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Villa Joseph Marie High School

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Home
Campus Life
Student Activity Deadlines & Information
Senior & Junior Prom 2025

Senior & Junior Prom 2025

April 11, 2025

Important Information

Letter to Students and Families
Attire Guide

Letter to Students and Families

Attire Guide

Prom Forms

Permission Form and Payment
Escort Registration and Payment
Dietary Restriction Notification
Table Selections

Permission Form and Payment

Due no later than Tuesday, February 4th

Required

Student Name*required

First Name

Last Name

By checking the box below, I confirm that I have read the prom information and policies listed above and agree to abide by them.*requiredTo be completed by parent/guardian

I have read the above policies and agree to abide by them.

To be completed by parent/guardian

Parent/Guardian Name*required

First Name

Last Name

By checking the box below, I confirm that I have read the prom information and policies listed above and agree to abide by them.*requiredTo be completed by parent/guardian

I have read the above policies and agree to abide by them.

To be completed by parent/guardian

Please selection the option that applies to you*required

I do not intend to bring an escort to prom.

I intend to bring an escort to prom.

Late Arrivals/Early DismissalsTo be completed by parent/guardian

As the parent/guardian on the above student, I give permission for her to arrive late or leave early.

To be completed by parent/guardian

Please list any information pertinent to your student's arrival or dismissal?

Do you have a coupon code?

Yes

Enter code

(Must contain only letters, numbers and spaces)

Payment Amount

$145.00

Processing Fee

$2.50

Payment Amount

$0.00

Payment Information

Email*required

Provide an email address for the receipt.

Please complete captcha below to proceed to payment selection.

Please select a payment type*required

Credit Card

Billing Address*required

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Name*required

First

Last

Expiration*required

Month

Year

Escort Registration and Payment

Due no later than Tuesday, March 4th

Required

Villa Student Name*required

First Name

Last Name

Villa Student Emergency Contact*required

First Name

Last Name

Please select 1*required

I have paid by check or am just changing the name of my date

I both need to name and purchase a ticket for my date

Enter Payment Bypass Code*required

Phone Number*required

Escort Name*required

First Name

Last Name

Escort Student Emergency Contact*required

First Name

Last Name

Phone Number*required

Escort Fee

$90.00

Processing Fee

$2.50

No Payment Required

$0.00

Payment Information

Email*required

Provide an email address for the receipt.

Please complete captcha below to proceed to payment selection.

Please select a payment type*required

Credit Card

Billing Address*required

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Name*required

First

Last

Expiration*required

Month

Year

Dietary Restriction Notification

Due no later than Tuesday, March 4th

Required

Villa Student Name*required

First Name

Last Name

Do you or your escort have dietary restrictions?*requiredSelect all that apply

I have dietary restrictions

My escort has dietary restrictions

Select all that apply

Please explain your dietary restrictions*required

Please explain your escort's dietary restrictions*required

Table Selections

Seating Card due to Ms. Weaver no later than Tuesday, March 4th

Click the download button below to retrieve a seating card form.

Senior Class Moderator

Stephanie Weaver
Theology Department Chair
215-357-8810 ext. 173
sweaver@vjmhs.org

Student Affairs Office

Paula Soley
Dean of Student Affairs
215-357-8810 ext. 198
psoley@vjmhs.org

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Villa Joseph Marie

1180 Holland Road Holland, PA 18966
215-357-8810
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