You are on page 1of 1

DANCE APPROVAL FORM—DUE WED.

MAY 26TH
This form must be filled out completely. IN INK
DANCE: “LA VIE EN ROSE” – LOWELL H.S. SENIOR PROM 2010
DATE: SUNDAY, MAY 30, 2010
LOCATION: JULIA MORGAN BALLROOM: 465 CALIFORNIA ST, 15TH FLOOR
TIME: 8:00PM – 12:00AM (DOORS CLOSE @9)
TICKETS: 1ST WEEK: MAY 17-MAY 21 2ND WEEK: MAY 24-MAY 28
Gold: 62 $ Sac: 65 $ No Sac: 68$ Guests: 72$ Gold: 66$ Sac: 69$ No Sac: 72$ Guests:
76$

Please Print:

_______________________________________________________ ____________
(Host’s Name) LAST FIRST REGISTRY #

This is to verify that: __________________________________________________________


(Name of Guest)
_____________________________________________________
(Home Address)
_____________________________________________________
(Home Telephone Number)

is enrolled in a high school or college: _____________________________________________

NOT ENROLLED ( ) if not enrolled, school last attended: ________________________________

________________________ ____________________________________________
CA Driver License (Signature of Guest’s School Dean & School Stamp)

1. The host and host’s parent are responsible for the behavior of the guest. There are
consequences for not following the rules. (Security Strictly Enforced!!)
2. Picture identification and tickets for BOTH Host and Guest will be checked at the door or
no admittance. NO EXCEPTIONS!!!
3. Identification/ticket stubs for both Guest and Host must be produced during the dance if
requested by supervising personnel. If identification cannot be produced, the individual will
be directed to leave the dance.
4. White outs or alterations to this form is not acceptable.
5. Guest must enter with sponsor.
6. Sponsors must buy guest ticket when sponsor buys his/her own ticket.
7. Once you leave the dance, you are not allowed to re-enter. NO IN AND OUTS!!
8. NO ONE OVER 21 YEARS OLD ALLOWED!
9. Any student falsifying this document is subject to consequences including suspension.
10. Attire must be appropriate for the dance.

I ___________________________________________, understand that I must follow all SFUSD


(Guest’s Signature) and Lowell High School rules.

I ___________________________________________, understand that my guest and I will abide


(Host’s Signature) by the rules listed above.

_________________________________________
(Host’s Parent Signature)
___________________________________
(Signature of Lowell High School Dean)