Adult Prom Night Registration Form

Welcome to the Adult Prom Night Registration form! Fill out the form and get ready for an unforgettable evening!

Note: This form only supports individual registrations. If you intend to register for more than one person, please register them individually. You'll have the opportunity to return to the form upon completion. Bulk registrations of four or more can be done via e-mail, contact Kevin Tutie for more info.

Return to the Adult Prom Night event page

Enter at least your first and last name.
Enter your e-mail address. This will be used only for the purpose of event communication, if necessary.
Select your entree preference.
If you'd like to opt-out of Prom King or Queen eligibility, check this box.
REQUIRED: In the field above, enter the title of a song from your high school days or Prom that you'd like to hear played during the event. Be sure to preface it with the song's artist. (Example: "Eric Clapton - Wonderful Tonight") This is mandatory because any submission with a missing or illogical entry will be treated as bot spam and ignored.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Fill in the blank.