antioch community high school (achs)
This form is to be completed and turned in to the O'PLAINE STUDENT'S Dean for approval. Date Received ________
WARREN TOWNSHIP HIGH SCHOOL (WTHS) O’PLAINE STUDENT PROM INVITE FORM 2015
Approval List _________
A student requesting to bring a date who attends the O’Plaine Campus must have this form completed before a ticket can be purchased. It requires the signature of the parent/guardian of the O’Plaine student AND the Dean of the O’Plaine Student. Once approved, you will receive a letter from Ms. Lobitz indicating approval so you can purchase a ticket online for the O’Plaine student. The minimum grade level for all guests is ninth grade.
PROM DEADLINES – NO EXCEPTIONS
These dates must be adhered to in order to bring a guest to prom. The Dean's Office will not accept applications after these dates:
Form to Dean dead line:
April 2, 2015
Date of ticket purchase: April 6-10, 2015 (Mon-Fri)
Approved O’Plaine names will be entered into the POS system prior to purchase. Tickets may not be purchased for O’Plaine students unless they have been approved and their name is added to the POS system. Forms turned in late may not be approved in time for the start of ticket sales. Do not wait until the last minute.
_________________________________________ Name of WTHS Junior or Senior Student (Please print)
Date ______________
_______________________________________ _________________________________________ Signature of O’Plaine Student’s Dean Email address of WTHS Student (Please Print Clearly)
You will receive an email from Ms. Lobitz with purchase instructions if your guest is approved.
As a WTHS student, I understand that all school rules apply at school functions, and I will take responsibility to inform my date of these rules. __________________________________________ Date _____________ Signature of WTHS Student bringing an O'Plaine student to Prom As the parent/guardian of the above WTHS student, I find his/her date to be a responsible person, and I recommend his/her date as an acceptable guest for this WTHS activity. __________________________________________ Date _____________ Signature of Parent/Guardian of WTHS student bringing an O'Plaine student to Prom *O’Plaine Student Information – O’Plaine Students must present their current WTHS ID at Prom Check-in* Name of OP Student
__________________________________ ID Number __________________________
Phone #
__________________________________
Emergency Contact Name
_________________________________
Emergency Contact Phone Number
_________________________________
Signature of Guest
_________________________________
As the parent/ guardian of _________________________________________I give my consent that he/she may attend the WTHS Prom. I understand that students will be required to ride school-sponsored coach to and from Prom which is held off-site at the Donald E. Stephens Convention Center in Rosemont, IL.
Signature of O’Plaine Student’s Parent/Guardian
_________________________________
Date _____________________
This form is to be completed and turned in to the O'PLAINE STUDENT'S Dean for approval.
WARREN TOWNSHIP HIGH SCHOOL (WTHS) O’PLAINE STUDENT PROM INVITE FORM 2015
Approval List _________
A student requesting to bring a date who attends the O’Plaine Campus must have this form completed before a ticket can be purchased. It requires the signature of the parent/guardian of the O’Plaine student AND the Dean of the O’Plaine Student. Once approved, you will receive a letter from Ms. Lobitz indicating approval so you can purchase a ticket online for the O’Plaine student. The minimum grade level for all guests is ninth grade.
PROM DEADLINES – NO EXCEPTIONS
These dates must be adhered to in order to bring a guest to prom. The Dean's Office will not accept applications after these dates:
Form to Dean dead line:
April 2, 2015
Date of ticket purchase: April 6-10, 2015 (Mon-Fri)
Approved O’Plaine names will be entered into the POS system prior to purchase. Tickets may not be purchased for O’Plaine students unless they have been approved and their name is added to the POS system. Forms turned in late may not be approved in time for the start of ticket sales. Do not wait until the last minute.
_________________________________________ Name of WTHS Junior or Senior Student (Please print)
Date ______________
_______________________________________ _________________________________________ Signature of O’Plaine Student’s Dean Email address of WTHS Student (Please Print Clearly)
You will receive an email from Ms. Lobitz with purchase instructions if your guest is approved.
As a WTHS student, I understand that all school rules apply at school functions, and I will take responsibility to inform my date of these rules. __________________________________________ Date _____________ Signature of WTHS Student bringing an O'Plaine student to Prom As the parent/guardian of the above WTHS student, I find his/her date to be a responsible person, and I recommend his/her date as an acceptable guest for this WTHS activity. __________________________________________ Date _____________ Signature of Parent/Guardian of WTHS student bringing an O'Plaine student to Prom *O’Plaine Student Information – O’Plaine Students must present their current WTHS ID at Prom Check-in* Name of OP Student
__________________________________ ID Number __________________________
Phone #
__________________________________
Emergency Contact Name
_________________________________
Emergency Contact Phone Number
_________________________________
Signature of Guest
_________________________________
As the parent/ guardian of _________________________________________I give my consent that he/she may attend the WTHS Prom. I understand that students will be required to ride school-sponsored coach to and from Prom which is held off-site at the Donald E. Stephens Convention Center in Rosemont, IL.
Signature of O’Plaine Student’s Parent/Guardian
_________________________________
Date _____________________
This form is to be completed and turned in to the O'PLAINE STUDENT'S Dean for approval.
