First Name:
Last Name:
Phone Number:
Email Address:

Are you a full time student? YesNo

Are you the school's prom advisor? YesNo
If not:

What is school’s Prom Advisor’s name?
Prom Advisor’s email:

School Principal / Administrator’s Name:
Principal / Administrator email:

School Information:

School Name:
Street Address:
City:
State: NON USA/CANADA ============== APO/FPO - AA APO/FPO - AE APO/FPO - AP ============== ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING ============== ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND N.W. TERRITORIES NUNAVUT NOVA SCOTIA ONTARIO PR EDWARD ISL QUEBEC SASKATCHEWAN YUKON
Zip Code:
School Phone Number:

Venue for 2008 Prom:

Number of students in your schools Junior and Senior class:

Is your school’s prom schedule flexible enough to accommodate the “Ultimate Prom” on one of the following dates?
Saturday, April 26, 2008
Saturday, May 3, 2008
No

Please answer the following question with a 300-400 word essay on the following page. You may include, although not required, photography, video or other multi-media with your entry:

I have read and accept the Official Contest Rules. Yes No

Please include a signed and dated copy of the Stumps Prom 2008 Ultimate Prom Official Contest rules with your application. Failure to sign and date Official Contest Rules will disqualify the entry. Stumps Prom 2008 Ultimate Prom Official Contest Rules available at http://www.stumpsprom.com/ultimateprom/rules.pdf.

Please submit all entries and a signed copy of Official Contest Rules to Stumps Prom, on or before March 8, 2008.

Entries can be submitted online*, faxed to 260-723-6979 or mailed to: "Stumps Prom, Attn: Ultimate Prom Committee, P. O. Box 305, South Whitley, IN 46787-0305."

* All participants who enter the contest online must fax or mail a signed copy of the Official Contest Rules by March 8, 2008 to complete their application.