Prom Ticket Sales: Saturday, April 11th
P.R. Front Foyer
9:00a.m. - 12:00p.m.
PROM 2015 “Enchanted Evening”
Complete this permission form for each person attending the Prom. One person, even a parent, may
bring the table form with the permission forms and payments. You don’t need to be present to purchase
the tickets.
STUDENT or GUEST:
Name____________________________________________________________________
Are you a current Prairie Ridge student? Yes
Year in School:
9
10
11
12
No
College
Not in school
I have read the Prom information and guidelines form, understand the dress code expectations, and I
agree to follow all District #155 rules. I understand that I am expected to be in attendance at school until
the dismissal time (12: 53 p.m.) on Friday, May 1st, 2015.
Student signature_______________________________
MEAL: (please circle one meal option) Chicken Dish
Cell number________________________
Vegetarian Dish
Allergy Dish (Mrs. Eschman will contact you)
PARENT:
I have read the Prom information and guidelines form, understand the dress code expectations, and I am
aware of District #155 rules and guidelines for prom. I give my permission for my child to attend the Prairie
Ridge High School Prom. Parent/GuardianSignature_______________________________________.
Emergency phone numbers where parents can be reached on Prom night (Friday, May 1st, 2015).
Please print clearly TWO names (first and last) and phone numbers:
Parent/guardian name and number________________________________________________________
Parent /guardian name and number________________________________________________________
COMPLETE THIS SECTION ONLY IF YOU ARE NOT A PR STUDENT
Where do you attend school?_____________________________________________________________
Signature of the Dean at your school_______________________________________________________
Signature of Prairie Ridge Dean___________________________________________________________
_____Copy of current ID card included with this permission form for non PR students
(school ID, military ID, driver’s license, state ID card)
_____Non-PR student is UNDER 21 years of age.
Attach a copy of the ID or Drivers License to this form