Workshop Pre-Registration Form

PROM ETIQUETTE CLASS & FASHION SHOW
For Jr. High and High School Students


Saturday, March 7, 2009

Time: 4:00 p.m. - 7:30 p.m.

Place: Goldcrest Country Club

2509 Country Club Dr.

Pearland, TX 77581

Cost: $25.00 per person or $45.00 per couple

To register, please fill out the form below and print it before submitting. Mail the printed copy of this form with your check to:

First Impression Image Consulting
P.O.Box 84132
Pearland, TX 77584

You will receive a temporary registration confirmation via email.

*Indicates a required field



Event Date:

*Participant Name:

*Address:

*City:

*State:

*Zip Code:

*Phone Number:

*Age:

*Parent's Name:

*Home Phone Number:

Cell/Pager Number:

*Email Address:

*Confirm Email Address:

*Emergency Point of Contact other than Parent:

Additional Comments:

* Indicates Required Fields

Remember to Print This Page before you submit!



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