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GUEST’S Dance Agreement

The purpose of this agreement is two-fold. The first and foremost purpose is to promote a safe, clean, and fun environment at school dances, wherever they take place. The second purpose is to assure parents that their students are in the dance location during the prescribed hours. All regular school rules apply to behavior at all dances.

1. This contract must be completely filled out and submitted at the time of ticket purchase.
2. PLHS STUDENTS MUST BRING Guest Current Photo ID Copy when purchasing dance tickets.
3. All GUESTS MUST SHOW Photo ID to be admitted to the dance. All guests must read, sign, and return this dance contract at the time of ticket purchase. The PLHS student is responsible for informing his/her guest of the requirement for PHOTO ID. NO ID, NO ENTRANCE to the dance.
4. TICKETS ARE NOT REFUNDABLE, NON TRANSFERABLE, and may not be resold. These actions VOID the ticket.
5. GUETS MUST ARRIVE, with PLHS Student, at on-campus dances no later than 8:30 pm, to ASB dances no later than 9:00 pm, and for the Senior Prom no later than 9:30 pm. Once admitted, students and guests MUST remain until ½ hour before the conclusion of the dance. If a student needs to leave early from any dance, special arrangements MUST be made with the vice principal at least one day PRIOR to the dance. NO arrangements can be made at the dance.
6. Students and guests attending the dance may expect to have a “friendly frisk” prior to entering the dance. This will help to ensure that improper items are not admitted to the dance.
7. Your purchase of a dance ticket constitutes implied consent for a personal search and “breathalyzer” test at the discretion of the administrator or school police.
8. Students and guests engaging in inappropriate dance behavior (dance moves that are sexually provocative, freaking, grinding, establishing of “mosh pits”, front to back or front to front dancing and any dance that can be perceived as a sexual act) are subject to disciplinary action. If inappropriate behavior is noticed, parents will be called to pick up the student from the dance immediately.

I agree that by purchasing a ticket and signing this agreement, that I will be bound by its provisions.

____________________________________________ ________________________________
GUEST PRINT NAME DATE SIGNED

Parent’s information, in case of any emergency, where they can be reached at the night of the dance:

____________________________________________ ____________________ _____________________
PARENT PRINT NAME Home phone # Cell phone #

____________________________________________ ________________________________
PARENT SIGNATURE DATE SIGNED
Dance GUEST’S Agreement Instructions

Before the purchase of the ticket for a guest you need to follow this:

1. If your guest is a high school student you MUST have him/her take the attached Application for Dance/Event form to his/her school, and have the VP sign the form. Do not forget to attach VP business card.
2. This form MUST BE RETURNED to PLHS VP Office (Martha Socie), BEFORE YOU GET IN LINE TO BUY YOUR TICKET.
The form will not be accepted without the above.
3. Student must have current PLHS Photo ID
4. Guest must bring Photo ID the day of the dance.
5. You may not give your ticket to another student, Tickets Are Not Transferable.
6. YOU MAY BRING JUST/ONLY ONE (1) GUEST:
a. GUEST MUST BE UNDER 21 YEARS OLD AT THE TIME OF THE DANCE
b. GUEST CANNOT BE A MIDDLE SCHOOL STUDENT
POINT LOMA HIGH SCHOOL

Barbara Samilson, Principal 2335 Chatsworth Blvd.
Kevin Gormly, Vice Principal San Diego, CA 92106-1699
Hans Becker, Vice Principal (619) 223-3121 ext. 1103 F: (619) 225-1298

Application for Dance / Event

EVENT: ______________________________ PLACE: ______________________________

DATE: _______________________________ TIME: ________________________________

Students bringing guest to a Point Loma High School Dance/Event must abide by the following regulations:

1. Submit this complete form to the Vice Principal office prior to purchasing tickets.
2. Student must enter and leave with the guest. Guest must show a valid CA Photo Id card for admission to the dance/event.
3. PLHS student is responsible for the behavior and demeanor of the guest. Also, PLHS student is responsible for conveying all PLHS behavior and dress code rules to the guest.
4. Each application is verified for accuracy. Any forged signature will result in the removal of student and guest. The PLHS student will be ineligible to attend future dances and will receive the appropriate disciplinary consequence.

Point Loma High School Student Information:

Name: _______________________________ Date: ________________________________

Student Id#: ___________________________ Home Phone #: ________________________

PLHS Parent Consent Signature: _____________________

GUEST INFORMATION:

Name: _______________________________ Current Id#: ___________________________

Home Address: ________________________ Home Phone #: ________________________ ________________________
Mark as applicable: High School Student _______ School Name and Address: _______________________________

_____________________________

College Student _______ College Name: _______________________________________

Does Not Attend School: ____

Adult Information in case of emergency, adult contact available the night of the dance/event (for guest information only):

Name: _______________________________ Home Phone #: ________________________

For Principal, Vice Principal or Administrator Designee of Guest School:
I acknowledge the guest has an acceptable behavior record and is eligible to attend the dance/event at PLHS.

Approval Signature: ______________________ Date: __________ Direct Phone #: ________________________
(In case of College or Not Attend School students, this must be approved by PLHS Principal or VP Office)

For Guest:
I acknowledge and abide by all PLHS rules and regulations.

Guest’s Signature: ______________________ Date: __________ Direct Phone #: ________________________

Completed form must be returned to the Vice Principal’s Office. Application will not be accepted after due date, no exceptions.

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