EHT JUNIOR/SENIOR PROM 2004 - the Egg Harbor Township

EHT JUNIOR/SENIOR PROM 2014
“Enchanted Garden”
Page 1
EHT.K12.NJ.US – Available only online from March 10th – May 15th!
Dear Juniors and Seniors:
We have conveniently placed the packet on the high school website for you to print out on your
own. If you do not have access to a computer, please see Ms Simonini in room E207 or feel free
to use the Media Center to print your packet.
Please read ALL of the information enclosed! You will be responsible
for ALL parts of the packet!
You MUST have the following completed, submitted, and approved before you are able to
purchase your prom ticket:
“Prom Permission Slip” (page 2) for each person attending
SADD “Contract for Life” (page 3) for each person attending
“Transportation Form” (page 4) for each person attending
“Alumni/Out of District Approval Form” (page 5) – for any guest who does not currently
attend EHTHS
5. Parent or Guardian attendance at April 9th or May 1st SADD meeting at EHTHS
1.
2.
3.
4.
You and your guest must present a valid photo ID on the night of the prom. Failure to do so
may result in you not being able to enter the prom. DO NOT FORGET YOUR ID!
If you have any questions, please see Ms Simonini in room E207 during homeroom only.
DO NOT INTERRUPT CLASSES WITH PROM BUSINESS!
THIS PACKET MUST BE COMPLETED AND SUBMITTED BY MAY 20TH
 Packets can be turned in at meeting on April 9th at EHTHS
 Packets can be turned into Ms. Simonini in E207
NO LATE PACKETS WILL BE ACCEPTED! NO EXCEPTIONS WILL BE MADE!
Any other questions please contact Ms. Simonini in E207 or Simonina@eht.k12.nj.us
Reviewer Initials: ________
Page 2
Egg Harbor Township High School PROM PERMISSION SLIP
One completed form required per ticket.
TO BE COMPLETED BY THE PARENT AND STUDENT (REGARDLESS OF Age 18):
I, the parent/legal guardian of (Print Student/Guest Name)________________________________,
hereby give my consent to his/her participation at the Egg Harbor Township High School
Junior/Senior Prom on June 7, 2014 from 7pm to 11pm at the Wildwood Convention Center in
Wildwood, New Jersey. I understand that I hold the Egg Harbor Township School District, their
officers, agents and employees, harmless from any and all liability or claims, which may arise out of
or in connection with my child’s participation in this activity.
Student or Guest
My attendance at the 2014 Egg Harbor Township High School Junior/Senior Prom means that I must
comply with all school rules that include the following:
1. No drinking, smoking or use of drugs before, during, or after the prom.
2. The administration and/or representatives reserve the right to search any bags and persons.
3. No inappropriate behavior on the dance floor or on the grounds of the Wildwood Convention
Center.
3. All students and guests must have a valid picture ID to enter the prom!
(NO ONE WILL BE ADMITTED WITHOUT A CURRENT VALID PICTURE ID.)
4. Students must arrive by 8:00 pm and may not depart until 10:00pm.
5. Refunds will not be issued if admission is denied for any reason.
6. Students are responsible for the behavior of their guests (must be under 21 years old) and both
will be escorted out of the dance without a refund if any infractions of the school rules incur.
7. The administration reserves the right to refuse admittance to inappropriately dressed students or
guests.
8. See previous page for further clarifications of the rules.
NOTE: Only EHTHS students in the 11th or 12th grade may purchase tickets (9th and 10th grade
students may attend as a guest).
I have read and understand the above stated rules. I understand that I am responsible for my
actions and those of my guest at all times and the Egg Harbor High School Student Handbook
will dictate the consequences for any infractions. In addition, I may be restricted from future
Egg Harbor High School activities, including graduation. (Parental/guardian MUST sign below
regardless if the student/guest is 18 years old or older.)
Student Name (print) _______________________________ School _________________
School ID#_______________ Student Signature ______________________Date _______
Parent/Guardian Name (print) _________________________________________
Parent/Guardian Signature ____________________________________________ Date _________
Home phone # _________________________ Emergency phone # _________________________
Guest’s Name (print) _____________________________ School ___________________________
Guest’s School ID#_______________________
SADD Contract for Life
A Foundation for Trust and Caring
Page 3
This Contract is designed to facilitate communication between young people and their parents about potentially
destructive decisions related to alcohol, drugs, peer pressure, and behavior. The issues facing young people
today are often too difficult for them to address alone. SADD believes that effective parent-child
communication is critically important in helping young adults to make healthy decisions.
STUDENT NAME (Print Name) ___________________________________________
I recognize that there are many potentially destructive decisions I face every day and
commit to you that I will do everything in my power to avoid making decisions that
will jeopardize my health, my safety and overall well-being, or your trust in me. I
understand the dangers associated with the use of alcohol and drugs and the destructive
behaviors often associated with impairment.
By signing below, I pledge my best effort to remain free from alcohol and drugs; I
agree that I will never drive under the influence; I agree that I will never ride with an
impaired driver; and I agree that I will always wear a seat belt.
Finally, I agree to call you if I am ever in a situation that threatens my safety and to
communicate with you regularly about issues of importance to both of us.
GUEST NAME (Sign Name) _______________________________________________________
PARENT/GUARDIAN (STUDENT) (Print Name) _______________________________________________
I am committed to you and to your health and safety. By signing below, I pledge to
do everything in my power to understand and communicate with you about the
many difficult and potentially destructive decisions you face.
Further, I agree to provide for you safe, sober transportation home if you are ever in a
situation that threatens your safety and to defer discussions about that situation until
a time when we can both have a discussion in a calm and caring manner.
I also pledge to you that I will not drive under the influence of alcohol or drugs, I will
always seek safe, sober transportation home, and I will always wear a seat belt.
PARENT/GUARDIAN (GUEST) (Sign Name) _______________________________________________
©2005 SADD, Inc., a Massachusetts nonprofit corporation. All rights reserved. SADD and all SADD logos are
registered trademarks of SADD, Inc. SADD chapters and their individual students have permission to reproduce
this material in its entirety for use by the students. Copying of this material by other entities (publishers or other
individuals), either in whole or in part, without written permission is strictly prohibited. SADD, Inc. sponsors
Students Against Destructive Decisions and other health and safety programs.
SADD, Inc. | 255 Main Street | Marlborough, MA 01752
Prom 2014
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Transportation Form
To ensure the safety of our students, the administration has decided to provide transportation for all
students to the prom. The cost of this transportation is included in the price of the prom ticket
REGARDLESS OF WHETHER OR NOT YOU TAKE THE COACH BUS! Students may still choose
to take their own transportation to the prom in the form of a hired service only (i.e. limo) or parental
drop off. However, they must pay for this themselves and understand that they have still paid for the
bus via their prom ticket. STUDENTS MAY NOT DRIVE THEMSELVES TO THE PROM!
*VERY IMPORTANT* Students will decide whether they are taking the bus or not the prior to
purchasing their prom ticket. Once you have notified us you may not change your mind to take
the bus! Again, if you tell us that you are taking a limo and your plans fall through, you will not be
allowed to take the bus to the prom!
Please make your decision carefully and consider taking the provided transportation. It is safe,
reliable and you are paying for it anyway!
Yes, I will be taking the bus
Yes, my guest will be taking the bus
No, I will not be taking the bus to the prom. I understand that I am responsible for providing my
own transportation in the form of a paid service or parental drop off and that I may not drive myself or
have another student drive me to the prom.
I,_________________________(Print Name), have read and understand the above terms and
conditions regarding the transportation to the prom.
____________________________________________
Signature
_____________
Date
Page 5
“Alumni/Out of District Student Approval Form”
Egg Harbor Township Student: (Print)____________________
Any junior or senior who attends the prom with a date who is not a current Egg Harbor Township High School
student must have a guest permission form on file with the school. The guest may be either a freshman, sophomore,
junior, or senior in good standing from another high school or a high school graduate who is not yet 21 years old.
The guest must also agree to abide by Egg Harbor Township’s rules and must complete the prom packet!
Use FORM A if the guest is an Egg Harbor Township high school graduate.
Use FORM B if the guest attends a high school other than Egg Harbor Township.
FORM A (Guest is an EHTHS graduate.)
To be approved by an EHTHS Vice Principal
Guest’s contact information:
Name_________________________________
Address_________________________________________________________
Phone:_________________
Emergency contact: (Parent or Guardian) Name __________________________
Address_________________________________________________________ Phone:__________________
EHTHS Vice Principal approval:_______________________________
FORM B (Guest attends another high school.)
To be filled out by the guest’s Principal or Principal’s designee
This is to verify that __________________________________________ is a member in good standing of the _________
class at _________________________ High School and will be the guest of ______________________________ at the
EHTHS prom on Saturday, June 7th 2014.
Signed: ____________________________ (Principal or Designee) School Contact Number: _____________
Guest’s contact information:
Name ______________________________________
Address _____________________________________________________ Phone_______________________
Emergency Contact (Parent or Guardian) ______________________________________________
Relationship to Guest _______________________________
Address _____________________________________________________
Phone__________________