MSCS Guest Pass Request: Guest Form

Mountain Sage Guest Pass Request Form

To be completed by the student wishing to attend an MSCS event.
Mountain Sage Guest Information

All student guests and their parent/guardian need to complete this form to be eligible to attend a Mountain Sage function. Submit this completed form at least one week prior to the date of the event.
Guest Pass for:

First NameLast Name
Current Grade:
School Attending Currently:
Name of Mountain Sage host

First NameLast Name
Is host a student or MSCS staff member?
Grade of Mountain Sage Student Host
Event Attending at MSCS

Other
Date of the Event

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time of the Event

Hour Minutes

AM/PM Option
Students attending a Mountain Sage Dance must abide by the following guidelines:
- Submit this completed form at least one week prior to the date of the event
- All guests must present proof of the confirmation email from the school; this will serve as the ticket for entry
- Student must enter and leave with their guest
- For dances: all guests must be under the age of 15
- For other school events: all guests must be under the age of 18 or an approved volunteer at MSCS
- All guests agree to comply with the rules and guidelines that are outlined in the Mountain Sage Community School parent handbook while they are attending an event
- All guests will be kind, safe, respectful, and responsible to themselves and others
- Guests agree to listen and comply with appropriate behavior as outlined by staff
- Guests agree to follow all school health related requirements, including any stated COVID-19 precautions if needed (proper use of masks, social distancing, etc)
Student Guest Signature
Parent/Guardian Name:

First NameLast Name
Parent/Guardian Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email:
example@example.com
Parent/Guardian Signature:
Should be Empty:

Mountain Sage Guest Pass Request Form

Mountain Sage Guest Information