Paoli United Methodist Church

2014 Sugar Plum Ball

Sunday, February 9, 2014 | 6:30pm - 8:30pm | Paoli United Methodist Church

Questions about the Sugar Plum Ball? Check out our FAQ here!

Register to Attend

Fields marked "*" are required.

Name of father / grandfather / uncle / friend:

Please provide both first and last names of the adult who will be attending the ball.

First: *    Last: *

Name of girl:

Each girl's name should be included in this reservation form. If you have more than 3 girls attending, please add the additional names in the comments field.

First: *    Last: *

Name of second girl (if needed):

First: Last:

Name of third girl (if needed):

First: Last:

Phone Number (###-###-####) *

Email Address *


Street Address: *
Address Line 2:
City: *    State: *    Zip Code: *

Permission to Use Photograph & Video (Still and Motion Images)

I am aware that photographs or video may be taken of Paoli United Methodist Church (PUMC) Children's Ministry participants during events, activities, and classes (including the Sugar Plum Ball) by PUMC staff members, professional photographers, news media or volunteers. I also understand that my child is not required to have his/her picture taken.

I waive the right to see or approve any publications that contain photographs of my child. I release PUMC and its representatives from responsibility for any harm or invasion of privacy that may occur or be produced by taking photographs or video of my child. I give PUMC and its representatives permission to use photographs or video that include my child in any and all media products for promotion, art, advertising, editorial or other purpose. This may include but is not limited to newsletters both print and email, posters, brochures, ads, post cards and web pages.

I certify that I have read the above authorization, release, and agreement, and fully understand what this document says.

Photo Release Authorization

Yes, I agree to the above stated photo/video release *
No, I do not agree to the above stated photo/video release

Comments or questions (optional)