NEW:
Registration form online: www.hernandocounty.us/parks_rec OR purchase tickets at HCRD:
16161 Flight Path Drive 352-754-4031 Like us on Facebook!
Hernando County Parks & Recreation presents
Dancing, Music, Snacks, Drinks. Photo Booth Fun
Sponsors:
Father Daughter Dance
visit website for classes we offer, adult sports, buildings to rent...
www.hernandocounty.us/parks_rec
Weeki Wachee High School
12150 Vespa Way Weeki Wachee
NEW LOCATION
Friday, Feb 5 - 7pm - 10 pm Saturday, Feb 6 - 6pm - 9pm
Advance Ticket Sales Only Tickets go on sale January 5 $15 per person All ages welcome, babies, teens, adult daughters
Come with dad, step dad, grandpa, uncle...
f:\recreation\forms\f d d reg forms\fdd reg form 2016.docx
DEPARTMENT OF PARKS AND RECREATION FATHER DAUGHTER
1 6 1 6 1 F L I G H T P A T H D R I V E B R O O K S V I L L E , F L O R I D A 3 4 6 0 4 w w w . H e r n a n d o C o u n t y . u s
R E C R E AT I O N P 3 5 2 . 7 5 4 . 4 0 3 1 F 3 5 2 . 7 5 4 . 4 4 1 5 P AR K S P 3 5 2 . 7 5 4 . 4 0 2 7 F 3 5 2 . 7 5 4 . 4 4 2 7
Father Daughter Dance Ticket Appl icat ion
________________________________________________________________________________________________________ LAST NAME FIRST NAME MIDDLE INITIAL MAIN CONTACT PHONE
______________________________________________________________________ ADDRESS CITY ZIP
______________________________________________________________________ WORK PHONE CELL PHONE EMAIL ADDRESS
______________________________________________________________________ PERSON TO NOTIFY IN CASE OF EMERGENCY MAIN PHONE ALTERNATE PHONE
***Please note the Father Daughter Dance is a public event and members of the media will be
on site to cover this event. I understand by registering for the event I’m subject to photographs
and videos that may be taken and used for print and/or electronic media for publication and
future promotion of the event for the department ***
****NEW LOCATION**** ***WEEKI WACHEE HIGH SCHOOL- 12150 Vespa Way,
Weeki Wachee, Fl 34614 ***
[ ] Father Daughter Dance --- FRIDAY # of tickets_____________
[ ] Father Daughter Dance --- SATURDAY # of tickets_____________
TICKETS -$15 PER PERSON – Plus .50cents extra for tickets being mailed.
SIGNATURE OF APPLICANT: ________________________________________ DATE:__________________________
PRINT NAME:_____________________________________________________ FEES DUE: $____________________
Payment accepted: Check, Cash, Money Orders, VISA, MasterCard or Discover.Payable to: HCRD or Hernando County Recreation Department.
Received by STAFF: ________ Mail: ______ Fax: ______ Walk In: ______ App Entered By: ______________
Fees Due: $ _____________ Payment Received By: Entered By: ___________
PAYMENT TYPE: [ ] MONEY ORDER / [ ] CHECK #________________ Credit Card Payment by [ ] Phone / [ ] Walk In
[ ] VISA or [ ] MASTERCARD [ ] DISCOVER ~ APPROVAL # ________________
OFFICE USE ONLY