Home
Lunch Menu
Menu
Movie
Jan 26th
Human Library
Important
Meal Changes
Frozen Food
to Purchase
Activities
This Month Activities
Father / Daughter Dance
Mother / Son Dance
Bingo Feb 11th
Newletters
Current Newsletter
Archived Newsletters
Who We Are
Our Mission
Board of Directors
Meet the Team
Miscellaneous Info
Volunteer
Employment
Contact Us
Rent a Space
Our Location
2023 Financial Statements
and
IRS Form 990
Facebook Sites
Silver Lining
Senior Center
Thrift Shoppe
Donate
Donate Money
Donate Goods
Join Now
Daddy / Daughter Dance Tickets
Click image to view larger version
Your paid tickets will be waiting for you at the registration table on March 30th, the night of the dance.
"
*
" indicates required fields
This field is hidden when viewing the form
Ticket Selection
# of Tickets ( 1 per Person)
Quantity
*
Price is $35.00 each per Person
Price:
$35.00
Quantity
Your Information
Purchaser
*
First
Last
Children's Name(s)
*
List Names for All Children's Tickets Purchased
Children's First Name(s)
Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
Payment Details
Total Amount Due
Credit Card
*
Card Details
Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.
Δ