The Cincinnati Homeschool Prom

Mr.
Miss

First and Last Name of Prom Guest:

Please add the names, ages and schooling status of any additional Prom guests that you are purchasing tickets for:

Email Address:

Address:

City:

State:

Zip Code:

Phone Number:

Age

Homeschool Status:

I am Homeschooled
I am a Guest of a Homeschooler
I am a Private School Student
I am a Virtual School Student
Other

Explain Other

Are you a Senior?

Yes
No

Please enter any additional guests attending with you that are seniors

If you are a Guest of someone please tell us who :

Emergency Contact Name:

Emergency Contact Number:

Relationship to you:

Click to enter text

Tickets Desired

Prom $75.00 (Single Ticket)
Prom $140.00 (Couples Tickets)
After Prom $30.00 Single Ticket

If you are purchasing multiple tickets please fill in the exact amount of each desired.

Payment Options:

PayPal
Personal Check or Money Order Mailed
Zelle
Venmo

Please let us know if you are wth a certain group. This helps up keep all of the teens sitting close together.

Choose One

PATH
HELP
Privately Homeschooled at Home
ECHO
Other Co-op

Name of other co-op or group

Please let us know if you have any special dietary or medical concerns.

User Agreement

User Agreement

By continuing, you agree to release and hold harmless The Cincinnati Homeschool Prom, including chaperones from any cause
of action, claims, or demands now and in the future. I/we agree to follow the rules of the event holders and facility rules and take full responsibility for my/our behavior. I understand that The Cincinnati Homeschool Prom takes every precaution to ensure the safety of its guests. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our events I/we agree to report the unsafe conduct or conditions to the parents chaperoning and the event coordinator.

 

User Agreement

Social Media Release
By continuing, you acknowledge that you have read and understand this policy.

The Cincinnati Homeschool Prom will continue to share event photos on our website and social media platforms.

***While we cannot guarantee that you will not appear in the background of event photos, we will do our best to respect the wishes of anyone who prefers not to be featured on social media. Please Note that those who choose not to be photographed will unfortunately be ineligible for the titles of Prom King and Prom Queen, as it is our tradition and policy to showcase photographs of our reigning King and Queen. Thank you for your understanding.


Please choose one of the options below.

Social Media Consent

I GIVE permission to use my photos on social media
I DO NOT want my photos used

Song Requests (No Explicit Lyrics)