The GDA Upper Grade Administration invites all GDA 9-12 grade students to the Upper Grades Fall Dance on October 6th from 7:00 PM – 11:00 PM. The theme is A Night In Paris. Please note that school guidelines found in the GDA Student Handbook apply to this school-sponsored event. Students leaving the event early will not be readmitted. If you are bringing a non-GDA guest, please download and submit the GUEST PERMISSION SLIP AND GUIDELINES before October 6th.

Date: Friday, October 6th

Time: 7:00 pm – 11:00 pm

Attire: Semi-Formal

Location: Gloria Deo Academy, Auditorium

Grades: 9th – 12th

Theme: A Night In Paris

Register online here:

Student Last Name *

Student First Name *

Parent Email *

Student Email *

What campus do you attend? *Golden M/W Golden T/Th

Please select student's grade level: *

• 9th grade
• 10th grade
• 11th grade
• 12th grade

Number of tickets for the Upper Grades Dance?0 Tickets - $ 0.001 Ticket - $ 25.002 Tickets - $ 50.003 Tickets - $ 75.004 Tickets - $ 100.00

Please wear semi-formal attire or glow in the dark/neon themed attire.

Student Last Name

If purchasing tickets for more than one student, please list their name here.

Student First Name

If purchasing tickets for more than one student, please list their name here.

What campus do you attend? Golden M/W Golden T/Th

Please select student's grade level:

• 9th grade
• 10th grade
• 11th grade
• 12th grade

Number of tickets for the Upper Grades Dance?0 Tickets - $ 0.001 Ticket - $ 25.002 Tickets - $ 50.003 Tickets - $ 75.004 Tickets - $ 100.00

Please wear semi-formal attire or glow in the dark/neon themed attire.

Student Last Name

If purchasing tickets for more than one student, please list their name here.

Student First Name

If purchasing tickets for more than one student, please list their name here.

What campus do you attend? Golden M/W Golden T/Th

Please select student's grade level:

• 9th grade
• 10th grade
• 11th grade
• 12th grade

Number of tickets for the Upper Grades Dance?0 Tickets - $ 0.001 Ticket - $ 25.002 Tickets - $ 50.003 Tickets - $ 75.004 Tickets - $ 100.00

Please wear semi-formal attire or glow in the dark/neon themed attire.

Student Last Name

If purchasing tickets for more than one student, please list their name here.

Student First Name

If purchasing tickets for more than one student, please list their name here.

What campus do you attend? Golden M/W Golden T/Th

Please select student's grade level:

• 9th grade
• 10th grade
• 11th grade
• 12th grade

Number of tickets for the Upper Grades Dance?0 Tickets - $ 0.001 Ticket - $ 25.002 Tickets - $ 50.003 Tickets - $ 75.004 Tickets - $ 100.00

Please wear semi-formal attire or glow in the dark/neon themed attire.

Will you be requesting to bring a guest that does not attend GDA? *

• Yes
• No

If so, please fill out and submit the Guest Request Form.

The Guest Request Form needs to be filled out by your parents, the guest's parents, and the guest's school counselor/principal. Please return your request to Mr. Retzer. You may upload the Guest Request Form here OR turn in a paper copy to the GDA office.

Click or drag a file to this area to upload.

Guest Student Last Name

If you are bringing a guest that does not attend GDA, please turn in the Guest Request Form before October 6th.

Guest Student First Name

Number of guest tickets for the Upper Grades Dance?0 Tickets - $ 0.001 Ticket - $ 25.002 Tickets - $ 50.003 Tickets - $ 75.004 Tickets - $ 100.00

Square *

Card

Name on Card

Total *

$ 0.00

Submit