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River Ridge High School guest form

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River Ridge High School guest form Powered By Docstoc
					                                                                                                    River Ridge High School
                                                                                                            11646 Town Center Road • New Port Richey, Florida 34654
                                                                                                              Voice: (727) 774-7200, (813) 794-7200, (352) 524-7200
                                                                                                                  Fax: (727) 774-7291 • http://rrhs.pasco.k12.fl.us

                                                      Maria Swanson, High School Principal
 Maribeth Caldwell, Assistant Principal, Steve Williams, Assistant Principal • Jim Pratt, Assistant Principal • Janene Witfoth, Assistant Principal

                                                                                                                                                                 GUEST	
  REQUEST	
  FORM	
  
A	
  student	
  requesting	
  to	
  bring	
  a	
  guest,	
  who	
  is	
  not	
  a	
  RRHS	
  student,	
  must	
  have	
  this	
  form	
  completed	
  and	
  returned	
  to	
  the	
  
principal’s	
  office	
  before	
  you	
  purchase	
  your	
  tickets.	
  This	
  form	
  requires	
  the	
  signature	
  of	
  the	
  principal	
  or	
  administrator	
  
of	
  the	
  guest’s	
  school	
  (if	
  applicable).	
  The	
  dance	
  policy	
  allows	
  a	
  RRHS	
  student	
  to	
  bring	
  one	
  guest,	
  who	
  must	
  not	
  be	
  over	
  the	
  
age	
  of	
  21.	
  The	
  guest	
  must	
  bring	
  a	
  current	
  school	
  ID	
  or	
  photo	
  ID.	
  
	
  
As	
  a	
  RRHS	
  student,	
  I	
  understand	
  that	
  all	
  RRHS	
  policies	
  apply	
  at	
  the	
  school	
  social	
  functions.	
  All	
  guests	
  are	
  required	
  to	
  
abide	
  with	
  the	
  expectations	
  of	
  RRHS	
  students.	
  I	
  will	
  take	
  responsibility	
  to	
  inform	
  my	
  guest	
  and	
  ensure	
  full	
  compliance	
  of	
  
these	
  policies.	
  My	
  guest	
  must	
  have	
  a	
  current/photo	
  identification	
  card	
  in	
  his/her	
  possession	
  and	
  present	
  it	
  at	
  the	
  door	
  
upon	
  entering.	
  
	
  
_________________________________	
                                                                                                                                                                                                 ____________________	
         ___________________	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  ___________	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  ____________	
  
Signature	
  of	
  RRHS	
  Student	
                                                                                                                                                                                                Printed	
  Name	
   	
         Student	
  ID	
  #	
                                          	
                    Grade	
   	
                                                   Date	
  
	
  
As	
  the	
  parent/guardian	
  of	
  the	
  above	
  named	
  RRHS	
  student,	
  I	
  find	
  his/her	
  guest	
  to	
  be	
  a	
  responsible	
  person	
  and	
  I	
  approve	
  
him/her	
  as	
  an	
  acceptable	
  guest	
  for	
  this	
  RRHS	
  social	
  event.	
  
	
  
_____________________________________________________	
  	
  	
  	
  _________________________________________	
  	
  ________________________________	
  
Parent	
  of	
  RRHS	
  Student	
  Signature	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Phone	
  Number	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Date	
  
	
  
	
  
	
  
Guest	
  Information:	
  
	
  
Name	
  ________________________________________________________Date	
  of	
  Birth__________________________________________	
  
Driver’s	
  License	
  Number___________________________________________________________________________________________	
  
Address____________________________________________________________________	
  City/State______________________________	
  
Home/Cell	
  Phone________________________________	
  Signature	
  of	
  Guest______________________________________________	
  
Parent	
  of	
  Guest	
  _____________________________________________________________________	
  
	
  
***High	
  School	
  Use	
  Only***	
  
As	
  the	
  principal	
  and/or	
  Administrator	
  of	
  ________________________________________I	
  verify	
  	
   that____________________________________	
  	
  
is	
  in	
  good	
  standing	
  with	
   _______________________________________________.	
   	
                                                                                                                                                                                                                                 	
                    	
        Guest	
  Name	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Guest’s	
  High	
  School	
  
	
  
	
  
Guest’s	
  School	
  District________________________________________________	
   	
                                                                                                                                                                                                                                             	
  
	
  
	
  
______________________________________________	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  __________________________	
  
Signature	
  of	
  Guest’s	
  Administrator,	
  Title	
   	
                                                                                                                                                                                                  	
   	
         	
                                                 Date	
  
	
  
	
                                                               	
                                                                	
  
	
  
_____________________________________________	
   	
                                                                                                                                                                                                          	
   	
         	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  __________________________	
  
Signature	
  of	
  RRHS	
  Administrator,	
  Title	
   	
                                                                                                                                                                                                     	
   	
         	
                                                 Date	
  

				
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