2015 PROM: ASMSA Permission to Drive
SECTION 1
If your student is going to be checking out overnight on Saturday, April 18, please complete the information below.
*Please note that: in order for your student to participate in the Post-Prom event, he/she will be required to stay on
campus Saturday night. Students will not be allowed to drive home after the post prom event.**
I give my student, ___________________________permission to checkout overnight on Saturday
no later than 11:30pm and I am giving my student permission to transport or be transported by:
My student has permission to transport or be transported by:
______________________________________________________________
Feel free to provide any additional information regarding your student’s particular circumstances here.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Please complete this form and return by Tuesday, April 14 to the RLO. You can also email it to Stacey
Perry at perrys@asmsa.org or fax it to 501-622-5405.
Parent/Guardian’s Name (printed)________________________________________ Date: ________________
Parent/Guardian’s Signature: ___________________________________________