Online Event Registration and Payment

Centennial Ball

PayPal

Centennial Ball
Yaarab Shrine Center, Atlanta GA
March 30, 2019
Dinner: 6:00pm
Dance: 7:00pm

Ticket Price: $20
Early Purchase Discount: $10 if purchased before March 15, 2019
Ticket Sales Close: March 30, 2019

Please Note: * indicates a required field


Registration Information

Registration Discount Code


Demographic Information

Last Name *

First Name *

Middle Name

E-Mail *

Phone

Chapter *

Category *


Terms and Conditions

Refund Requests
No refunds will be granted after March 15, 2019.

Advisor Approval Required
An advisor from the registrant's Chapter must attend the event to supervise this registrant, if the registrant is an active DeMolay or another young man for which supervision would be appropriate. For a Sweetheart, Rainbow, or Minor Female Guest, an advisor must select a qualified, approved chaperone to attend to supervise the Sweetheart or minor female guest. An advisor of each Chapter will be contacted approximately two weeks prior to the event to approve all registrants for that Chapter. If the advisor does not approve a registrant to attend the event for a valid reason, the registrant will not be allowed to attend the event.

Prohibited Items
DeMolay Functions are drug, alcohol, and weapon free. Georgia DeMolay reserves the right to search any bag or room for cause. Registrants who are in possession of prohibited items will be removed from the event without refund.

Event Release
In the event of injury or illness to my son, daughter, or ward, I hereby authorize and direct DeMolay advisor(s) supervising the activity in which the above named youth is participating, to secure medical treatment, including, but not limited to, hospitalization, injections, anesthesia, and surgery for my son, daughter, or ward; thereby authorizing a supervising DeMolay advisor to sign and consent thereto as fully as I could were I personally present. I acknowledge that I will be responsible for payment of all charges related to the medical services provided. As parent or guardian of the registrant, I further agree to indemnify and hold harmless the Associated DeMolay Chapters of Georgia (aka Georgia DeMolay), and any adult advisors and/or volunteers who have agreed to supervise the activity for which my son, daughter, or ward is registering, from any damages recovered or recoverable by my son, daughter, or ward. Furthermore, I agree that, upon notification from an authorized adult DeMolay advisor or other volunteer assisting with the event at which my son, daughter, or ward is a participant, to remove my son, daughter, or ward, if, in the opinion of the supervising adults, it is deemed necessary and appropriate that he/she be removed from the activity site. I also agree on behalf of my son, daughter, or ward that, if it is deemed necessary by DeMolay advisors supervising the activity, his/her room may be entered and an inventory of his/her personal effects performed by no fewer than two DeMolay advisors. By allowing registrant to attend the event, I fully understand the above and agree to abide by its terms.


Electronic Signature

Instructions
If the registrant is under 18, the registrant's legal guardian must e-sign below.
If the registrant is 18 or older, the registrant must e-sign below.
Read the statement below and enter your name in the e-sign box to electronically sign your name.

"By entering my name below, I hereby state that I am over 18 years old and the legal guardian of the registrant listed above. I have read and agree to all of the above terms and conditions."

E-Sign *


Be sure to read all terms and e-sign above before clicking the "Continue" button.