Kennesaw Mountain High School 2015 Junior/Senior Prom Non-KMHS Student Permission Slip As part of our continuing efforts to ensure the safety of all our students, we require all non-Kennesaw Mountain Students attending prom to complete this permission slip and adhere to the following: ****This form must be completed and returned with a photocopy of YOUR date’s current student I.D. or state issued I.D. at the time you purchase your prom tickets. Tickets will be sold on March 4-6 for $75.00 Failure to have this form completed and submitted will result in your date being denied admittance to the prom. I understand and acknowledge the following: 1. No alcohol, drugs or tobacco products are allowed at prom. If my date or I arrive at the prom and it is evident that I, or my date, have been participating in any of the previously mentioned behaviors, the Atlanta Police Department will take that party into custody. 2. I understand that I am responsible for my date, and that all the Cobb County School District Policies also apply to my date. 3. Once I leave the prom, neither myself, nor my date, will be allowed to return. 4. All attire must be deemed appropriate by chaperones and administration. If attire is not appropriate, both myself and my date will not be permitted to attend prom. If there are concerns about attire, prior approval should be obtained. I have read and understood the dress code guidelines. 5. I understand I must go to the prom with the date I specified when I purchased my tickets. 6. The Cobb County Board of Education Student Code of Conduct applies to any school function including prom. Please understand that any student not found to be in good standing at his/her home school will not be allowed to attend Kennesaw Mountain High School Junior/Senior Prom. KMHS Student Name: _____________________________________________________________________ Non-KMHS Student Name: ________________________________________________________________ Name of High School:______________________________________________________________________ Administrator’s Signature: __________________________________Phone #:__________________________ Parent/Guardian Information: Parent Name: _____________________________________________________________________________ Parent Signature: __________________________________________________________________________ Parent Contact Number: _____________________________________________________________________ If not currently enrolled in high school: Individual’s Name & Age: ___________________________________________________________________ Emergency Contact Name and Number: ________________________________________________________ We thank you in advance for your cooperation. Please contact J. LaBroad (6) 594-8190 with questions. ***This form is only for non-KMHS students attending prom.
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