Grad Nite Application

School Name:
Teacher Name:
Address:
City: State: Zip:
Teacher:
Sponsors Email:
Office Phone: ( ) ext.
Office Fax: ( )
Best Time to Call: am pm
School Principal:

Number of Expected Participants:

Teachers/Chaperones (1 free per every 10 student tickets purchased.)
Students
Total

Buses: We already have buses We need help getting buses
Number of Buses:
Have you ever worked with us before? Yes No
If so, who was your coordinator?

Questions:

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Updated: January 9, 2008

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