Bradford Christian Academy

Bradford Christian Academy Field Trip Permission Form

The BCA High School Prom is scheduled for Saturday, May 14, 2016 at the Atkinson Country Club at 85 Country Club Drive, Atkinson, NH 03811. The times of the Prom are 6:30 p.m. – 11:00 p.m. in the Tuscan Room.

There will be different food stations to accommodate the variety of food preferences for our students. There will be a pasta station, as well as crudité platters of cheese and crackers and vegetables, and a chocolate fondue for dessert.

Once at the Club, chaperones will be at the front door greeting students and parents as they arrive. There will be a photographer on site to take class pictures on the beautiful Atkinson grounds. Parents please keep in mind that it is Atkinson Country Club’s policy that does not allow for parents to accompany their students inside or on the grounds for this event.

The first deadline for tickets and the turning in of permission slips is Monday, May 2, 2016, at which time the cost of tickets will be $60.

The final deadline for tickets and the turning in of permission slips is Monday, May 9, 2016, at which time the cost of tickets will be $65. No tickets will be sold beyond the Monday, May 9, 2016 deadline as a headcount must be submitted to the Atkinson Country Club by this date.

Chaperones are Mr. and Mrs. Gilford and other BCA faculty.

Please remember to follow the dress guidelines: tasteful and modest without plunging necklines (no more than 4 inches below the collarbone) or backs. Hemlines or slits must be no higher than a hand-width above the knee. Strapless gowns are permissible; however, the back must be the same height as the front. Dresses that have cutouts in the midriff, chest, or other areas must be covered by fabric that is not sheer or see through. Students who wear gowns that do not meet this criteria could be asked to wear an additional sweater, shawl, or leggings. If a student has a question regarding appropriateness of a dress, please bring the dress in so that staff can approve. Boys may wear suit and tie or a tuxedo.

In addition, NO outside water bottles or beverages will be allowed into prom. Also, only small clutch purses will be allowed. BCA also reserves the right to search any personal property.

This form must be returned by: (clip here and return bottom section) 1st Deadline – Monday, May 2, 2106 – ticket cost $60 Final Deadline – Monday, May 9, 2106– ticket cost $65 ------My student, ______, has permission to attend prom on Saturday, May 14th from 6:30-11 p.m.

I have completed the emergency information requested at the bottom of this page. For your child’s safety, all information requested below must be provided in order for your child to attend.

______Parent / Guardian Signature Date Date of Trip Medical & Emergency Care Information

Student Name______Date of Birth______Teacher______Address ______Parent / Guardian Name ______Parent / Guardian can be reached on the days of the classes at the following phone number(s): 1) ______2) ______Insurance and # (optional) ______Student’s Doctor ______Dr. Phone # ______Medical Information Check all that apply: ___ None ___ Allergic to: ______Significant medical conditions and treatment: ______Does the student have any life threatening allergies? Yes ___ or No ______Does the student have an Allergy Action Plan on file with BCA? Yes___ or No ____

I give the school permission to enact the Allergy Action Plan (if applicable). You have my permission to obtain any emergency care necessary to ensure my child’s well being while at the classes. ______Parent/Guardian Signature Date