Napa High School
PROM
A Night at the Ball
2015
PERMISSION SLIP &
INFORMATION PACKET
Sponsored by the Class of 2016
ATTACHMENTS

Prom Information and Directions
Inappropriate Dancing Rules/Dance Agreements and Napa High School Code of
Conduct

Napa High Student Permission Slip
Permission Slip for Guest from another school-available in the Activities Office
Waiver for adult guest (Persons 18-20, who are no longer attending public school)
–available in the Activities Office
Must be under the age of 21 & Must be in “good standing” with NVUSD.
*****************************************************************
Ticket Information
*ALL STUDENTS & GUESTS MUST BRING PHOTO ID TO THE DANCE*
*ALL NON-NAPA HIGH GUESTS MUST PROVIDE A PHOTO COPY OF PHOTO ID
@ TIME OF TICKET PURCHASE*
*WAIVER FOR ADULT GUESTS (Person 18-20 who are no longer attending public
school) AVAILABLE UPON REQUEST*
*STUDENTS THAT RECEIVED AN “F” ON THE FEBRUARY 12 PROGRESS
REPORT MAY NOT ATTEND THE PROM*
*STUDENTS ON THE “SENIOR PROJECT WATCH LIST” MAY NOT PURCHASE
TICKETS UNTIL THEY ARE CLEARED BY MR. GILBERT*
*TICKETS WILL NOT BE SOLD TO STUDENTS WITH OUTSTANDING BILLS*
*ALL ATTENDEES ARE SUBJECT TO SEARCH BEFORE ENTERING THE DANCE*
*STUDENTS WILL NOT BE PERMITTED TO LEAVE THE DANCE EARLY & MUST
ARRIVE AT THE DANCE BY 8:00 PM*
Tickets will be on sale
:
Monday, March 16 – Wednesday, April 8
OR UNTIL SOLD OUT!!
EARLY BIRD SPECIAL PRICE MARCH 16-March 27:
$140.00/couple with Superpunch, $160.00/couple without Superpunch
$70.00 Single with Superpunch, $80.00 Single without Superpunch
PRICE April 6-APRIL 8:
$160.00/couple with Superpunch, $180.00/couple without Superpunch
$80.00 Single with Superpunch, $90.00 Single without Superpunch
Date:
Saturday, April 11, 2015
Dancing:
7:30 – 10:30 pm
Food:
Hors d’oeuvres and dessert will be provided
DIRECTIONS:
Golden Gate Fields,
1100 Eastshore Hwy, Berkeley, CA 94710
1.
Merge onto CA-29 S toward VALLEJO / SAN RAFAEL.
2.
Merge onto CA-37 E toward I-80/ SACRAMENTO/ SAN FRANCISCO.
3.
Merge onto I-80 W toward SAN FRANCISCO.
4.
Take the GILMAN ST exit
5.
Turn right on GILMAN ST and follow the
road up the hill along the water

.
6.
End at 1100 Eastshore Hwy Berkeley, CA 94710
.
NAPA HIGH SCHOOL
BE SAFE, BE RESPECTFUL, BE RESPONSIBLE
Dress Code
Girls:Modesty is the overriding principle in determining dress for the dance. Keeping
this in mind, the following dress code must be followed:
1.

Dresses are to be formal
2.

Dresses must be mid thigh length even if tights are worn. If the dress has a
slit, the slit cannot be higher than the middle of the thigh.
3.

Dresses should not be tight and should not ride up as you dance.
4.
All necklines must be modest – NO PLUNGING NECKLINES!
5.
Dresses with sheer panels or cut outs are not allowed.
Boys:
1.

Formal attire. Dress pants (no saggy/baggy pants). Dress shirt and dress shoes
are required.
2.
Tie is required
3.
Shirts must be worn and tucked in the entire dance.
4.
Hats cannot be worn.
It is strongly recommended that if you have questions about the dress code, especially
to find out if your dress is appropriate for the occasion, please call the Activities
Director 253-3707 or email [email protected].
Dancing Rules
Students and their guests must engage in acceptable and appropriate forms of dancing.
Napa High School reserves the right to determine the appropriateness of any
attendee's form of dance.
• Students and their guests MAY NOT engage in the following types of dancing: "Freak"
dancing, or dances that include any sexually explicit or suggestive dance gestures.
Moshing, slamming and break dancing are not allowed.
• Offensive language is not acceptable.
st
1
Offense = Removal from dance floor for a 30 minute time out & name recorded.
nd
2
Offense = Sit out for the rest of the dance.
NAPA HIGH SCHOOL CODE OF CONDUCT
:
Any use, possession or involvement with alcohol, illegal drugs during the school day or at a school sponsored
event: i.e., Athletics, Dances, Senior Activities, etc., will result in a suspension and that senior will lose the
privilege of participating in the graduation ceremony. Suspensions for other reasons may result in not
participating in graduation. These types of matters are at the discretion of the administration. Seniors not
walking the stage due to disciplinary action may pick up his/her diploma in the office on Monday following
graduation.
NAPA HIGH STUDENTS ONLY
(PLEASE USE INK TO FILL OUT THIS FORM)
NAPA VALLEY UNIFIED SCHOOL DISTRICT
PERMISSION FOR STUDENT FIELD TRIP TO HOMECOMING / TURNABOUT / PROM
Students
Napa High
The following group:_____________________________________of________________________School
will
Prom
Saturday, April 11, 2015
attend the_____________________________________________on_______________________.
Students will
7:30 PM
10:30 PM
leave at_______________A.M./P.M.
and return about___________________A.M./P.M.
$70.00/$80.00 per person w/ SuperPunch, ______________without
$80.00/$90.00
Cost per student is:____________
SuperPunch
$140.00/$160.00
$160.00/$180.00
____________per couple w/ SuperPunch, ______________without
Super Punch
(With parent permission a student may drive another student who has been registered as his/her date to the Prom/Homecoming/
Turnabout Dance. The student may not drive any other student. Parents may always transport their own students.)
Napa High Dance Disclaimer:
Please initial the following:
I have read and understand the Prom ticket information______
I have read and understand the Napa High Code of Conduct______
I have read and understand the dance dress code______
I have read and understand the Inappropriate Dancing Policy______
Parent / Guardian Signature
Student Signature
No Student May Go On Any Field Trip / Homecoming Dance / Turnabout / Prom Unless The Parents/Guardians
Have Signed and Filed With The School The Permit Below
NAPA VALLEY UNIFIED SCHOOL DISTRICT
PERMISSION FOR STUDENT FIELD TRIP TO HOMECOMING / TURNABOUT / PROM
Student name__________________________________has my permission to go to the Homecoming/Turnabout/Prom at
Golden Gate Fields, Berkeley, CA
April 11, 2015
Napa High
_______________________________________on__________________with____________________School.
(Location)
(Date)
IN CASE OF A MEDICAL OR SURGICAL EMERGENCY, I HEREBY AUTHORIZE THE PHYSICIAN SELECTED BY
DISTRICT PERSONNEL TO SECURE ALL PROPER AND REQUIRED TREATMENT FOR THE STUDENT LISTED ABOVE. I
FURTHER AUTHORIZE TRANSPORTATION OF MY STUDENT BY PRIVATE VEHICLE IN CASE OF MEDICAL
EMERGENCY.
Medical Information:
Insurance Co. and #:_______________________________________________ Home Phone #:_____________________
Allergies:________________________________________________________Work Phone #:______________________
Other Restrictions:_________________________________________________Other Contact #:____________________
Waiver of Claims: State law requires that all persons making the field trip or excursion shall be deemed to have waived all claims against the
district (its employees) or the State of California for injury, accident, illness, or death occurring during or by reason of the field trip or
excursion, including transportation to and from the field trip or excursion. All adults taking out-of-state field trips or excursions, and all
parents or guardians of students taking out-of –state field trips or excursions, shall sign a statement of waiving such claims. (Education Code
35330) Your signature below will acknowledge your notice of this law.
EXPECTED STUDENT CONDUCT: All school and district rules for student conduct will be enforced on the field trips. Students may be
disciplined, including suspension and possible expulsion for violations of such rules. Seniors failing to follow the rules may be excluded from
graduation activities, including crossing the stage.
Signature of Parent/Guardian
Date
Signature of Student
Sólo los estudiantes del NHS
(FAVOR DE USAR TINTA PARA LLENAR FORMULARIO)
DISTRITO ESCOLAR UNIFICADO VALLE DE NAPA
PERMISO PARA QUE LOS ETUDIANTES VAYAN A LOS BAILES DE GRADUACIÓN/REGRESO/TURNABOUT
Prom
El siguiente grupo: Estudiantes
de la Escuela
Napa High__ irá al baile ___
en Golden Gate Fields
_ el día 11 de abril
Horarios del Baile: 7:30 pm – pm
$140/$160por pareja con SuperPunch,
Los precios de boletos son $70/$80
individual con SuperPunch, $80/$90
unico sin,
$160/$180 por pareja, sin,
$
$ 160.00
per couple w/ SuperPunch, $ 180.00
without Super Punch
NapaelAlta
renuncia
depadres,
responsabilidad
danza
(Con
permiso
de los
o estudiante
que aya sido registrado como pareja para el baile de
graduación. El estudiante no puede llevar a ningún o propios estudiantes.)
Favor poner sus iniciales en lo siguiente:
Yo he leído y comprendo la información en el boleto para el baile Turnabout ______
Yo he leído y comprendo el Código de Conducta de Napa High ______
Yo he leído y comprendo el Código de Vestimenta del baile ______
Yo he leído y comprendo la Póliza de Conducta No Apropiada ______
Firma del Estudiante
Firma del Padre/madre/Tutor
Ningún estudiante puede ir al baile de graducación / barco / turnabout si los padres/tutores no han firmado y entregado a
escuala el permiso de abajo.
DISTRITO ESCOLAR UNIFICADO VALLE DE NAPA
PERMISO PARA QUE LOS ETUDIANTES VAYAN A PROM / REGRESO / TURNABOUT
Nombre del estudiante_____________________tiene mí permiso par air al baile de PROM /REGRESO/TURNABOUT
11 de abril
Napa High
en____________________________________el dia__________________con
la Escuela____________________.
(Lugar)
(Fecha)
EN CASO DE UNA EMERGENCIA MÉDICA O QUIRÚRGICA, AUTORIZO POR ESTE MEDIO A MÉDICO SELECCIONADO
POR DISTRICT PERSONNEL ASEGURAR TODO EL TRATAMIENTO APROPIADO Y REQUERIDO PARA EL
ESTUDIANTE ENUMERADO ARRIBA. AUTORIZO MÁS LEJOS EL TRANSPORTE DE MI ESTUDIANTE EN VEHÍCULO
PRIVADO EN CASO DE LA EMERGENCIA MÉDICA.
Información de Médica:
Companía de Aseguranza y #:______________________________________# de teléfono del hogar:________________
Alergias:________________________________________________ # de teléfono del trabajo:_____________________
Otro Restricciones:_________________________________________________Otro Contacto #:____________________
Renuncia de demandas: La ley del estado requiere que todas las personas que hacen el disparo al campo o la excursión será juzgado para
haber renunciado todas las demandas contra el districto (su empleados) o el estado de California para lesión, accidente, enfermedad, o
muerte que ocurre durante o por causa del disparo al campo o de la excursión, incluyendo transporte a y desde el disparo al campo o la
excursión. Todo el tomar de los adultos hacia fuera - de los disparos al campo o excursiones del estado, y todos los padres o guardas de los
estudiantes que toman hacia fuera - de disparos al campo o de excursiones del estado, firmarán a declaración de renunciar tales demandas.
(Código 35330 de la educación) su firma debajo de voluntad reconozca su aviso de esta ley.
Conducta Estudiantil Esperada: Todas las reglas de la escuela y del distrito sobre conducta estudiantil se pondrán en vigencia durante el paseo. Los
estudiantes pueden ser disciplinados, incluyendo suspensión y possible expulsión para violaciones de estas reglas. Los estudiantes del grado doce que
no cumplan con las reglas pueden ser excluídos de actividades de su gradiación, incluvendo cruzar la plataforma.
Firma de Padre/madre/Tutor
Fecha
Firma del / de la Estudiante