Registration form

Name:_________________________________________ Grade______________

Parents Name__________________________________ Cell #____________________

Paid- Cash/Check_____________________ 

Cost: $40.00 per person

Grand march- yes or no (please circle) 3:30-4:30

Dinner: Students on their own

Dance- 7:00pm-11:00pm

Guest Name:_________________________________________ Grade_____________

Parent ______________________________________________Cell #___________________

Name of School & Grade (if not PEM student)

Paid- Cash/Check____________________ 

Please turn in by March 31st - Forms turned in after that date will not be guaranteed a gift.