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EXETER HIGH SCHOOL
JUNIOR PROM GUEST FORM
Dance Rules:
 The Prom is open to Exeter High School students and high school guests only.
 All guests must be of high-school age. No middle-school students allowed.
 Grand March begins at 6:30pm, Prom begins at 7:30pm and ends at 10:30pm
 No admittance after 8:00 PM unless prior approval by administration.
 All guests and students should be picked up NO LATER than 10:30 PM.
 Tickets will be sold from May 6 - May 13 during lunches to only those EHS students with proper
school identification. No tickets will be sold at the door.
 Guest forms must be completed and submitted prior to ticket purchase.
 All guests and EHS students must have a photo ID with them at the prom.
 Purses and bags are allowed but will be checked at the door.
 We expect students and guests to behave in a manner that shows respect for themselves and
others. Students who violate this dance policy will be removed from the dance and their parents
will be contacted. They will remain in the Main Office conference room until parents arrive.
Information (please print clearly):
To be completed by EHS student and guest:
I understand that I am responsible for the behavior by my guest. I will serve the consequences of any
disciplinary actions should my guest violate any rules and regulations of EHS at the Junior Prom.
Name of EHS student (printed): _____________________________________________________________________________________
Signature of EHS student: ____________________________________________________________________________________________
Name of guest (printed): ________________________________________________________ Age of guest as of 5/16/15: ____
School currently attending (guest): __________________________________________________________________________________
School phone number (guest): _______________________________________________________________________________________
To be completed by Asst. Principal or Dean of guest’s school:
I attest that this student is an upstanding member of our school community and will not pose a
management issue for the administration at EHS.
Asst. Principal or Dean’s printed name (school of guest): __________________________________________________________
Asst. Principal or Dean’s signature (school of guest): ______________________________________________________________
To be completed by parent of guest:
I understand that my child is attending a school dance at Exeter High School. Should she/he engage in
behavior that is not in accordance with the rules and regulations of Exeter High School, I will be asked to
pick her/him up immediately.
Parent signature of guest: ____________________________________________________________________________________________
Home phone (parent of guest): _______________________ Cell phone (parent of guest): ______________________________
Return this form to the EHS Junior Class Advisors: Mrs. Friedman (F121) or Mrs. Prochilo (J171) no later than
May 10, 2015, for approval. Students may not purchase prom tickets prior to receiving guest approval.
If you have any questions, please contact the Main Office at Exeter High School
by PHONE 603-395-2400 OR FAX 603-395-2499
R3-26-15