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CA Student 2021 & Post Prom Agreement May 1 (Please read through this form before signing)

/Post Prom Party is for all Junior and Senior students. • All students attending the Prom/Post Prom Party MUST complete a Party Agreement form. • ALL Non-CA students must provide a completed agreement form to attend and a regular dance contract. • The above-mentioned forms MUST be turned in at the time you purchase your Prom/Post Prom Party ticket. Tickets will not be sold to anyone without these signed agreements. • Prom/Post-prom tickets will be on sale March 22-24 during lunch or see Mrs. Sell by April 9. • If you need another copy of this form, it can be found on the CA website under Current Students/Forms. • Prom code is as follows: should be made of solid, opaque material from the bust to the fingertip length of the skirt. Sheer, see-through and translucent materials are not acceptable for this main part of the dress. The backline of the dress must start at least 5 inches above the buttocks. Any slits in the dress must not be higher than fingertip length. Excessive cleavage may not be shown. Baggy pants that leave underwear exposed will not be allowed. Any student who fails to adhere to these guidelines will be sent home to change before being admitted into Prom or Grand March. • Post Prom Party dress code is as follows: regular school day dress code applies (Girls - no tank/halter tops and shorts must be acceptable length. Boys - no tank tops, and pants/shorts must cover undergarments). Shoes must be worn at all times.

We, (student and parent/guardian) agree to the following:

1. I understand that I must arrive at CA by 5:45pm. I understand that failure to show up on time will result in a phone call to parents. 2. I understand that if any prescriptions or over the counter medications are found, they will be placed in a bag marked with my name and will be available from a chaperone during the evening if needed. 3. I agree to leave all outside food, beverages, toothpaste, and mouthwash at home and understand that should they be found they will be removed and discarded. 4. I understand that school rules apply. 5. I understand that ANY unidentifiable, illegal, and/or banned items found in bags will be confiscated and identified with my name; administration will be notified, my parents will be contacted, and I will not be allowed to attend the party. 6. I have read and understand and will adhere to the Prom and Post Prom Dress code as outlined above. 7. I understand that parents/guardians will be contacted immediately if there are any serious problems. 8. I understand that Concordia Academy and chaperones are not responsible for student injury or loss/damage of property. If a student is injured, the parent/guardian will be contacted. If parent/guardian cannot be reached, by signing the attached form, parents/guardians’ consent to treatment being provided by the nearest emergency medical center.

Initial here that you have read the above agreement ______

Timeline for Prom and Post Prom Party beginning May 1:

5:30-5:45pm: Arrival at CA front lobby check in 6:00pm: Grand March; Dinner, Dance and post prom activities 12:00am: Leave CA/pickup

***If you leave before 11:30pm, your parents will be notified and you will not be allowed back in the building.

2021 Prom & Post Prom Party Agreement

ALL persons attending the Prom AND/OR Post Prom Party MUST complete the agreement form Forms MUST be turned in at the time you purchase your tickets. Tickets will NOT be sold to anyone who does not provide this signed agreement.

CA Student:

CA Student Signature:

Student Parent/Guardian Signature:

Student Parent/Guardian Printed Name:

Parent/Guardian Emergency Contact Information

Contact One Name:

Contact One Phone:

Contact Two Name:

Contact Two Phone:

Parent/guardian, please read below and sign: o To the best of my knowledge, my child is in good health and free of illness sat this time. o I will administer a health screening before my child attends this activity. o I give my child permission to be photographed during this event for use in CA publications and CA social media. o I understand that this is an on-campus event and the school is not responsible for the student after the event has ended.

Parent signature______Date______

CA Student signature______Date______

***COVID-19 is a contagious virus that spreads easily through person-to-person contact. As with any social activity, participation at this event could present the risk of contracting COVID-19. While Concordia Academy will take safety and preventative precautions, Concordia Academy can in no way warrant that COVID-19 infection will not occur through participation in this activity or event. By signing this permission form, you are acknowledging this statement.