2015 Junior Prom Guest Contract - High School West

Transcription

2015 Junior Prom Guest Contract - High School West
Non - Smithtown HS West Student
Junior Prom Contract 2015
The Smithtown Central School District defines the standard of behavior that is expected at all school activities
and events in its Code of Conduct. Copies of the Code of Conduct are available at the district’s Central Office
and in the Main Office of the Western Campus.
In attending the 2015 Junior Prom, I agree to adhere to the standards of behavior as stated in the district’s
Code of Conduct. I further pledge to obey all school rules and regulations while participating in this event.
Any student who displays inappropriate behavior while entering or attending the prom may be denied
access. Students who exhibit any indication of the effects of tobacco, alcohol or illegal substance use will
forfeit the right to attend and/or remain at the Prom. Parents will be notified immediately and will be
expected to remove their child from the facility. Appropriate disciplinary action will be taken by school
administrators in accordance with the Code of Conduct. No refunds will be given.
A security inspection and bag check will take place at the event. After entering the event, students will not be
allowed to leave and re-enter. No limousine’s will be permitted.
Students and guests are expected to dress in an appropriate manner. Formal or semi-formal
(jackets and ties are expected for men, dresses are expected for women.)
HSW Student (please print): ____________________________________________________________________
Guest Information ***Copy of photo ID is required
Name of Guest: ______________________________ Signature: _________________________________________
Address: __________________________________________________________________________________
School: ______________________________ Age of Guest: ____ (No one over the age of 19 is permitted to the event)
To be Completed by the Parent/Guardian of Guest
I am aware that my son/daughter will be attending the Smithtown HS West Junior Prom on Thursday, May 21,
2015 at Villa Lombardi’s as the guest of the above named Smithtown West student. I am aware that I must be
available on the evening of the event.
Guest Parent Name: ____________________________ Guest Parent Signature: ___________________________
Parent Phone for May 21, 2015 between 7pm - 11pm: _________________________________________________
To be Completed by the Guest Attending College or Employed
Name of Guest: _______________________________________Age of Guest: ___________________________
College Attending/Employer: ____________________________Telephone: ______________________________
(No one over the age of 19 is permitted to the event)
To be Completed by a School Administrator at Guest’s School
Signature of Administrator: _____________________________________________________________________
Name, Title and Phone Number: ______________________________________________________________