12th Annual Purity Ball Registration Form
Friday, November 12th at the Sheraton Uptown (Louisiana/Menaul)

Cost is $40 per person. This covers your meal, purity ring, commitment roses and keepsake of the 12th Annual Purity Ball.

Once we receive your registration, you will be sent a confirmation card with your tickets.

*required field
*Father's Name:
*Daughter's Name:
*Daughter's Age:
*First time to attend? Yes  No  If no, when did you last attend?
Ring Size (if you know):
If you have friends you wish to be seated with, list them here:

On the next page, please remember to specify
the quantity of tickets needed.