7th & 8th Grade Dance Permission Slip

PARENT CONSENT FOR MIDDLE SCHOOL 7th & 8th Grade Dance PARTICIPATION - YOUR CHILD WILL NOT BE ADMITTED INTO THIS EVENT IF THIS FORM IS NOT COMPLETED.

• You need to complete a separate form for each child.

By filling out this form, I permit my student to participate in the Fall Dance at the Walter T. Bergen School on:

• Friday, November 13th, 7:30- 9:00 PM

• I understand that my student should treat all his/her peers and event chaperones respectfully. I understand my student will wear appropriate attire, no clothing with holes, no clothing depicting negative messages, and no clothing that exposes undergarments or private areas.

• I understand that this event will be held at the middle school, and there will be a chaperone from my student’s school. I also understand that if there are any health or behavior issues related to my student, I will be asked to come pick them up from the event. Once students enter the event, they cannot leave without parental permission. I understand that my student should follow all school policies/rules that are in place during school hours.

• Cell phones are allowed, however if any chaperone feels a cell phone is being used to take pictures or video in a negative way the student will be asked to put the phone away, the student’s name will be provided to the principal and you will be notified. Any sharing of photos/video in a negative way will prevent your student from attending any future PTA events within the school year.

If no, what is the name and phone number of the person your child will be released to:

Emergency Contact