Booker T. Washington Winter Formal

Booker T. Washington Winter Formal Guest Registration Form- Due by Wed. Jan. 16, 2013 Each BTW student may register only one guest. Guests must be at least in the 9th grade. and not over 21 years of age. Saturday, Jan. 19, 2013- Greenwood Cultural Center- 322 N. Greenwood Ave. 8PM- Midnight $10 pre-sold or $15 @ the door (Tickets at the door will only be sold to BTW students and pre-registered guests with a school ID or driver’s license). -All students must have ID (Driver’s License or Student ID) to get into the dance. Once admitted, students may not leave and re- enter. -The Dance is Semi-Formal. This means boys must wear a Shirt & Tie or a Button-up Shirt & Sweater (and pants). Jackets are not required, but they are strongly suggested. Girls should wear a dress, pantsuit or a skirt and a blouse. TPS dress code applies with the exception of shoulder strap widths (spaghetti straps, halters and strapless are OK, but nothing low cut in the front). Skirts must be at least mid-thigh in length, and slits may not be higher than mid-thigh. No more than one inch of the mid drift may be exposed, and if the dress is backless, it may not drop lower than the waistline. Absolutely no Tennis Shoes, Flip Flops, or jeans/denim will be allowed. -If the sponsor or an administrator feels that you are dressed inappropriately you will be asked to leave and may return once you meet the dress code. Refunds will not be given. Part I- to be filled out in INK by the student

BTW Student Name ______Grade ______1st Hr. Teacher______Last First

Name of Guest ______Grade _____Age___ Date of Birth____-____-____ Last First Home Address______Phone______

Parent’s Name______Signature:______Parent Signature required for high school students less than 18 years of age

I, ______agree to abide by all rules and regulations established by Booker T. Washington High School and Tulsa Public Schools governing student participation at extracurricular events.

______Guest Signature

**Guest’s School ______School Phone #______

School Address______School FAX______

Part II – THE FOLLOWING IS TO BE COMPLETED BY THE PRINCIPAL or DEAN OF THE HIGH SCHOOL WHERE THE GUEST STUDENT ATTENDS*

The above named student is currently attending ______and has demonstrated high standards of citizenship while enrolled as a student. He/she has our recommendation to participation in the Booker T. Washington school event.

______Principal/Designee name Principal/Designee Signature

Completed forms are to be faxed from the guest’s high school to: Dr. Carol Chapman, Dean of Students – fax# 925-1001

*Students currently suspended from any Oklahoma school are not permitted to attend the BTW Winter Formal. **If your Guest is not a High School student, simply return this form to Ms. Zerbe #208 with Part I completed by Wednesday, Jan. 16, 2013 along with a photo copy of the guest’s driver’s license.