WAHS PROM Guest Permission Form 2019 The Jefferson Saturday, April 13 8 p.m. – 11 p.m.
(You must have this form completed before you can purchase a ticket for your guest and it must be submitted by 4 pm on the Wednesday before the dance.)
Prom is a memorable and special night for Western Albemarle High School students. These guidelines are intended to ensure that all students are able to have a safe and enjoyable evening. WAHS students must check their guests in and are responsible for ensuring that their guests abide by all WAHS rules.
Dance Rules as Approved by Student Government
1. Dancers should always have their hands in appropriate places. 2. Slam Dancing or a Mosh Pit is not allowed. 3. Only face-to-face dancing will be allowed. 4. Intimate dancing is only allowed with a single partner at a time. 5. Jeans are not acceptable for PROM. 6. A liberal version of the dress code will be followed. Males are expected to wear a Tuxedo or Suit and Tie. Girls’ skirts, shorts, and blouses should provide appropriate coverage. 7. Upon entering the dance each person will be given a wristband. The first time a chaperone has to speak with a dancer about inappropriate behavior they will have their wristband taken. The second time a chaperone has to speak with them they will be removed from the dance. No refunds will be given. 8. Students will not be allowed to enter a school-sponsored dance more than two hours after the scheduled starting time unless previous arrangements have been made by a parent with an administrator.
All school and county rules are in effect at dances. Students should show self-respect and a sense of self-pride and refrain from inappropriate physical displays of affection or inappropriate dancing. Students are expected to enter the building immediately upon arriving at the dance. After leaving a dance, students may not re-enter. Students are expected to leave the grounds immediately once leaving the dance site or at the conclusion of the dance.
No alcohol or drugs are allowed at WAHS functions. Any student suspected of having alcohol or drugs will not be allowed to attend. If drugs/alcohol are found, proper authorities will be notified. No refunds will be made for removal from the dance due to behavior. If you have questions concerning your dress or attire, it is your responsibility to seek prior approval from an administrator.
To Be Completed by Guest’s Parent/Guardian
The signature below indicates that the guest’s parent/guardian acknowledges and agrees to the dance rules and guidelines as outlined above.
WAHS Student Name (Print First and Last Name): Guest’s Name (Print First and Last Name: Guest’s Parent/Guardian Name (Print First & Last Name): Guest’s Parent/Guardian Signature: Phone # of Guest’s Parent/Guardian during dance hours: Additional emergency contact phone #:
(OVER) WAHS PROM Guest Permission Form Page Two
Proper attire and photo identification are required at the door. No student who attends middle school or individuals 21 or older will be allowed admittance. Guests must adhere to all dance guidelines provided. Please print neatly except for requested signatures. Individual students may invite one guest per dance.
A. Information about Western Albemarle High School Student:
Name: ______Grade: ______Phone #: ______
B. Information about the guest who does not attend WAHS:
First and Last Name: ______Age: ______Address: ______Name of School/Employer/College: ______Contact Number for School/Employer: ______
C. To be completed by WAHS student’s guest:
I agree to respect and abide by all rules, regulations, policies, and dance guidelines for the Western Albemarle High School prom. I understand that if I choose to violate these, I will be asked to leave prom and will not receive a refund.
______Signature of WAHS student’s guest Date
COMPLETE EITHER SECTION D OR E, whichever is applicable
D. To be completed by guest’s high school administrator OR guest’s employer (if not in high school):
Please indicate the status of this individual (listed in Section B) at your high school or place of business. If you have any questions, please contact the WAHS Principal or Assistant Principal at 434-823-8700. Thank You.
_____ This individual is in “good standing” at our school/place of employment. _____ This individual is not in “good standing” at our school/place of employment. _____ Please contact me regarding this individual.
______Printed Name of Administrator/Employer Phone Number
______Signature of Administrator/Employer Date
E. To be completed by WAHS administrator (if guest is in college):
I give permission for the above named college student to attend the Western Albemarle High School prom providing they agree to respect and abide by all rules, regulations, policies, and dance guidelines for the Western Albemarle High School prom.
______Signature of WAHS Administrator Date
Western Albemarle High School Administrator Signature/Approval
______Signature Date