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Veritas High School Homecoming Guest Gonsent Form

Yarieliz Burgos am requesting permission to bring Kathiayarie Piña


(print name of Veritas student) (print name of guest)
as my guest to the Veritas High School Homecoming Dance on Saturday, September 23rd,2023 at Veritas High School
My guest will be prepared to present a picture lD from their school (or a state lD) at the door.

I am aware that my guest must be approved by Veritas, must be enrolled in high schoolor under 2l years old, and that
they must abide by all the rules of Veritas High School while attending the dance. I understand that failure to comply with
school rules may result in dismissal from the dance and disciplinary action. Further, I understand that no refunds will be
given.

Veritas Student's Signature

Veritas Student's Parent Signature

(262)389-6285 Veritas Student's Phone Number

Guest's Signature

Guest's Parent Signature

Guest's Phone Number

Milwaukee High School of the Arts Name of School Guest Attends

School Verification:
I verify that this student is a student at High School. I further verify that I

have no reservations about this student attending the Veritas High School Homecoming Dance. Should any
problems occur with the above student from this school, we pledge to take disciplinary action appropriate for the
offense.

(Signature of Guest's Principal) (School Seal)

This form must be completed and returned to Brandee Chain at Veritas High School by Friday, September
22nd. lf this form is not completed, the guest will be denied access to the dance.

"A Program of Seeds of Health"


3025 West Oklahoma Ave . Milwaukee, Wl . 53215 . (414) 389-5575

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