South Forsyth High School
Prom Guest Permission Form
Please read and print information on form carefully. By signing below you indicate that
you understand and agree to the contents of this entire form. This form must be submitted
to Assistant Principal Tracy Verrigni by Thursday April 21, 2016. (East Hall Main Office )
SFHS Student Information
NAME: ____________________________________________ GRADE:______________ AGE:_______________
First
Middle
Last
My son/daughter named above has my permission to bring the following guest:
__________________________________ (guest’s name) to the prom on April 23, 2016.
SFHS student’s parent/guardian signature: _____________________________________________
Guest Information
GUEST’S NAME: _____________________________________________ GRADE: ________ AGE: ________
First
Middle
Last
Guest’s Special Medical Condition: ___YES
___NO
If yes please explain: ______________________________________________________________________
Guest’s School Name: ______________________________________________________________________
Home address: ____________________________________________________________________________
Parent/Guardian Name: _________________________________________________________________
Home Phone: ___________________________ Parent Cell Phone: _____________________________
I, _____________________________________(parent/guardian), give permission for my child to
attend the SFHS Prom at The Forsyth Conference Center on April 23, 2016. My child agrees
to follow ALL SFHS rules and regulations. In the event of a rules infraction, I understand
that I will be contacted and I will make arrangements to retrieve my child from the event
site.
Parent Signature: ______________________________________ Date: ___________________________
For Guest’s School Administrator: The student listed above does not have a discipline record
and would be allowed to attend a similar event at our school.
Administrator Signature: _______________________________________ Date: __________________
For SFHS office use only
Date received: ____________________________ Reviewed by AP: ________________________________
______Approved
_______Denied
AP signature: ______________________________ Date: _______