2016 Prom Guest Permission Form

Prom Guest Permission Form
Watkins Mill High School
Non-Watkins Mill High School must be age 20 or younger
EVENT: Prom
DUE BY:
DATE : May 13, 2016
TIME: 8:00 PM
Wednesday, May 11, 2016
WHERE: Glen Echo Park
7300 MacArthur Blvd, Glen Echo, MD 20812
Watkins Mill Student Information
Name: _________________________________
Grade: ____________
Student’s Signature: ________________________________________________________
Student’s Parent/Guardian Signature: __________________________________________
Parent’s Phone#: _______________________
Guest Information
Name: _________________________________
Birth Date: ___________
School: _________________________________
Grade: _______________
Guest’s Parent/Guardian Name: ___________________
Parent’s Phone#________________________________
Home Address: ___________________________________________________________
________________________________________________________________________
Guest’s Signature: _________________________________________________________
(I will comply by Watkins Mill High School Prom Procedures)
Guest’s Parent/Guardian Signature: ___________________________________________
(I give my son/daughter permission to attend Watkins Mill High School Prom)
Guest’s School Official Information
The “guest” listed above has been invited to Watkins Mill High School’s Prom. Your signature below indicates that the
“guest” is in good standing at your school.
School Official’s Name __________________________
(of Guest)
School Official’s Signature: ___________________
(of Guest)
__ Position: _______________
________ Phone #: ______________
WMHS Administrator Signature: ______________________
________________________
(Administrator approval needed if bringing a guest)
WMHS Principal Signature: _______________
___________________________________
(Principal approval needed if student does not attend high school)