CCMS Dance
  • Calvary Chapel Middle School Dance

    Registration and Release Form
  • Friday, February 27, 2026

  • 3:15pm - 5:15pm

    Fellowship Hall
  • Early Bird $28 / Regular $33

    *If you are purchasing more than one ticket, please complete one form per ticket.
  • Last day to purchase tickets

    February 26th @ 11:30pm
  • Casual Attire Required

    See Dress Code Guidelines
  • No Date Needed - Come with your Friends!

  • Cell Phones - Collected at the door

    We want students to enjoy the event without distraction. They can check their phones anytime throughout the Dance at the designated area.
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    Dear Parent and Student:

    CCMS strives to provide a positive social atmosphere at dances and other events. To promote an appropriate environment for students, the school has developed dance behavior expectations, dress standards, and conduct guidelines. When purchasing dance tickets, students are agreeing to abide by the behavior expectations, dance dress standards, and dance conduct guidelines listed below.

    *Please read before purchasing tickets.

    General Code of Conduct for Students:

    • Kindness and respect for all persons in authority and fellow students
    • Respect for facilities and other person's property
    • Boundaries set for the event must be adhered to
    • Cell phones are “Away for the Event”. Any cell phone out will be collected. 
    • Only CCMS students are allowed at the dance

    Special Dress Days:

    • Must not violate overall dress code guidelines.
    • Must follow Daily Normal Dress for bottoms.
    • Tank tops (sleeveless shirts), bare midriffs, plunging necklines, and sheer clothing are not allowed.
    • Should not advertise music groups, alcohol, drugs, sex, hate, or contain offensive material.  

    Note to Parents:

    • Students must be signed out at the sign-out table. No students will be released to walk to their parents' vehicle by themselves.
    • Students not picked by 5:30 PM will be escorted to Daycare. FACTS will be charged $18
  • Honor God, respect others, be safe, be kind, and enjoy!


    By signing this contract, students are agreeing to follow behavioral expectations dress and conduct guidelines, including those listed above. In addition, however, students are not permitted to leave the venue at any time during the event without permission.

     

  • CCMS Student Section

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  • Parent Section

  • Format: (000) 000-0000.
  • PARTICIPATION AGREEMENT: I acknowledge that participation in the activity described above involves risk to the participant (and to the participant's parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following:  sickness, exposure to infectious/communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage.  

    In consideration for the opportunity to participate in the activity described above, the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by Calvary Chapel Schools / Calvary Chapel Costa Mesa or its agents, employees, volunteers, or any other representatives (collectively referred to as Calvary Chapel Schools / Calvary Chapel Costa Mesa). Further, the participant  (or parent/guardian) releases and promises to indemnify, defend, and hold harmless Calvary Chapel Schools / Calvary Chapel Costa Mesa for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of Calvary Chapel Schools / Calvary Chapel Costa Mesa, the participant, or otherwise.  

    If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the participant (or parent/guardian) and Calvary Chapel Schools / Calvary Chapel Costa Mesa cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.  

    EMERGENCY PERMISSION: I/we the parents/guardians, do hereby authorize officials of Calvary Chapel Schools / Calvary Chapel Costa Mesa to contact directly the persons named on this card, and do authorize the named physician(s) to render such treatment as may be deemed necessary in an emergency, for the health of the child. In the event the physician(s), other persons named on this card, or parents cannot be contacted, the school officials are hereby authorized to take whatever action is deemed necessary in their judgment, for the health of the aforesaid child.  

    AUTHORIZATION AND CONSENT TO TREATMENT OF MINOR: I/we the parents/guardians do hereby authorize Calvary Chapel Schools / Calvary Chapel Costa Mesa as agents for the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis, treatment, and/or hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the provisions of the Medical  Practice Act on the medical staff of the licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.  It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given in advance to provide authority and power on the part of the aforesaid agents. This authorization is given pursuant to the provisions of Section 25.8 of the Civil Code of California. Authorization is hereby given to school personnel to administer first–aid treatment during school activities or to call the paramedics,  or rescue squad, as deemed necessary. 

    PHOTOGRAPHY RELEASE/HANDBOOK AGREEMENT: I/we the parents/guardians do hereby give permission to Calvary Chapel Schools / Calvary Chapel Costa Mesa to use my child’s picture, image, or likeness on all Calvary Chapel Schools / Calvary Chapel Costa Mesa publications, including school websites and media presentations. I/we the parents/ guardians, agree to follow all pertinent school policies, including those relating to procedures and discipline which are outlined in the parent/student handbook. The handbook can be found at www.calvaryschools.org. Parents are responsible to keep the office informed of any change of address,  phone numbers, employer information, and emergency contacts.

  • CONFIRMATION:

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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