ROCK CANYON HIGH SCHOOL - Mountain Vista High School

MOUNTAIN VISTA HIGH SCHOOL
GUEST DANCE APPROVAL FORM
This form must be completed and turned into the main office by 2:50
p.m. on Tuesday, April 21st . After this
date the form MUST be presented at the dance.
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The form MUST be received and approved prior to purchasing tickets.
Only one guest per student allowed.
Guest will not be permitted to enter the event without prior approval.
All guests must attach a copy of photo ID (student ID or driver’s license) to this form, or present one at the
door.
Students must be at least 9th grade level.
Guest must also be under 21 years of age.
All guests must be currently attending some type of school (College, Vocational School, military, etc.).
Name of Event:
2015 Junior/Senior Prom
Date of Event:
Friday April 24, 2015
MVHS Student’s Name __________________________________________________________________
MVHS Student’s Parent/Guardian Name_____________________________________________________
Home Phone Number _____________________________
Cell Number _________________________
I give my permission for my son/daughter to bring a non-Mountain Vista High student to the above
mentioned event and understand that the guest must abide by Mountain Vista’s rules and behavior
expectations. I also understand that I am assuming responsibility of the stated guest.
Guest’s Name ____________________________________________
Age/Grade _________/_______
Phone # where guest parent/guardian can be reached _________________________________________
Guest Parent/Guardian Signature of Approval: _______________________________________________
School your guest is presently attending _____________________________Phone # _______________
Guest’s School Administrator’s Signature ___________________________________________________
* If your guest is out of school, attending college, the parent/guardian of the guest must assume responsibility for the
guest’s behavior.
Guest to Mountain Vista High School events are expected to behave and dress appropriately for attendance and
participation. No costumes, masks, or other inappropriate attire is allowed. It is the expectation that all guests of function
and activities of Mountain Vista High School demonstrate both behavior and dress which is appropriate to the activity or
event. Students’ and/or their guest at a school function will not be allowed to display negative behavior or behave in a
manner or dress that would disrepute the event and or dishonor other students. Mountain Vista High School reserves the
right to deny admission to any guests who do not follow these guidelines. In addition, Mountain Vista High School
reserves the right to ask guest to leave if their behavior is inappropriate. All dance rules and expectations will be strictly
enforced.
As part of the MVHS effort to eliminate alcohol use at school events, please be advised that all students entering
the dance will be subject to a passive breathalyzer test.
Guest’s Signature _____________________________________________ Date ____________________
MVHS ADMINISTRATION APPROVAL; YES ____ NO ____ Signature __________________________