RSVP – Breakthrough Charter School

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Junior Student Attending *

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Last

Junior Email Address *

Junior Phone Number

My Date will be.

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Last

My Date's Phone Number

My Date's Email Address

Junior My Who

Additional Notes

Who will be paying your dates fee? *

Checkboxes *

I understand the I will owe $85 per person to attend the ALT PROM at Dave and Buster's, and that a deposit of $42.50 will be due upon in the next week so the group can reserve the room. I understand that I will be emailed a confirmation of payment dates once a sufficient number of people respond.