2015 Fall Dance Informational Forms

Fall Dance 2015
“I’m falling for you”
When:
Friday, November 13, 2015, from 6:00-11:00 p.m.
Where:
Nationwide & Ohio Farm Bureau 4-H Center
2201 Fred Taylor Drive, Columbus, Ohio 43210
Tickets:
$10 each no extra money needed for photo booth,
snacks/drinks
Dress Code:
Dress code is casual. Embrace the cooler “sweater
weather” and come dressed in your favorite jeans and
sweater or comfy hoodie. Got football on the brain? Come
dressed in your favorite team’s logo or colors. (If “casual”
is not your style, we'll still let you in if you come in semiformal attire.)
Music:
The DJ will play a variety of non-offensive, popular music
from various genres throughout the evening.
Hotel:
Two blocks of rooms have been reserved at a group rate. If
interested in staying the night, don’t delay; blocks close
soon!
Hilton Garden Inn
Holiday Inn Express & Suites
3232 Olentangy River Road
Columbus, OH 43202
Call: 614-263-7200 or book online at
www.columbusuniversityarea.hgi.com
Group Code: OHVA
$129 (not including tax)
Includes Wi-Fi and parking
25 rooms in the block
17 Queen/Queen rooms
8 King rooms
Booking Deadline 10/19/2015
3045 Olentangy River Road
Columbus, OH 43202
Call: 614-447-1212
Group: Ohio Virtual Academy
$114.99 (not including tax)
Includes hot breakfast, Wi-Fi & parking
50 rooms in the block
Queen/Queen rooms
King rooms
Booking Deadline 11/1/2015
Reservations must be made by deadline listed.
**All rooms must have parental supervision**
Students,
Your student council is hosting the 4th annual OHVA Fall Dance! This year the theme is “I’m falling
for you”. All OHVA high school students are invited! Each student may invite one guest. Guests
do not have to be OHVA students. See the policy from the High School Handbook below:
BRINGING A GUEST TO A DANCE POLICY:
OHVA students may invite a guest who is of high school age but no older than 20 and out of high
school. The following guidelines must be followed to bring an out-of-school guest to an OHVA
dance:
 Student and their out-of-school guest must complete the guest dance form prior to
purchasing tickets.
 All out-of-school guests must show a picture ID at the door. The ID must either be a school
ID, State ID or Driver’s License.
 Out-of-school guests are expected to arrive at the dance and remain with their host while
attending the dance.
 Administration reserves the right to refuse out-of-school guests to enter the dances for any
reason.
 Out-of-school guests must follow all school rules.
Enjoy non-offensive music, appropriate dancing, snacks, desserts and drinks, all for $10. We will
also have a photo booth available at no extra charge. Photos will also be available online after the
dance. For all you non-dancers out there, we have something for you too! We will have activities
outside the dance hall as well as tables where you can just hang out!
Here is what you need to do to attend the dance:
1.
2.
3.
4.
5.
Complete the “OHVA Outing Permission Form” if you are currently enrolled in OHVA.
(See page 5)
If you are bringing a non-OHVA guest, he or she will need a completed
“Permission/Recommendation Form”. (See page 6)
Scan all forms and Kmail them to Mrs. Keaton.
Tickets MUST be purchased in advance through PayPal. Tickets will not be sold at the
door.
Bring photo identification.
Students and guests will not be admitted into the dance without the prior submission of the
appropriate forms and photo identification.
Tickets cost $10 per person. Tickets must be purchased for OHVA students and guests. Space is
limited, so don’t delay – purchase your tickets today! The deadline to purchase tickets is Monday,
November 2. Click on the link below to purchase your tickets online through PayPal.
Be sure to add the student and guest first and last names in the “Special
Instructions” area before purchasing the tickets.
Click here to purchase Fall Dance 2015 tickets
or copy and paste the link below into a browser:
https://www.paypal.com/cgi-bin/webscr?cmd=_sxclick&hosted_button_id=ZZ9MFN9QZXJ7J
If you have a PayPal account, login to make your purchase. (You do not
have to have a PayPal account to purchase tickets.)
If you do not have a PayPal account, click on “Don’t have a PayPal
account”.
BEFORE you click “Pay Now” click on “Add” and enter student and guest
names in the special instructions area. I must know who the tickets are
for. If you purchase a ticket for a non-OHVA guest at a different time than
you purchase your ticket, be sure to include your name as well, so I know
who the guest is attending with.
Important Notices (the “Fine Print”)
Confirmation: You will receive an email confirmation from PayPal when you make
your online payment. You will not receive a hard copy ticket. Student and guest
names will be placed on a check-in list and all will need to check in at the dance.
Refunds: Tickets are refundable up to November 2. After November 2, tickets will
not be refunded. Contact Mrs. Julie Keaton to request a refund. If we do not sell
enough tickets to cover the cost of the dance, the dance will be cancelled and tickets
will be refunded.
Remember: Be sure to Kmail your signed OHVA Outing Permission Form if you
are enrolled in OHVA. If your guest is not an OHVA student, Kmail the signed
Permission/Recommendation form along with your form to Mrs. Keaton.
Photo identification: Students will not be permitted to enter the dance without some
form of photo identification. Photo identification can be a state driver’s license or
state ID card. It can be any type of photo identification, such as a Passport or School
ID Card. As a virtual school, we need to verify the identity and age of all attendees.
Without proper identification, students will not be admitted to the dance! If you
have questions about this requirement, please contact Mrs. Keaton by Kmail or by
calling 1-877-648-2512, ext. 5104. Information for obtaining a state ID can be found
at:
http://bmv.ohio.gov/state_id_card.stm
Parents: There will be a family hospitality room available at the 4-H Center for
parents and family members during the dance. Parents will be admitted into the
dance during the first & last 15 minutes of the event if they would like to take pictures
and/or visit with school staff.
Dress Code: The Fall Dance is a casual event. Jeans would be appropriate. Make
sure there are no holes or tears in clothing at inappropriate spots. Undergarments
must be covered. Skirts or dresses should be at least fingertip length or longer.
Avoid deep necklines. Modesty is the key. Chaperones will review attire when
students arrive and admittance will be denied if the student’s attire does not meet the
guidelines for tasteful and appropriate dress. The chaperone’s decision is final. No
ticket refund will be given if admission is denied for violation of the dress code.
Purses, bags, and backpacks can be inspected at any time. School rules found in
the HS Handbook for behavior and discipline are in effect.
Questions?: Please contact Mrs. Julie Keaton, Student Council advisor by email:
[email protected], Kmail, or 1-877-648-2512, ext. 5104.
OHVA Outing Permission Form
For Students Enrolled In OHVA
Print this page, fill in the information and then scan it on your printer. Kmail this completed form to Mrs.
Keaton.
__________________________________________________ has my permission to attend
student’s name
the Ohio Virtual Academy Fall Dance on November 13, 2015, 6-11 PM, at the 4-H Center in
Columbus, Ohio.
Below are emergency numbers where parents or designee can be reached during the hours of the trip.
Learning Coach: _________________________________ Phone _____________________________
Parent Name: (if different from Learning Coach) ___________________________________________
Phone _________________________________
Other emergency contacts:
Name _________________________________________ Phone _____________________________
Name _________________________________________ Phone _____________________________
In case of an emergency, the OHVA staff has my permission to secure medical attention for my child.
Yes/No (Please circle one)
Please note any special medical conditions: drug allergies, diabetes, food allergies, etc.
__________________________________________________________________________________
__________________________________________________________________________________
I give permission for my child to be photographed while on the outing.
Yes/No
(Please circle one)
I give permission for outing photos of my child to be used in OHVA newsletters, publications or Inside
OHVA, the school’s community board.
Yes/No
(Please circle one)
Signature of Learning Coach___________________________________________ Date____________
PERMISSION/RECOMMENDATION FORM
For High School Students Not Enrolled In OHVA
Date: _____________________________
Dear Principal or other appropriate school official:
I have been invited to attend, as a guest, a high school dance at the Ohio Virtual Academy, a
public online community school. I am required to have your consent in order to participate in
this activity. By signing this form, you are extending your support for me to attend and helping
the Ohio Virtual Academy administration feel comfortable in knowing I am the type of student
who will likely add to the school’s activity and I am unlikely to create a concern for the safety of
others with my behavior.
I would appreciate your recommendation. In return, I promise you that I will conduct myself
appropriately at all times and will represent our school in a manner which will reflect positively
upon both me and my school. Please return this to me at your earliest convenience.
Thank you,
Student name (please print): ___________________________________________________
Student signature: ___________________________________________________________
I hereby assure that the above named student is an enrolled high school student under age 21
at ______________________________________________________________ High School.
I approve the above named student to attend the Ohio Virtual Academy Fall Dance on
November 13, 2015, 6-11 PM, at the 4-H Center in Columbus, Ohio.
Principal (please print name):____________________________________________________
Principal Signature: _________________________________________ Date: _____________
To be completed by the parent:
I give permission for my child to be photographed while at the dance.
Yes/No
(Please circle one)
I give permission for photos of my child to be used in OHVA newsletters, publications or Inside OHVA,
the school’s community board.
Yes/No
(Please circle one)
Parent Signature: ___________________________________________Date: _____________