NORTH HAVEN HIGH SCHOOL PROM 2014
Guest Information Form
Dear Parent/Guardian and School Administrator,
North Haven High School’s Prom is scheduled for Friday, May 9th from 7:00 p.m. to 11:00 p.m. at the Oakdale
Theater in Wallingford. This is a positive event, and we welcome your child/student as our guest with your
acknowledgement of our standards of conduct and attire. Please be aware that all guests must bring a photo ID,
behave appropriately, and dance respectfully (if they choose to dance) throughout the evening. Formal attire is
required and all students must arrive no later than 8:00 and leave/be picked-up by 11:00 p.m. when adult
supervision will end. Guests must have the information form below completed and returned to the North Haven
High School host student’s administrator before tickets can be purchased. The deadline for submission of these
items is Wednesday, April 30, 2014.
Parents, please complete the necessary information and sign below, indicating that you give permission for your
child to attend the dance
School administrators, please sign below indicating that the student honors your school rules and is permitted to
attend your school dances.
If you have any questions, please call the administrator for the hosting North Haven High School student.
Respectfully,
Dr. Russell J. Dallai
Principal
Christopher McLaughlin
Asst. Principal, A-F
Sandra M. Preneta
Asst. Principal, G-M
Andrew A. Pettola
Asst. Principal, N-Z
NHHS Student: _________________________________________________________________________
Guest’s Name: _____________________________________________________________ (Grade) ______
Home Address: ___________________________________________________________________________
Date of Birth: ______________
Current School: __________________________________________
Guest parental consent:
I give permission for my son/daughter, ________________________________, to attend the North Haven High
Prom on May 9, 2014.
____________________________________ (Date) ____________
Parent/Guardian Signature
_____________________________
Emergency Phone Number
_____________________________________________________ (Date) _____________
Guest Administrator’s Signature and Title
Guest administrator’s signature acknowledges that the above student is in good standing and would be allowed to participate
in her/his school’s events.