Joliet Catholic Academy

Joliet Catholic Academy Christmas Dance 2024

Date:		Thursday, December 19, 2024
Time:		6:00 pm-9:00 pm, early out 8:30 pm
Location:		Jacob Henry Mansion, Victorian Ballroom, 15 S. Richards St., Joliet

All JCA Juniors and Seniors are invited to attend the Christmas Dance.

Students may bring one guest from another school; however, they must submit a guest form to Mrs. Pullara by Thursday, Dec. 12th. Guest forms can be picked up in the Counseling Department from Mrs. Pullara. This form must be signed by the Dean of Students from the guest’s high school. Formal attire, buffet dinner will be served.

Raffle tickets available for purchase. $1 per ticket or 6 tickets for $5. Cash only for raffle tickets.

Students on disciplinary or attendance probation are not allowed to attend JCA dances.

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Tickets

Qty

Description

Amount

Total

Christmas Dance Ticket(s), includes buffet dinner

$35.00

---

Total: $0.00

JCA student Information

Student First Name: *

Student Last Name: *

Grade:

Homeroom Teacher Last Name: *

Title: *

Homeroom Classroom number: *

Are you paying for a guest? *

Guest Student First Name:

Guest Last Name:

Guest Student's Grade: *

Guest Student's Current School:

PAYER INFORMATION

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *