Dance Tickets -

GOYA DEC 6 DANCE

AGES 13-17 ONLY

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Parent/Guardian Name *

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Parent/Guardian Email (Please use the same email you will use to purchase the tickets.) *

Name of Goya Member Attending *

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Last

Age *

Name of Church/Community *

If you are purchasing tickets for additional GOYA members, please fill out the following information:

Additional Goya Member Name *

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Last

Age *

Name of Church/Community *

Additional Goya Member Name *

First

Last

Age *

Name of Church/Community *

Additional Goya Member Name *

First

Last

Age *

Name of Church/Community *

Additional Goya Member Name *

First

Last

Age *

Name of Church/Community *

Additional Goya Member Name *

First

Last

Age *

Name of Church/Community *

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You will be directed to another page for payment. Please make sure you print out a copy of your receipt and bring it with you to the dance.