special friends, as well.

Dance Date's Name *

First Name Last Name

Phone Number *

- Area Code Phone Number

Email *

example@example.com

Media Release: Does HCL have permission to use photo/video taken of your child(ren) for future publicity of Ties & Tiaras and/or Hales Corners Lutheran School? *

Yes No

How did you hear about this event? *

If you responded "Other," please tell us more. *

Complete Registration

Couple Registration Fee $ 10.00

Additional Child(ren) $ 5.00

Quantity

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code