Lakes Region Community Services Prom RSVP - Lakes Region Community Services

Program to Attend(Required)

Name of Teen Attending(Required)

First Last

High School Attending(Required)

Current Grade(Required)

I give my permission to be photographed at this event(Required)

Yes

Are you traveling with a school or by yourself?(Required)

School

By Myself

Email to contact for any event changes

Phone (if no email) to contact for any event changes

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Prom Flyer