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Daddy Daughter Dance

Please complete the form below. Required fields marked with an asterisk *. Charges will be billed directly to your FACTS account.

Contact Information

Parent First Name*

Answer required for "Parent First Name"

Parent Last Name*

Answer required for "Parent Last Name"

Email*

Answer required for "Email"

Mobile Phone*

Number Required

Please select the ticket(s) you would like to purchase*

Answer required for "Please select the ticket(s) you would like to purchase"

Couples ticket - $35

Additional daughter - $10

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"