Request to Attend Sponsored Social Event

Request to Attend Sponsored Social Event

Berne Union High School
**This form must be completely filled out before tickets are purchased and at least 1 week prior to the event or guest will not be admitted**
What is the event?
Date of Event

MonthDayYear
Date
Berne Union Student Requesting Guest
Student's Full Name
Berne Union Student's Email Address
example@example.com
Berne Union Student Signature
Berne Union Student's Parent/Guardian Name
Full Name
Guest Information:

Permission is granted for Berne Union to receive information regarding:
Guest Name
Age
Grade
Address
Emergency Contact Name
Phone #
Format: (000) 000-0000.
Email Address for Guest's Principal
example@example.com
The following guidelines have been established and are expected to be followed:
1. School rules that are established in the Berne Union High School Code of Conduct are expected to be followed; failure to do so could result in being removed from the event. No refund will be given.
2. Anyone leaving immediate areas of the dance will not be permitted re-entry.
3. Non-BU students may attend with prior approval from an administrator.
  1. Only one guest per student.
  2. Guests are not to be a Junior High student or over the age of 20 years old.
  3. Guest must furnish photo ID and approval form when entering the event.
  4. Students with poor attendance, poor grades, or excessive disciplinary actions may be excluded
  5. No alcohol, tobacco, or drugs shall be in the car or in one's possession while on campus.
**Must be filled out by guest's high school administrator**

The guest student listed above is known to be of good character. In my professional opinion, he/she will abide by the established rules and regulations of Berne Union High School that govern your events.
School Name
Administrator Signature
School Phone #
Format: (000) 000-0000.
Should be Empty: