Attending Guest Dance Permission Form .pdf

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Original filename: Attending_Guest_Dance_Permission_Form.pdf
Author: mark.rickard

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Attending Guest Dance Permission Form
(non Saint George’s student)
This form must be submitted Judi, Coach R or Elizabeth for approval no later than 1 day before the
date of the dance. The form may be faxed to 467-3258 attention: Dance Committee.

All guests will be no younger than high school freshman or older than age 20. Middle school students
are not permitted to attend Upper School sponsored dances.
Name of Saint George’s Student: _________________________________________________________
Name of Guest: _______________________________________________________________________
Has this person attended a Saint George’s dance before? Yes ___ No ___ Date: ____________________
Last or current high school attended by guest: _______________________________________________
Date of graduation: ____________
Name of parent or guardian of guest: ______________________________________________________
Phone number of parent or guardian of guest: _______________________________________________

Any guest attending a dance sponsored by Saint George’s School is subject to the same rules
and regulations as any attending Saint George’s Student. If any student is suspected of
breaking any rules and/or regulations outlined in the Saint George’s School Student
Handbook, administrators, parents and law enforcement will be contacted.
Guests will be asked to check in at the beginning of the dance and also to present a current
ASB card upon entering the dance. The ASB card will be returned to the guest upon his/her
departure.
Guest Signature ___________________________________________________ Date ________________
Please have an administrator from the guest’s school fill out this section:
Is this student enrolled in your school full time?

Yes ___

No ___

Have you had behavioral problems with this student in the past?

Yes ___

No ___

Administrator Approval ___________________________________________ Date ______________


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