PROM 2016
PERMISSION SLIP
Huntington Beach High School
Must be a Junior or Senior
or guest of a Junior or Senior
“NEVERLAND”
ALL YOU NEED IS PROM,
TRUST, AND PIXIE DUST
Arroyo Trabuco Country Club
N-EFFECTS DJ, 10 piece Swing Band, Horse
Drawn Carriage Rides, Chocolate Fountain,
Gelato Cart, Photo Booth, Casino Gaming Tables
26772 Avery Parkway
Mission Viejo, CA 92692
7:30PM to 11:30PM – May 20th
Must have completed permission
slip to
purchase ticket(s) – NO REFUNDS OR TRANSFERS
Casino Gaming
Tables
Professional photos by Hall Photography at dance
Coat check $1
order form on hboilers.com under PROM - pickup pictures in HBHS Activities Office June 7 thru June 10
ID required to purchase ticket and attend dance
MUST arrive by 8:30 PM
Checks payable to HBHS
$$$ Ticket Prices $$$ (cash, check, hboilers.com webstore receipt)
Write HBHS ID# on check
*** No Non-HBHS guest checks
May 5-6
$75 per person w/ASB $70 (Discount per HBHS card holder) - price change on webstore at 3pm 5/6
May 9-13
$80 per person w/ASB $75 (Discount per HBHS card holder) - price change on webstore at 3pm 5/13
May 16-17
$85 per person w/ASB $80 (Discount per HBHS card holder) - not available on webstore after 3pm 5/16
May 18
$95 per person (Late fee applies - No ASB discount)
****No tickets sold Thur or Fri, May 19 & 20
NO TICKETS SOLD AT THE DOOR****
Tickets sold at finance window during – 7:30 – 8, tutorial, lunch, 2:30 - 3pm, ID required
Student/Guest Dance Guidelines:
1.
2.
3.
Formal Apparel -
no casual wear
All students attending a Huntington Beach High School activity, on or off campus, are expected to know appropriate behavior
is required, and that all school rules are enforced.
All students subject to search and “breathalyzer” test. Any vehicle, including Limousines, may be searched.
Students must arrive no later than 8:30 and attend dance until at least 11:00, unless picked up by parent.
By signing below I understand all school rules apply and take full responsibility for my guest and myself.
Student ID# __________________________________ GUEST ID # ___________________________________
Student Name (print legibly)___________________________ Guest Name (print legibly)______________________________
* Guest ticket MUST be purchased same time as Sponsor **MUST attach copy of ID if not HBHS student
Student Signature
*_____________________Guest Signature
**________________________
Read statement above
Read statements
** Guest: By signing above “I agree to follow HBUHSD rules & policies and claim all responsibility for my actions while
attending this dance”.
** (Only Freshmen to 20 yrs old allowed)
**Age of guest if not in high school ________
** “Must attach Copy” of non HBHS guest’s ID from current high school (or driver’s license if not in high
school). **Photo ID is only form of ID accepted, must verify grade/age of non-HBHS guest. Photocopy MUST BE readable
**Emergency contact for guest not in high school - Name ______________________________ ______________________
(print legibly)
phone number
HBHS Parent Signature___________________________ Guest Parent Signature_______________________________
Print parent name______________________________ Print guest parent name____________________________
Emergency Contact # ___________________________ Emergency Contact # _____________________________
PARENTS: HBHS strongly encourages parents NOT TO RENT ROOMS for their students as a pre-dance or after dance party
room. HBHS is taking the stand that any student that is caught/reported by Police or Hotel Security will lose their senior
privileges. All other grade levels will lose one-year of dance privileges. All students must be picked up no later than 11:50 PM.
If not, that student will not be allowed to attend the next school dance.
Non-HBHS Guest’s Administrator
**If guest is currently enrolled in another high school, an Administrator from the guest’s high school must sign below and
include school stamp or attach business card. Thank you!
__________________________________ __________________________________
Administrator’s Name (Print)
Administrator’s Signature
____________________
Contact #