2024 GAYLA! Sign-Up Form
This is a sign up form for the Gayla! Alternative Prom.

LOCATION:
    The Vogel Concert Hall, 99 Monmouth Street Red Bank NJ 07701

DATE & TIME
Sunday, May 19th, 2024 from 3:00-6:00pm 
   The event ends promptly at 6pm.
   
Cost: $20, payable in CASH or online via Paypal
 Payment for the dance is accepted at the door

  No one is turned away for lack of funds

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Email *
Student's Name & Pronouns *
Home Address *
Cell Phone Number *
Email Address *
School you currently attend *
Parent/Emergency Contact Name *
Parent/Emergency Contact Phone Number *
Does your school have a GSA (Gay-Straight Alliance)?
Who is your school's GSA Advisor?
Are you planning on attending with other students from your school?
Dinner information: check all that apply *
Required
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