Virtual Dining and Dancing with Daddy 2021

Virtual Dining and Dancing with Daddy 2021 Name and Address

First Name *

Last Name *

Street Address (Home)

City (Home)

State (Home)

Postal Code (Home)

Country (Home)

Email *

Phone

Event Fee(s)

$100 Per Box *

$ 100.00
1 box accommodates two people.

Shipping

$ 10.00
Shipping is only available for those outside of the Oklahoma City Metro Area. Please select the same quantity of shipping charges as boxes ordered.

Additional Donation

Enter any additional dollar amount you'd like to donate toward creating bright futures through adoption.

Total Fee(s)

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Daddy Daughter Dance Details

Dad's Name *

Dad's Email *

Daughter's Name(s) and Age(s) *

Please provide a name and age for each daughter attending the dance, as well as their school and grade. Example: Mary Short, 5; Bonnie Short, 7; Sara Lambert, 7