Name______Grade ______

Upper School Dance Permission Form

The Columbus Academy wishes to promote an atmosphere where all students feel comfortable both at school and at school-sponsored events. The Columbus Academy also wishes to protect the rights of all students.

Therefore, at school-sponsored dances, The Columbus Academy

• requires students to arrive at the dance within the dance’s first hour.

• requires students to sign in upon arrival at the dance.

• prohibits dancing that promotes or demonstrates inappropriate sexual behavior.

• will not allow students to reenter the dance after leaving.

Failure to comply with these policies may result in dismissal from the dance.

A student engaged in grinding or other inappropriate dancing will be issued one warning. If that behavior is repeated, he or she will be asked to leave the dance.

An Academy student may bring a high school guest from another high school. Guests must be cleared through Mr. Losambe prior to the dance. Guests must bring a signed dance permission form. A CA student may bring only one guest from another school.

Finally, the school reminds students that rules stated in the Student Handbook apply at school-sponsored dances, especially those rules relating to actions that threaten other people and drug/alcohol usage. The school would also like to emphasize that having a date is NOT a prerequisite for attending the dance, or to have a good time.

What do students wear to this dance? Semi-formal and formal attire that is not too revealing.

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By signing this document, I agree that I will abide by the rules at Prom on Saturday, April 28th, from 8:00pm - 11:00pm. The event will take place in COSI, 333 W Broad St, Columbus, OH 43215.

______(Student signature) Date______

______(Parent signature) Date______. 319 JAMES RD. . GAHANNA OH 43230 . . (614) 478-5345 . www.mypicturesnow.com . Bruce L. Heflin Photography

Dear Customer:

Bruce L. Heflin Photography will be taking pictures for the 2018 Prom. We have two services that will be available that evening.

Candid Photography: Candid photographers will be roaming around the Prom. They will be taking candid snapshots that will be available for purchase. 4x6 color prints may be purchased for $2.25 each and 5x7 prints for $5.00. Proofs will hang in the senior lounge area for previewing. You can view and order prints from our website at www.mypicturersnow.com. Pictures will be on the website the Monday afternoon following Prom.

Packages with the backdrop:

A backdrop will be set up to accommodate everyone. Pictures will begin as soon as are open. All package orders must be paid for that evening. We accept cash, checks and major credit cards. Packages will be delivered to the school on or before Friday, May 4th.

Packages Regular prices Packages prices with Candid Image CD

A 2-8x10’s, 4-5x7’s, 4-4x5’s, and 24 wallets……….. $45.00 $55.00

B 2-8x10’s, 2-5x7’s, 4-4x5’s and 16 wallets………... $38.00 $48.00

C 2-8x10’s, 2-5x7’s, and 16 wallets………………… $32.00 $42.00

D 2-5x7’s, 4-4x5’s, and 16 wallets………………….. $25.00 $35.00

E 2-5x7’s, 4-4x5’s, and 8 wallets…………………… $20.00 $30.00

F 2-5x7’s and 8 wallets…………………………….. $15.00 $25.00

Add on package of 16 wallets….$15.00 24 wallets…..$20.00 1-10x13 …..$20.00 Wallet key chains: 1 for $3.00 2 for $5.00 (key chains do not include prints)

Special note for packages with candid image CD. If you purchase a package that includes the candid image CD, the CD will have an image release letter on the CD. This letter gives you the rights to use the images for your personal use. You may make prints or use the images as if they are yours. If you have any questions, please contact our office. For this year’s Prom!! Pre-sale and image CD!

At the suggestion of parents from last year’s prom. We are offering a pre-sale for pictures. You can call our office to pre- order pictures. We will make sure they get their picture taken with the backdrop.

We are also offering for $25.00 a candid image CD and the images of them taken with the backdrop. This would allow you to make your own prints.

...... Please make a note of our phone # 614-478-5345 Claim Number: Bruce Heflin Photography 319 James Rd Gahanna OH 43230-2827 (800) 944-1633 (614) 478-5345 www.mypicturesnow.com Dance order Form Please Print Name & Address Below line Image

Last Name: First Name:

Street Address:

City: State: Zip:

Telephone #: Email Address :(optional)

Select Package Below: (Mark with an “X” or quantity number) ___Couple ____ Male ___ Female

A NEW $25.00 Image CD ___Group

B _____ Add all candids on Male Suit Color ______CD, NEW!!! C _____ Add 16 wallets Glasses ____ yes ____ no

D _____ Add 24 wallets Female Dress Color ______

Glasses ____ yes ____ no E _____ Key chains

F Total Amount Paid ______

Dear Customer: Reorder Information for After Prints are Delivered Thank you for your order. If there is anything wrong with your order, please call our office immediately.

If you would like to order more pictures, please call our office or mail your order to the address above. You can also order online at www.mypicturesnow.com. Please include the claim number or the last names of the couple. All orders must be prepaid. Finished prints will be mailed back to you within 21 days. Price and packages: 11x14’s are $24.95 each 4-4x5’s are $16.95 8x10’s are $16.95 each 8 wallets are $16.95 2-5x7’s are $16.95 1-5x7 & 4 wallets $16.95

8x10 folders are $2.00 each and 5x7 folders $1.00 Please include $3.95 postage and handling per order.