Grad Night Behavior Form

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𝗣𝗹𝗲𝗮𝘀𝗲 𝘀𝘂𝗯𝗺𝗶𝘁 𝗮𝗻𝗱 𝗲𝗹𝗲𝗰𝘁𝗿𝗼𝗻𝗶𝗰𝗮𝗹𝗹𝘆 𝘀𝗶𝗴𝗻 𝗯𝗲𝗹𝗼𝘄 𝗯𝘆 𝗠𝗮𝘆 𝟭0, 𝟮𝟬𝟮4.

A copy of your responses will be sent to you to print for your records. The e-mail you enter below is the address the document will be sent and recorded as the parent's contact e-mail. Please complete one form per student and send from parent/guardian email.

For this document "Trip Staff" includes the Mills Grad Night 2024 Committee, and Parent Chaperones.

Email *

Student First Name *

Student Last Name *

Student Email *

Student Cell Phone number *

This number will be used by the Mills Grad Night 2022 Committee and Chaperones to contact the student during the trip. Please enter using ###-###-#### format. If not supplying cell phone number, please type "none" and we will follow up accordingly.

Cell Use Consent *

The ability for Trip Staff to contact your student during the trip is important to keep everybody safe while providing freedom to explore without direct Staff supervision. The cell phone (call or text) will be used by Trip Staff to check in with the student as well as convey important messages. If you do not agree to this mode of communication using the student cell phone, or if they do not have one, the student will be required to be with another student with cell contact consent or with a staff member at all times. Do you consent for the student cell phone to be used for contact?

YES, I consent for my student's cellphone to be used for contact.

NO, My student will stay with another student with Cell Phone Use Consent or Trip Staff AT ALL TIMES.

Parent First Name *

Parent Last Name *

Parent Cell Phone # *

This number will be used by the NAME to contact the parent or guardian. ###-###-#### format.

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