Mothers' Club Fashion Show
Online Registration and Payment Form
Reservation Contact
First Name*
Last Name*
Affiliation to La Salle*
Current Parent
Past Parent
Friend of La Salle
Son(s) Class Year(s)*
If more than one, separate by commas
Preferred Phone Number*
Attendees
Number of Reservations*
$60 per person
Please Select…
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Attendee 1 First Name*
Attendee 1 Last Name*
Attendee 1 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 2 First Name*
Attendee 2 Last Name*
Attendee 2 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 3 First Name*
Attendee 3 Last Name*
Attendee 3 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 4 First Name*
Attendee 4 Last Name*
Attendee 4 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 5 First Name*
Attendee 5 Last Name*
Attendee 5 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 6 First Name*
Attendee 6 Last Name*
Attendee 6 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 7 First Name*
Attendee 7 Last Name*
Attendee 7 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 8 First Name*
Attendee 8 Last Name*
Attendee 8 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 9 First Name*
Attendee 9 Last Name*
Attendee 9 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 10 First Name*
Attendee 10 Last Name*
Attendee 10 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 11 First Name*
Attendee 11 Last Name*
Attendee 11 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Attendee 12 First Name*
Attendee 12 Last Name*
Attendee 12 Meal*
Chicken Alexandra (chicken dipped in egg, mushrooms, asparagus tips, red peppers, in a lemon butter sauce)
Gluten Free Chicken Alexandra
Vegetable Wellington (grilled vegetables baked in a puff pastry served on a sweet red pepper sauce)
Seating Preference
I/we would like to sit with:
Tombola Tickets
Past Presidents' Gift Tickets
An Exquisite Piece of Designer Jewelry or High Tea for Four at the Four Seasons
$5 for 1 ticket
$20 for 5 tickets
$35 for 10 tickets
Luxury Tombola Tickets
$5 for 1 ticket
$20 for 5 tickets
$35 for 10 tickets
$500 Cash Tickets
$5 for 1 ticket
$20 for 5 tickets
$35 for 10 tickets
Tombola Tickets
$3 for 1 ticket
$10 for 4 tickets
$20 for 10 tickets
Total Amount of Registration and/or Tombola
Please send a confirmation email to the address below*: