VHS POST-PROM APPLICATION

(Friday, May 2, 2008 from 11:30p.m.-4:00a.m. following prom)

 

Your child has expressed an interest in attending the VHS Post-Prom Party Valmeyer High School.  Before your child can purchase a ticket, they must complete the bottom portion of this form and return it when they purchase their ticket.  The planning committee wants to make your aware of the guidelines by which the party will be operated. 

 

 

Thank you for your support in encouraging and allowing your student to participate in this event.  Any questions concerning this event should be directed to Becky Karsten (ext. 205) or Hattie Doyle (ext. 204) at 935-2100. 

 

******************************Detach and return this portion**********************************

__________________________                    _________      S          M         L          XL       XXL

NAME OF STUDENT                                    GRADE                       T-SHIRT SIZE (CIRCLE)

 

______________________________________________________________________________

PARENT/GUARDIAN NAME                TELEPHONE OR CELL PHONE # FOR VERIFICATION

 

______________________________________________________________________________

STREET ADDRESS                             TOWN             STATE                         ZIP CODE

 

______________________________________________________________________________

EMERGENCY CONTACT PERSON & TELEPHONE # FOR EVENING OF POST PROM

 

As parent/legal guardian of ____________________________, I give my permission for my child or legal dependent to participate in the VHS Post Prom Activity.  Additionally, I will not hold Post-Prom committee or Valmeyer School District #3 responsible in the event of an accident or emergency.

 

_____________________________________                                  ______________________

Signature                                                                                   Date