EmailMeForm
2026 Junior/Senior Prom Dance Registration
This year's theme is "Happily Ever After"
Prom Dance Date: Saturday, March 28th, 2026
• The cost is $65 per student. Online registration only, and MUST be submitted by Friday, March 13 by 3PM. No EXCEPTIONS!
• The dance will begin at 8:00 p.m. and end at 11:00 p.m. You must arrive by 8:30 p.m. or you will not be admitted. NO REFUNDS!! Attendees must remain at the dance until 11:00 p.m.
• Dance Attire: Formal (see information on dress guidelines).
• If you would like to bring a guest from another high school, pick up and complete a guest form and turn in to the High School office by Wednesday, March 25th
• PBS Juniors and Seniors may bring a PBS alum (21 years or younger). A photo ID must be attached to the “Dance Guest Registration Form”. Junior and Seniors may also bring a current high school student from another school.
• Illegal substances will be tested for at the door prior to entry.
• Any inappropriate behavior (conduct, language, dancing, PDA) can be grounds for dismissal from the dance and subject to disciplinary action. Once you exit the dance, you may not return and must leave the property.
Name of Student
*
First
Last
Grade Level
*
Please select
11
12
Homeroom Teacher (2nd period)
*
Email Address
*
T-Shirt Size
*
Please Select One
Small
Medium
Large
XL
2XL
3XL
Name of Guest for Prom (even if your guest is a NON PBS student). This is required.
If you are not bringing a guest, please leave blank.
First
Last
Grade Level
Please select
9
10
11
12
Alum
Other
Guest T-Shirt Size
Please Select One
Small
Medium
Large
XL
2XL
3XL
My guest is NOT a Parkview Baptist Student and I will be turning in a guest form in addition to this form.
Yes
No
I have read and understand the Prom guidelines above. I understand failure to meet any of these guidelines will result in disciplinary action to the determined by PBS Administration.
Typing your first and last names serves as your electronic and binding signature.
*
Ticket Payment
*
Please Select One
Two Prom Tickets ($130)
One Prom Ticket ($65)
Payment
When you hit 'Submit,' you will be directed to the online payment page. You do NOT have to create a Paypal Account. Simply hit 'Pay with Credit or Debit Card.'
Total
$0.00
