LuSo Form

LuSo After Dark ~ Friday, 11/6/26 ~ 7-9 pm

6th-8th graders are invited to join us for a night of dodgeball, laser tag, a bonfire and more!
Student Name

First NameLast Name
School Name
Grade
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Emergency Phone Number

Area CodePhone Number
Payment

LuSo After Dark$10.00

per person

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Lutheran High School South | 9515 Tesson Ferry Rd. St. Louis, MO 63123 | 314-631-1400
Should be Empty:

LuSo After Dark ~ Friday, 11/6/26 ~ 7-9 pm