Saint Ursula Academy Freshman Dance

December 4, 2026 - 7:00 p.m. to 9:30 p.m.

SUA Gymnasium

$15 for a single ticket, $20 for your ticket + guest

"*" indicates required fields

Student Name*

First Last

Email*

Grade level

Freshman

Sophomore

Junior

Senior

What type of ticket do you want to purchase?*

Ticket for myself only ($15)

Ticket for me and a guest ($20)

Parent(s) Name(s)*

Phone number for student's parent to be reached the night of the dance*

Alternate phone number for parent*

Name of Guest*

First Last

Name of guest's high school*

Special Code

If you have spoken to Ms. Bergmann and have a special code to enter, please enter that below.

Total

Please note that our system is unable to process debit cards. If you do not have a credit card, please purchase your ticket with cash in the Keller Center on 9/17 or 9/19 during the all-school lunch.

Payment Method

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name