Prom Permission to Drive - Arkansas School for Mathematics

2015 PROM: ASMSA Permission to Drive
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 or fax it to 501-622-5405.
Parent/Guardian’s Name (printed)________________________________________ Date: ________________
Parent/Guardian’s Signature: ___________________________________________