Affirmations Youth Prom 2026 Registration

Affirmations Youth Prom 2026 Registration

Affirmations Youth Prom 2026 Registration
Category is.... Over the Rainbow 🌈

When: Friday May 8th, 2026 at 6pm-9pm

Where: Affirmations, 290 W. 9 Mile Rd., Ferndale, MI

Who: LGBTQIA2S+ high schoolers ages 14-18 (rising 9th graders can attend too!)

Cost: $15
- Needs based ticket discounts are available. Contact Joe at jvolpe@goaffirmations.org for details.
Dress Code: Dress to express yourself! Formal wear is not required.

Parking: Parking in Ferndale on a Friday evening is limited. Please plan accordingly for Drop-Off and Pick-Up to prevent any traffic back-ups.

Please note that this is a youth only event. Parents/Guardians and any other adults over the age of 18 will not be permitted past check-in. Affirming and background checked adults from Affirmations' staff and volunteer teams will be present.

*All attendees must submit their own form.*

REGISTRATION CLOSES at 3pm on May 8th, 2026
Registrant Information
Name*

First NameLast Name
Legal Name (if different from the previous name)

First NameLast Name
Date of Birth*

MonthDayYear
Registrant Email*
example@example.com
Primary Phone*
Please enter a valid phone number.Format: (000) 000-0000.
YesNo

Emergency Contact Information

Emergency Contact must be 18+.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relation*
Is this person affirming of your sexuality / gender identities?*
What name does this person know you by?*

Media Release
While this section is not required, there will be a photographer at this event. Red wristbands will be given to attendees who do not have this section completed.

If you are under the age of 18, please have your parent or guardian submit this form.

I grant permission to Affirmations or its assigns, to use in print, electronic, video, or audio format my name, voice, image, or likeness of my minor child or myself. I, on behalf of myself, my child, and our heirs and assigns, release Affirmations and its assigns from any liability or claim arising in any way from any use of said name, audio, image, or likeness, including but not limited to claims with respect to copyright ownership and publication, express or implied inaccuracies, disclosures, innuendo, or any claim for compensation related to the use of said audio, image or likeness.

All media shall be defined as but is not limited to, the internet, website, or printed publications.
Parent/Guardian Name (if signing for someone under 18)

First NameLast Name
Parent/Guardian Email (if signing for someone under 18)
example@example.com
Signature

Clear

Payment

Needs based ticket discounts are available. Contact Joe at jvolpe@goaffirmations.org for details.

Purchase Your Ticket*

Ticket

$15.00 Quantity

Reduced Price Ticket

$10.00 Quantity

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Please verify that you are human*
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