St. Lucy's - Request for Invitation

NOTE:

The REGISTRATION and WAITLIST for the 2008, 2009 and 2010 Medallion Ball (girls in high school classes of 2009, 2010, and 2011) are closed.
Registration for the 2011 Medallion Ball is now closed.
Registration for the 2012 (Class of 2013) will begin May 1, 2009 for current eighth graders.

Request for Invitation
for Junior Medallion

If you are a young woman completing eighth grade and are interested in participating in the Junior Medallion Program, please complete this form.

Once this from is received, an invitation will be sent to you to join the Junior Medallion Program. This form does NOT imply registration for the Medallion Ball – just your interest.

Applicant's Name:
Address 1:
Address 2:
City/State/Zip:
Email:
Phone:	Work Phone Home Phone Mobile Phone
High School Graduation Year: (See Note above) :
Parent's Name:
Name of your St. Lucy's sponsor:
Comments:

Please note: This form will be enabled on May 1st, 2009
for registration for the 2012 Medallion Ball.

Please check out the Frequently Asked Questions section of this website for more information.