• HJHS/HFA Fall Dance Waiver and Medical Authorization

    Event Details
  • Students from HJHS and HFA will have the opportunity to show off their dance moves on Friday, November 13, at the annual fall junior high dance. This year’s theme is Masquerade! Masquerade masks will be provided to students at the dance. Students will not be permitted to bring or wear masks from home. We encourage students to dress their best for this special occasion, but please review the dress and behavior codes in advance. Questions should be directed to the front office at 760-297-5599.

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  • HJHS/HFA Fall Dance Waiver and Medical Authorization

  • When: Friday, November 13, 2026, 6:00 - 8:00 p.m. (Students should be picked up promptly at 8:00 p.m. and they are not permitted to walk from the event.)

    Where: Heritage Elementary School MPR located at 1855 East Valley Parkway, Escondido (Students will NOT be allowed to walk after the event and MUST be picked up.) 

    Cost: The cost for the event is $8 per student, which includes a ticket for one Kona Ice; additional snacks will be available for purchase. Refunds will not be issued.

    I hereby give my permission for my child to participate in the event, HJHS/HFA Fall Dance.

    I fully understand that my child is to abide by all rules and regulations governing conduct during the event.  It is understood that any child determined to be in violation of these behavior standards may be sent home at the parent or guardians’ expense.  I understand and acknowledge that consenting to allow my child to participate in this event, I shall, by law be deemed to have given up all claims against American Heritage Charter Schools and each of its officers, employees and agents (hereinafter referred to as AHCS) for any injury, accident, illness or death occurring during or by reason of the event.  I also agree to relieve AHCS of responsibility for damage to or loss of my child’s property during or by reason of the event.  In the event of any illness or injury, I hereby consent to whatever x-ray, examination, anesthetic, medical, dental or surgical diagnosis or treatment and hospital care from a licensed physician and/or surgeon as deemed necessary for the safety and welfare of my child.  It is understood that the resulting expenses will be the responsibility of the parent(s), guardian(s), or participant.  Whenever possible, attempts will be made to contact the parent/guardian prior to any medical action.

     

    TRANSPORTATION:  X Private Vehicle      School Bus  __ Charter Bus   __Walk 

     

    ADDITIONAL INSTRUCTIONS: 

    Dress Code for Young Men:

    • Long pants or knee length shorts
    • Short or long sleeved shirts (collar encouraged, but not required)

    Dress Code for Young Women

    • Long pants or knee length shorts, skirts, or dresses (student will be turned away if dresses/skirts are too short)
    • Blouse or shirt with sleeves (no bare midriffs or cut-outs/ slits on any part of the bodice, no low-cut necklines, no tank-tops)

    General Requirements:

    • Students must maintain a clean, neat, and healthy personal appearance. Clothing must be clean and in good repair. Slits, rips, or tears are not permitted.
    • Shorts and skirts must reach the knee when standing, walking, and sitting. They must be modest in appearance (no spandex skirts). Spandex leggings or tights may be worn only if under fingertip length dress, skirt, or shorts.
      Dresses, shorts, and skirts are to be worn on the waist with no portion of an undergarment showing.
    • Belts must be worn when needed and have no spikes, studs or logos.
    • Facial piercings must be covered by a bandage.
    • Jewelry will not be excessive, or be a potential weapon and/or distraction.
      Students must wear matching pairs of shoes and shoelaces at all times. Shoes cannot be removed from feet.
    • Clothing or jewelry with logos that promote gangs, drugs, alcohol, tobacco, sex, or violence are not permitted.


    Behavior Expectations:

    This is a school sponsored event and the same behavior expectations that are in place during the school day are in effect for the duration of the event. Parents of students who do not meet behavior or dress code expectations will be asked to pick up their students.

    DEADLINE TO SUBMIT PERMISSION SLIP: 

    4:00 p.m. on Friday, November 13, 2026

     

  • Format: (000) 000-0000.
  • In the event of illness or accident and above contatct CANNOT be reached, please contact:

  • Format: (000) 000-0000.
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  • HJHS/HFA Fall Dance Waiver and Medical Authorization

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    • All medications must be registered on this form.
    • All medications, except those that must be kept on the student's person for emergency use, must be kept and distributed by the staff.
    • If any medications are to be taken by the student, please list them here: 
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  • HJHS/HFA Fall Dance Waiver and Medical Authorization

    Acknowledgement
  • I agree to abide by all rules and regulations listed within this permission slip.

  • Date
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  • Payment

  • 2026 Fall Dance Ticket*

    prevnext( X )
      2026 Fall Dance Ticket
      $8.00$8.00
        
      Total
      $0.00$0.00

      Payment Methods

      creditcard
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