Strafford Ball 2019 Pre-Registration Form

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NOTE: The 2019 ball is now full. Further pre-registrations will be put on the waiting list.

Couples at the same mailing address should register together using this form; couples with different addresses should use two of these forms. Admission priorities are the same for those registering together or separately. Please send a print of email confirmation with your payment by check. Important: Due to hall size limitations a lottery is held to determine who is accepted into the ball; filling out this form does not guarantee acceptance. You will only know that you have been accepted when your check is cashed or when you get an acceptance package.

First Name #1 *

(as you would like it to appear on your name tag)

Last Name #1 *

Email #1 *

electronic confirmation of this form will be sent to this address

Phone #1 *

Your preferred number: use one phone type indicator (h)=home, (w)=work, (c)=cell

Street address *

City *

State *

Postal Code *

Country

if not USA

Dinner #1 *

Choice of catered meal:

Vegetarian $33

Meat $33

no catered ball dinner (you may bring your own and sit with us)

Admission & Scholarships: The cost of putting on the ball is $40/person. If this price discourages you from applying, select the Reduced option or apply for a Full Scholarship. You can help support others by selecting the Donor option or enclosing a donation amount of your choice.

Regular = Actual cost ($40)

Donor = Admission + $20 scholarship donation ($60)

Youth = Under 30 years old ($20)

Reduced = Self-select half-price ($20)

Full Scholarship = Request a full admission scholarship ($0)

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Comments

Any comments about this form or registration process. Volunteers check these forms periodically; feel free email or call us if our response is not quick enough.

Connection (partner with different US Mail address)

Optional name of partner with a different US Mail address applying separately using another form like this. For couples at the same US mail address, check the box below instead to add a second person to this form. No partner necessary, but if you would like us to know that you are connected with someone applying via another form, enter their name here.

Second Person? *

No partner necessary but check below if you are registering a second person (spouse / partner) at the same US Mail address. NOTE: For a partner at a different US Mail address, submit an additional form.

Enter second person (same mailing address)

Just me [skip to section 3]

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