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Valentine's Day Dance

Please complete the form below. Required fields marked with an asterisk *

Student(s) Last Name*

Answer Required

Student(s) First Name*

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Valentine's Day Dance Ticket(s) Purchasing

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$25.00 - 1 Ticket

$50.00 - 2 Tickets

$70.00 - 3 Tickets Family Pack

$90.00 - 4 Tickets Family Pack

$110.00 - 5 Tickets Family Pack

$130.0 - 6 Tickets Family Pack

Parent's Last Name*

Answer Required

Parent's Fist Name*

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Parent's Email*

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Parent's Phone #*

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Type parent signature. I authorize Holy Family Catholic School to charge my FACTS account the registration fee for the Valentine's Day Dance.*

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Date*

Answer Required