Non - Smithtown HS West Student Junior Prom Contract 2015 The Smithtown Central School District defines the standard of behavior that is expected at all school activities and events in its Code of Conduct. Copies of the Code of Conduct are available at the district’s Central Office and in the Main Office of the Western Campus. In attending the 2015 Junior Prom, I agree to adhere to the standards of behavior as stated in the district’s Code of Conduct. I further pledge to obey all school rules and regulations while participating in this event. Any student who displays inappropriate behavior while entering or attending the prom may be denied access. Students who exhibit any indication of the effects of tobacco, alcohol or illegal substance use will forfeit the right to attend and/or remain at the Prom. Parents will be notified immediately and will be expected to remove their child from the facility. Appropriate disciplinary action will be taken by school administrators in accordance with the Code of Conduct. No refunds will be given. A security inspection and bag check will take place at the event. After entering the event, students will not be allowed to leave and re-enter. No limousine’s will be permitted. Students and guests are expected to dress in an appropriate manner. Formal or semi-formal (jackets and ties are expected for men, dresses are expected for women.) HSW Student (please print): ____________________________________________________________________ Guest Information ***Copy of photo ID is required Name of Guest: ______________________________ Signature: _________________________________________ Address: __________________________________________________________________________________ School: ______________________________ Age of Guest: ____ (No one over the age of 19 is permitted to the event) To be Completed by the Parent/Guardian of Guest I am aware that my son/daughter will be attending the Smithtown HS West Junior Prom on Thursday, May 21, 2015 at Villa Lombardi’s as the guest of the above named Smithtown West student. I am aware that I must be available on the evening of the event. Guest Parent Name: ____________________________ Guest Parent Signature: ___________________________ Parent Phone for May 21, 2015 between 7pm - 11pm: _________________________________________________ To be Completed by the Guest Attending College or Employed Name of Guest: _______________________________________Age of Guest: ___________________________ College Attending/Employer: ____________________________Telephone: ______________________________ (No one over the age of 19 is permitted to the event) To be Completed by a School Administrator at Guest’s School Signature of Administrator: _____________________________________________________________________ Name, Title and Phone Number: ______________________________________________________________