North Penn High School s1

North Penn High School Guest Information Sheet 2015 Senior Prom- May 9, 2015- 6:00p.m. – 11:00p.m. This form must be completed, signed, and submitted to your home office prior to buying a dance ticket for your guest. A copy of guest photo identification must be attached to this sheet.

Guest Name: ______Guest Age: ______Last First Middle Initial

Guest Address: ______Number & Street City State Zip Code

Guest Home Phone: (____) ______

Please circle the one status Middle School High School College Student Military Employed that best describes guest’s life stage: Alternative School (must have principal permission)

Those who circled middle, high, or alternative school student, please complete the following information:

Name of Current School: ______

School Address: ______Number & Street City State Zip Code

Name of School Principal: ______School Phone: (_____) ______

I certify that the above information is true. I understand that I must bring a photo ID to the dance along with an issued ticket. I am aware that no refunds or exchanges will be honored and appropriate dress is encouraged. Valuables should not be brought to the dance unless the owner can keep their valuables on his/her person at all times. This includes money, jewelry, cameras, and electronics. No one is permitted to leave the dance prior to ½ hour before the dance officially ends. I understand that even though I do not attend North Penn High School, all school rules, as outlined in the NPHS handbook, apply to student behavior.

Guest Signature: ______Date: ______

Guest’s Parent or Guardian Signature: ______Date: ______(if guest is under 18 years of age)

I am aware that my date was issued a copy of the NPHS handbook at the beginning of the year and if I have questions regarding NPHS guidelines, I should read his/her handbook prior to the dance. ______For North Penn Students: I understand that in bringing a guest to a North Penn High School function. I am expected to inform my guest of the school rules stated in the NPHS handbook. Any infractions attributed to my guest will require a meeting with my home office assistant principal that may result in consequences.

NPHS Student Name (print) ______

NPHS Student Signature: ______Date: ______

NPHS Parent Signature: ______Date: ______------

HOOF Assistant Principal Signature: ______Date Received: ______