Adult Night Out: Rock 'N' Roll is Here to Stay
Sign-up Form


Print this form and return it to the Rectory by February 28th.
Tickets are $22.50 per person.

Adult Night Out:
Rock 'N' Roll is Here to Stay ($22.50 pp)


Name:____________________________________

Phone Number:____________________________

Total Amount Enclosed:_____________________

Please seat me with:_________________________