GUEST DISCLOSURE for JUNIOR OR SENIOR PROM

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PASCACK HILLS HIGH SCHOOL
PASCACK VALLEY REGIONAL HIGH SCHOOL DISTRICT
225 WEST GRAND AVENUE
MONTVALE, NEW JERSEY 07645
Telephone: (201) 358-7020
Fax: (201) 358-7019
Website: http://www.pascack.k12.nj.us
SARAH VAN GUNTEN
Principal
The eLearning School District - 1:1 Laptop Program
GUEST DISCLOSURE for JUNIOR PROM
I,
, will be a guest at the Pascack Hills High School
Junior Prom held at the Park Ridge Marriott on FRIDAY, March 20th 2015.
I understand and will follow all rules and regulations for the activity
listed above. My school’s administration has signed below indicating
that I am a student in good standing at my school.
Visitor’s Signature:_______________________________________________________
Visitor’s School:_________________________________________________________
Visitor’s School Telephone Number:________________________________________
Visitor’s School Administrator & Position:___________________________________
Administrator’s Signature:________________________________________________
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