Guest Pass to Oregon Virtual Academy Prom June 5, 2015      This form must be completed legibly and kmailed to Dr. Schweitzer by no later than May 29th at 5pm A current ORVA High School student in good standing may be permitted to bring one (1) guest. No guest younger than a high school freshman or older than 19 years of age will be permitted to attend. The ORVA student must accompany his/her guest together at the door. Picture identification will be required for all ORVA students and their guest (No Exceptions). Name of ORVA Student:____________________________Grade: ______________ Name of Guest:___________________________Phone Number: _______________ Name of Guest’s School:________________ _______________________________ TO BE COMPLETED BY THE GUEST’S HIGH SCHOOL ADMINISTRATOR: _______________________ is requesting to attend Prom at Oregon Virtual Academy. In order for this student to attend he/she must be in good standing with attendance, grades and behavior at their home school. Under these circumstances, would you recommend this student to attend our Prom? _________ Yes, I recommend this student _________ No, I would not recommend this student _______________________ ________________________ ________________ Name of School Administrator Signature of School Administrator School Phone Number