Yes- I am homeschooled and my date is homeschooled.
Yes- I am homeschooled and my date attends a public/private high school.
Yes- I attend a public/private high school and my date is homeschooled.
If attending with a date, what is their name?
Your answer
FOR Public/Private school students only: Please give the name of the high school you attend.
Your answer
FOR Public/Private school students only: Please provide the name of a character reference from your high school's faculty along with their contact information.
Your answer
Do you have any food allergies? *
Choose
Yes
No
If you do have allergies, check all the allergies that apply to you. This must be a true allergy and not preference. By signing up for an allergy, you are agreeing to eat the special diet food set aside for you.
Song Requests: Up to 3 song requests will be taken here. We are not agreeing to play all requests, but would love your input. :) A quality playlist is being put together to provide a variety of dancing opportunities. Include both the song name and artist name.
Your answer
Questions? Other information we need? Let us know here or email Gwen Kashmier at Events@HeritageMT.org.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Heritage Academy. Report Abuse