Ticket #’s_____________
Check #_________ Cash_____
2015
HOMECOMING TICKET REGISTRATION FORM
LAST NAME________________________________ FIRST NAME_____________________________GRADE______
DATE/GUEST:
LAST NAME________________________________ FIRST NAME____________________________ GRADE______
Guest’s
SCHOOL_________________________________________________________________________________________
IF YOUR DATE/GUEST DOES NOT ATTEND PALM HARBOR UNIVERSITY HIGH SCHOOL YOU MUST PROVIDE
THEIR DRIVER’S LICENSE NUMBER AND GET APPROVAL FROM YOUR ADMINISTRATOR PRIOR TO
PURCHASING A TICKET.
D.L. #_______________________________________ APPROVED BY: ____________________________
STUDENTS MAY PURCHASE 1 TICKET FOR THEMSELVES AND 1 ADDITIONAL TICKET FOR THEIR
DATE/GUEST. TICKET PRICES ARE $35 EACH; SALES OCCUR FROM TUESDAY SEPTEMBER 8TH , 2015 –
THURSDAY SEPTEMBER 17TH , 2015. THE LAST DAY TO PURCHASE A TICKET FOR THIS YEAR’S HOMECOMING
IS THURSDAY SEPTEMBER 17, 2015, NO EXCEPTIONS. PLEASE KEEP YOUR TICKET IN A SAFE PLACE AND
BRING IT TO THE DANCE ALONG WITH A PICTURE ID.
TICKETS ARE ON SALE IN THE AUDITORIUM LOBBY DURING BOTH LUNCHES. EXACT CASH OR CHECKS
MADE OUT TO PHUHS ARE ACCEPTABLE. NO CHANGE IS GIVEN, NO REFUNDS.
NO GUEST IS ALLOWED TO ATTEND PHUHS HOMECOMING THAT IS 21 OR OLDER ON OR BEFORE THE DATE
OF THE DANCE; SEPTEMBER 19, 2015.
I UNDERSTAND THAT BY PURCHASING A TICKET, I AM ATTENDING A SCHOOL EVENT; THE 2015
HOMECOMING DANCE AND THEREFORE MY GUEST AND MYSELF COULD BE SUBJECT TO A SEARCH OF OUR
PERSONAL BELONGINGS, INCLUDING OUR TRANSPORTATION AND A BREATHILIZER.
__________________________________________
STUDENT SIGNATURE
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PARENT/GUARDIAN SIGNATURE