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2020 Junior Symphony Ball Underwriting
(Complete for each ticket purchased)
Terms and Conditions
Tickets are nonrefundable and nontransferable. Alcohol is not permitted. Students may be required to pass a breathalyzer test. Student agrees to treat all volunteers, guests, and band members with respect. Failure to do so may result in dismissal from the premises. Reservations will be held at check-in the student’s name.
RELEASE FORM
I, hereby give the Dallas Symphony Association my permission to record image and /or voice of attendees I will be registering through this online form to attend the Junior Symphony Ball. I also agree to give the The Dallas Symphony Association my permission to use this content in any media for any purpose which may include, among others, advertising, promotion, and marketing that support the mission of the association. The content may be combined with other images, text, graphics, film, audio, audio-visual works; and may be cropped, altered, or modified.
A Valid SCHOOL ID (grades 10-12) is required for entry. Admittance after 9:00 PM will not be allowed.
*
I understand and agree
I do not agree
Sorry, you must agree to the terms listed above to be able to purchase Steering Committee Member Tickets
Underwriting Tickets
*
Don’t Mess with Texas - $300 ticket Tax Deduction per Ticket $175
• 1 ticket/t-shirt
• $3,000 chips per ticket
*Please note:
If you would like to pre-arrange a package with 4 or more students, please contact Jan Kelley (jankelley5@gmail.com) or Shelly Groves (homegroves@gmail.com
Are any of the students you are about to enter a member of the JSB Steering Team?
Yes
No
In the box below type in the number of students who are Steering Committee Team Members.
If you are not sure
CLICK HERE
and look for your name on the list.
Valid coupon entries are:
One
Two
Three
Four
Be sure to click "APPLY" after entering.
Enter number of Steering Committee members
*
Total
$0.00
Please enter parents information below
Parents First Name
*
Parents Last Name
*
Parents Email Address
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Please enter students information below
Please enter first students information below
Students First Name
*
Students Last Name
*
Students Cell
Students Email
School
*
Alcuin School
Bishop Lynch
Booker T
Cambridge
Cistercian
Covenant
Dallas International School
Dallas Lutheran
Episcopal School of Dallas
Greenhill
Hillcrest
Hockaday
Highland Park
Jesuit
JJ Pierce
John Paul II
Lake Highlands
Lakehill
Parish
Prestonwood Christian Academy
Shelton
St. Marks
Ursuline
Woodrow W
WT White
Other: Specify
Other School
*
Please list schools name
Grade
*
10
11
12
Is this student a member of the Steering Committee?
*
Yes
No
Please enter second students information below
Second Students First Name
*
Second Students Last Name
*
Second Students Cell
Second Students Email
Second Students School
*
Alcuin School
Bishop Lynch
Booker T
Cambridge
Cistercian
Covenant
Dallas International School
Dallas Lutheran
Episcopal School of Dallas
Greenhill
Hillcrest
Hockaday
Highland Park
Jesuit
JJ Pierce
John Paul II
Lake Highlands
Lakehill
Parish
Prestonwood Christian Academy
Shelton
St. Marks
Ursuline
Woodrow W
WT White
Other: Specify
Second Students School Other
*
Please list schools name
Second Students Grade
*
10
11
12
Is this student a member of the Steering Committee?
*
Yes
No
Please enter third students information below
Third Students First Name
*
Third Students Last Name
*
Third Students Cell
Third Students Email
Third Students School
*
Alcuin School
Bishop Lynch
Booker T
Cambridge
Cistercian
Covenant
Dallas International School
Dallas Lutheran
Episcopal School of Dallas
Greenhill
Hillcrest
Hockaday
Highland Park
Jesuit
JJ Pierce
John Paul II
Lake Highlands
Lakehill
Parish
Prestonwood Christian Academy
Shelton
St. Marks
Ursuline
Woodrow W
WT White
Other: Specify
Third Students School Other
*
Please list schools name
Third Students Grade
*
10
11
12
Is this student a member of the Steering Committee?
*
Yes
No
Please enter forth students information below
Forth Students First Name
*
Forth Students Last Name
*
Forth Students Cell
Forth Students Email
Forth Students School
*
Alcuin School
Bishop Lynch
Booker T
Cambridge
Cistercian
Covenant
Dallas International School
Dallas Lutheran
Episcopal School of Dallas
Greenhill
Hillcrest
Hockaday
Highland Park
Jesuit
JJ Pierce
John Paul II
Lake Highlands
Lakehill
Parish
Prestonwood Christian Academy
Shelton
St. Marks
Ursuline
Woodrow W
WT White
Other: Specify
Forth Students School Other
*
Please list schools name
Forth Students Grade
*
10
11
12
Is this student a member of the Steering Committee?
*
Yes
No
Your confirmation email will include instructions for entering the students attending under this sponsorship.
Total
$0.00
Enter Credit Card Number NOT type in the filed below.
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