April 14, 2015
Dear Parent/Guardian:
The 2015 Senior Prom will be held on Thursday May 28th, 2015, at Florentine Gardens, 97 Rivervale Road,
River Vale, NJ 07675. The phone number is 201-666-0444. Please keep this information with you in case of
an emergency.
This letter contains information about the Prom as well as the medical form/permission slip that must be filled
out in order for your son/daughter to attend.
1. The Prom will begin at 7:00pm and hors d’oeuvres will be served between 7:00pm – 8:00pm. The
photographers will begin taking pictures at 7:00pm. Seating for dinner begins promptly at 8:00pm. The
Prom will conclude at 12:00am.
2. If you are having a pre-prom party for your teenager’s friends, or if they are going to someone else’s party,
please be certain that no alcoholic beverages are consumed and that adequate adult supervision will be
provided. We encourage parents to check limos and buses for alcoholic beverages as well.
3. Bus transportation will be provided by the school and is available to students that are interested. The bus
will depart from the front of THS promptly at 6:15pm. and return to THS immediately following the Prom.
4. If your son/daughter is arriving by limousine, please verify that:
- under no circumstances will the driver stop at any store to make purchases of any kind.
- all baggage and soda be placed in the trunk.
- the lessor guarantee that all drivers be alcohol and substance free.
- if the driver discovers alcohol or controlled substances in the car that students immediately be
returned to the pick-up/drop off address.
5. Once arriving at the Prom, students will pass through a security/screening checkpoint.
6. Students will be expected to remain inside Florentine Gardens until their entire group chooses to leave for
the evening.
7. There is No Smoking allowed at Florentine Gardens. Individuals or groups leaving prior to 11:30PM will
require pre-approval or parent contact.
Please have your son/daughter return:
● the completed and signed form
● the cash/check ($95 per person) for the ticket (payable to THS Class of 2015)
● a copy of your teenager’s limousine receipt, and
● seating requests for 12 person tables
RETURN ALL items to Mr. Rendell and/or the class officers after school on April 28th, 29th or 30th in
room 148.
BIDS WILL BE PROCESSED AFTER SCHOOL BY LAST NAME AS FOLLOWS:
TUESDAY APRIL 28th – A through K
WEDNESDAY APRIL 29th – L through R
THURSDAY APRIL 30TH – S through Z
Note: Nothing will be accepted if all items are not present at the time of purchase. Seating
requests are not guaranteed, although every attempt will be made to honor each request as best we can.
Should you have any questions about the Prom please do not hesitate to contact me directly via e-mail at
arendell@tenafly.k12.nj.us. Thank you for your continual support and cooperation!
Sincerely,
Adam Rendell, Advisor to the Class of 2015
Senior Prom 2015 Medical Form/Permission Slip
This form must be completed by a parent regardless of whether or not the student is 18 years old.
______________________________________( print STUDENT’S NAME) will be attending the Prom on May 28, 2015.
I will be home the entire evening on Thursday, May 28. My telephone number is _____________________________.
I will not be home, but can be reached at _____________________________(phone number).
In case of emergency and I am not available, please contact __________________________________, _______________
print name
relationship
at (phone number) __________________________.
My teenager’s date is NOT a Tenafly High School Student: DOB:
.
___________________________________________
___________________________________________
Student’s Name
CURRENT SCHOOL
Name and phone # of adult
My teenager’s date is a Tenafly High School Student:
____________________________________________ ____________________________________________________
Student’s Name/Grade
Name and phone # of adult
MEDICAL EMERGENCY: In the event of a medical emergency, the procedure on this trip will be to call the parent,
time permitting, before taking a student to a doctor or hospital. When a parent/guardian or his/her designee cannot be
reached, the following permission will permit prompt attention. In the event of an emergency, I acknowledge that school
personnel shall attend to the immediate safety of my child prior to notification of the parent/guardian. I give permission
for the school trip leader or designee to sign any consent which may be necessary to allow hospital personnel and/or
licensed personnel to examine my child and perform any emergency procedures or emergency treatment which may be
necessary. In providing this consent, I acknowledge that the Tenafly Public Schools are not in any way responsible and
shall incur no liability for the actions of hospital, emergency ambulance, and/or medical personnel, and as such I
indemnify, hold harmless, and waive any right of legal action against the Tenafly Public Schools for the actions of said
personnel.
I have read the previous page and agree to the above conditions:
Parent/Guardian’s Signature: _____________________________________
Parent/Guardian(s) Name(s): ________________________________________Telephone #: ______________________
Student’s Physician: _______________________________________
Office Phone #: _________________________
HEALTH INFORMATION: My child has the following:
A. Dietary needs: ____________________________________B. Allergies: ___________________________________
C. Specific medical conditions: _______________________________________________
D. Other condition: _________________________________________________________