RE-PROM 2022 Registration

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Saturday, February 19, 2022 at 6 PM
St. Patrick Catholic Church, Gretna, Nebraska

Following appetizers, dinner includes:
Roasted Strip Loin (cut from New York Strip portion),
Garlic parmesan potatoes, veggie,
Salad, and steak house dinner roll

Live Auction
(cash and checks accepted; credit cards for purchases $100 or more)

Cash recommenced for bonus games and 50/50 raffle

Ticket payment may be made by check or credit card in the office.

Email *

Name *

Phone *

Food Allergies

Ticket Quantity *

Table of 8 ($225 each)

Individual Ticket ($30)

Quantity of Individual Tickets (if not purchasing a table)

Amount Due for Ticket Purchase (check to office) *

I am not able to attend this year, but will make the following donation. (check to office)

Sending payment via: *

Check

Credit Card Payment *visit the office

Other:

Guest 1

Guest 2

Guest 3

Guest 4

Guest 5

Guest 6

Guest 7

Please seat me with or near the following guest(s): **Requests not guaranteed to be honored. But we will try!**

Classroom *

Miles 3s

Penney 3s

Adams 4s

Miles 4s

Schroeder 4s

Schroeder 5s

Tadpoles

Not Applicable

Required

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