PASCACK HILLS HIGH SCHOOL
PASCACK VALLEY REGIONAL HIGH SCHOOL DISTRICT
225 WEST GRAND AVENUE
MONTVALE, NEW JERSEY 07645
Telephone: (201) 358-7020
Fax: (201) 358-7019
Website: http://www.pascack.k12.nj.us
GLENN DEMARRAIS
Principal
The eLearning School District - 1:1 Laptop Program
GUEST DISCLOSURE for SENIOR PROM
I,
, will be a guest at the Pascack Hills High School
SENIOR PROM on FRIDAY, JUNE 7th, 2013.
I understand and will follow all rules and regulations for the activity
listed above. My school’s administration has signed below indicating
that I am a student in good standing at my school.
Visitor’s Signature:_______________________________________________________
Visitor’s School:_________________________________________________________
Visitor’s School Telephone Number:________________________________________
Visitor’s School Administrator & Position:___________________________________
Administrator’s Signature:________________________________________________