QVHS Prom Pre - Registration 2019 An Evening in Venice

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Any student who plans to attend the prom MUST complete this form, even if a date or plan should change.
Students will not be able to purchase a ticket without completing this form.

Email *

Last Name *

First Name *

Grade *

I will read the school dance / prom rules on the website and student handbook and turn in the QVHS Student permission form to the office *

YES

Required

I understand the Dress Code for Prom as posted to the Prom Activity page and in the school mailing *

YES

Required

I have a special meal request(s) – ie Gluten free, food prepared separately, Vegetarian, other

Gluten Free

Vegetarian (only if special meal not from menu options)

Vegan

Food Allergies (specify at ticket purchase)

Other (specify at ticket purchase)

I may need to leave the Prom early (before 11:00pm) for work purposes (Note from parent required before ticket purchase) *

YES

Required

Attendance, discipline and or school fines COULD prevent me from purchasing a ticket

YES

I plan to attend the prom with a date and or group of people - please list name(s). It is OK, if the date(s) should change before the ticket purchase - there is no need to complete a new form

I may bring a guest who is a QVHS graduate (Class 2017 or Class 2018 only) up to 20 yrs of age. I understand the process for registering guests and will have the forms and photo ID completed and turned into the main office before ticket purchase.

I may bring a student who is attending another school - List persons name and school. I understand the process for registering guests and will have the forms and photo ID completed and turned into the main office before ticket purchase.

YES

OFFICE USE ONLY

Send me a copy of my responses.

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