St. Ursula Academy: Prom 2018

SUA Prom 2018

April 28, 2018

Student's Name*

Cell Phone*

Class of*

Choose one

Parent's Name*

Cell Phone*

Home Phone

Date's Name

Date's Cell Phone

Date's Parent Name

Cell Phone

Home Phone

Choose One*

Please select one entree for each person attending Prom:

My Entree

Date's Entree

— No refunds after April 20th —

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :

St. Ursula Academy & Junior Academy
4025 Indian Road
Toledo, OH 43606
T: 419-531-1693
F: 419-534-5777

SUA is sponsored by the Ursuline Sisters of Toledo, Ohio