Reaching Tampa

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Prom Campaign:

If you are a high school girl currently in foster care and would like to participate in the Prom Campaign please fill out the form on this page. If you select "other" for any of the information please specify in the comment box. As soon as we receive your information we will contact you to set up your prom day appointment. We look forward to hearing from you and we are excited to meet you!

Prom Campaign
	Participant Form

Prom Campaign Participant Form
First Name:
Last Name:
Email Address:
Birthday:
Phone Number:

High School Name:
High School Grade:
Date of Prom:
Location of Prom: (for appointment location)
Dress Size:
Shoe Size:
Appointment Time:	(Your appointment time is on the day of your Prom)

Comments or Questions:	Please double check your information, remember to clarify any "others" in the comment box, and then click submit. We will contact you soon with all the details including the location of your appointment. We will do our best to try to find a location that is close to either your school or the prom location. We look forward to meeting you soon!!!