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 SARAH VAN GUNTEN Principal The eLearning School District - 1:1 Laptop Program GUEST DISCLOSURE for JUNIOR PROM I, , will be a guest at the Pascack Hills High School Junior Prom held at the Park Ridge Marriott on FRIDAY, March 20th 2015. 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:________________________________________________