YGNACIO VALLEY HS DANCE AGREEMENT AND GUEST PASS

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					                                                                                                        Ticket #____________________

                                            YGNACIO VALLEY HIGH SCHOOL                                  Price $_____________________
                                           DANCE CONTRACT AND GUEST PASS
                                                 755 Oak Grove Road, Concord CA 94518                   Date:______________________
                                                     925-685-8414/ Fax 925-685-1435
                 The Grand Ball 2009 held at The Regency Building: Sutter Room. San Francisco. Saturday, May 16
                                                       8:00pm-12:00am
                                  Doors Close at 9:00pm. ABSOLUTELY NO REFUNDS!
         EVERYONE ATTENDING MUST SIGN AND RETURN A DANCE AGREEMENT. PLEASE READ CAREFULLY.
1.   If you and your guest attend YVHS, both students must complete and sign section (I) agreeing to abide by school rules. If you are a
     single attendee, fill out section (I) alone. You must have student identification card(s) to purchase tickets.
2.   If your guest attends another high school complete and sign sections (I) & (II) agreeing to abide by school rules. Attach a copy of
     your guest’s student ID or driver’s license.
3.   If your guest is out of high school, complete and sign section (I) & (II). Attach a copy of your guest’s driver’s license. Guests cannot
     be over the age of 20. Administration reserves the right to refuse approval for any attendee.
4.   If you are on a 30 or 45 day activity suspension you are not permitted to attend. Check your status with your VP.
5.   Tickets will not be sold without this form completed, all required signatures and a copy of appropriate identification.
6.   Students must have ID Cards to enter the dance. Students not in school must present a driver’s license. All school rules apply to this
     dance. No freak dancing will be allowed.
7.   All bags and coats are subject to inspection at the door. No outside food or drink allowed.
8.   Attendees may not leave the dance early! No early dismissals!
9.   Student signature holds the individual responsible and accountable for their actions (and their guests). Students who violate the rules
     will be ejected from the dance and face other disciplinary consequences including but not limited to suspension and loss of privilege to
     attend school activities. Students ejected from dance must leave the premise immediately.
            I.                      YVHS STUDENTS COMPLETE THIS SECTION.

STUDENT NAME: _________________________________________________________________________________________
               (Please print)               First          Last                        Grade

STUDENT SIGNATURE: ____________________________________________________________________________________

PARENT/GUARDIAN NAME AND SIGNATURE: _______________________________________________________________
                                                                                               Date
Home Number: __________________________________Contact Number on Event Night:_________________________________
II.   NON YVHS STUDENTS COMPLETE THIS SECTION AND SECTION I.
YVHS GUEST NAME: ______________________________________________________________________________________
                   (Please print)              First                 Last                  Grade

GUEST SIGNATURE: _______________________________________________________________________________________

PARENT/GUARDIAN NAME AND SIGNATURE:________________________________________________________________
                                                                                                   Date
Home Number: ___________________________________Contact Number on Event Night: _______________________________


                   II.     NON YVHS STUDENTS AND ALUMNI COMPLETE THIS SECTION AND SECTION I.

GUEST NAME: _____________________________________________________________________________________________
(Please print)            First          Last                                       Grade /Graduation Year

GUEST SIGNATURE: _______________________________________________________________________________________

PARENT/GUARDIAN NAME AND SIGNATURE: _______________________________________________________________
                                                                                                  Date
Home Number: _________________________________Contact Number for Event Night:_________________________________

NON YVHS ADMINISTRATOR SIGNATURE ___________________________________________________________________
(ATTACH BUSINESS CARD)


 YVHS ADMINISTRATOR SIGNATURE: ___________________________________________DATE:_____________________