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Dinner Dance

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Reserve your spot today!
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- Tickets are now available for the 150th Anniversary night of Dinner & Dancing!
  
  Cost: $80 per person. Deadline to purchase is November 5th, 2024.
  
  Cash, check or credit cards accepted.
  
  Please note: this event is for adults 18 years and older.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Please note: your tickets will be reserved under the name input above. Please input this same name on your payment form, if paying online, or if paying by check, provide this name in the memo section. Thank you.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- How many tickets will you be purchasing today? (You may choose to purchase individually or as a group. To purchase a full table, please select 10.) REQUIRED Please fill out this field.
  
  Guest 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
  
  Guest 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Entree Selection REQUIRED Please fill out this field.
  
  Does this guest have any food allergies we should be aware of? If yes, please list below. If none, please input NONE. REQUIRED Please fill out this field.
- Do you have a seating preference (i.e. near the exit or restrooms, away from the dance floor, etc.) REQUIRED Yes No Please fill out this field.
- If yes, please list your preference(s) below: Please enter valid data.
- Is there an individual or couple you'd like to be seated with, other than those listed on the form above? REQUIRED Yes, please seat me with the following individual(s) or couple(s). No, thank you. Please seat me at any available table. Please fill out this field.
- Additional Guest Names (if none, type NONE) REQUIRED Please fill out this field.
- I understand that every effort will be made to seat me with the guest(s) listed above. In the event the planning committee is unable to fulfill my request(s), I will respect their decision regarding seating placement.
  I Agree Please select this field.
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