Central Catholic High School Junior/Senior Homecoming East Club Lounge—Heinz Field

Central Catholic High School Junior/Senior Homecoming – Saturday, October 11, 2014
East Club Lounge—Heinz Field
All Central Catholic students and their dates must agree to abide by the rules and policies of the 2014-2015
Student/Parent Handbook. In order to attend the dance, the student and his date must complete this form
and submit it to Ms. Kenrick prior to being permitted to purchase a ticket. All guest requests are subject to
the approval of the Central Catholic administration. This is a semi-formal event and proper attire (sport coat
and tie) is required, although most young men wear suits or tuxedos. The CCHS administration reserves the
right to deny admission to the dance based on dress code. Students who fail to submit a completed/signed
contract will not be permitted to purchase a ticket.
TO BE COMPLETED BY CENTRAL CATHOLIC STUDENT
By signing below, I acknowledge that this dance is a school sponsored event and all school policies will
apply. In addition, I give my word to act as a gentleman, which includes dancing tastefully, using good
manners, and taking responsibility for both my behavior and that of my date. Further, I understand that if
I act in a manner that is not consistent with the rules and tradition of Central Catholic High School, I will be
asked to leave the dance (along with my date) and my money will not be refunded.
Name of Student (print) ___________________________________
Homeroom__________
Student Signature _______________________________________
Date _______________
TO BE COMPLETED BY CENTRAL CATHOLIC PARENT
By signing below, I acknowledge that my son has my permission to attend this event and will be
accompanied by the student named below. I understand that my son will be held responsible for his
actions as well as those of his date should she violate the rules stated in the CCHS Student/Parent
Handbook. Ticket price is NON-REFUNDABLE.
Parent Signature _________________________________________
Home Phone # ___________________
Date _______________
Parent Cell Phone # ___________________
TO BE COMPLETED BY CENTRAL CATHOLIC ADMINISTRATOR (MR. MACURAK)
All necessary information and signatures have been collected and __________________________ (Name)
is permitted to purchase a ticket for this event. Please take this completed form to Ms. Kenrick during the
designated times with a check or money order for $150 to purchase your ticket.
Mr. Macurak signature _________________________________
****PAGE 2 MUST BE COMPLETED BY YOUR GUEST AND HER PARENT/SCHOOL OFFICIAL****
Page 2
TO BE COMPLETED BY GUEST OF CENTRAL CATHOLIC STUDENT / SCHOOL ADMINISTRATOR
Name of Central Catholic Student____________________________
Your name (print) _____________________________________
Date of Birth* ___ /____ /____
Name of school __________________________________________
School phone _____________
By signing below, I acknowledge that the above named individual is a student in good standing at our
institution. Please call 412-208-3425 if you have reservations about this student attending this event.
Name of School Administrator ___________________________
Title _________________
Signature of School Administrator ___________________________
Date _________________
*Guest must be at least a sophomore in high school and
may not be more than 20 years of age on the date of the event
TO BE COMPLETED BY PARENT / GUARDIAN OF GUEST
Guest’s Parent/Guardian Name (print) ______________________________________
By signing below, I acknowledge that my daughter is permitted to attend this event and will be
accompanied by the CCHS student named above and agrees to follow the policies stated in the CCHS
Student/Parent Handbook. Further, I have read the guidelines for acceptable attire and understand that
my daughter must conform to these standards in order to attend this event and may be asked to leave if
she is not in compliance.
Guest’s Parent/Guardian Signature __________________Daughter’s signature____________________
(signature indicates knowledge and agreement of Dress Code provisions below!)
Home Phone # ___________________
Parent Cell Phone # ___________________
Guidelines for acceptable female attire






Dresses must be above the breast line and the bodice of the dress must provide full
coverage of the breasts
The back of the dress cannot be lower than your natural waistline
Side cutouts on the dresses are not permitted
Midriffs must be covered
Dresses may be no shorter than 2” measured from the top of the knee
Tube dresses (skin tight, form fitting dresses) are strictly prohibited