AUBURN MOUNTAINVIEW HIGH SCHOOL
2014-2015 Dance Guest Pass
Due by
Oct 15
at 3:00pm
If approved this guest pass will be valid for the following 2 AMHS dances this year:
READ THOROUGHLY AND FOLLOW ALL DIRECTIONS – THIS IS IMPORTANT TO GETTING YOUR PASS APPROVED!
Dance (circle one that applies) Homecoming October 18, 2014, Tolo TBD, and Prom TBD (Seniors Only)
Student name:________________________________________ Grade__________ 2nd Period room # ___________
Please Print
Guest name:__________________________________________ Age:______ Home Phone _____________________
Please Print
AMHS Student Directions:
Important: All guests must be in high school (no middle school
students) All guests must not be older than 20 years of age.

You cannot buy tickets until guest passes are approved so DO NOT WAIT until the final date.


Read the form and then sign in Box 1.
Have your parent/guardian read and sign this form in Box 2 – EVEN IF YOU ARE OVER 18. Include an emergency phone
number.
Turn in the completed form WITH YOUR GUESTS ADMINISTRATIVE APPROVAL along with a copy of your guests
photo ID to Ms. Thomas in Activities Office (Room #119) GUEST PASSES due October 15, 2014 by 3:00 p.m.
Bring a photo ID to dance or you will not be admitted.


BRING COPY OF GUEST’S ID WHEN YOU
TURN IN YOUR GUEST PASS!
Guest Directions:
 Read the form and sign in Box 3.
 Have your parent/guardian read and sign this form in box 3 – EVEN IF YOU ARE OVER 18.
 Obtain your school administrator’s signed permission (or employer, if not attending school) (Box 4) to attend this dance
and return this form with a Clear Copy of your Photo ID to your AMHS host by the deadline.
 Bring a photo ID to the dance or you will not be admitted.
Expected Student Behavior:
 Students will demonstrate good character, maintain high community standards, and follow all school rules, including
DRESS CODE as outlined in the Parent/Student Handbook.
 Students will respect and be courteous towards all students and chaperones. All school personnel of Auburn
Mountainview High School have been given authority from the School Board to correct students involved in misconduct.
Therefore, you should show due consideration and respect for these employees at all times. This includes: 1) identifying
yourself upon request by any staff member, and 2) following directions given by any staff member.
 Please come to have a good time while respecting the rules. If asked to stop/change your dancing behavior, please
comply respectfully with the request. RULES: * Please face your partner when you dance. * Both feet must be on or
near the floor. * No sitting or laying on the floor. * No inappropriate gestures, movements or contact with your dance
partner. *There will be no warnings. * If you fail to follow the dance rules, you will be asked to leave. NO REFUNDS.
Thank you for your understanding as we try to provide a fun, clean environment for all.
Consequences:
 Students violating the AMHS Dance contract will be removed from the dance.
 Student’s parents will be called and expected to pick up their students immediately.
 Student’s violating this AMHS Dance contract may NOT be allowed to attend future AMHS dances.
 Any student who (a) illegally uses, possesses, sells, is under the influence, or has the odor of drugs, alcohol, controlled
or mood-altering substances; (b) illegally uses, possesses, sells, or is under the influence of medication which is not
prescribed for her or his use by a licensed doctor; (c) illegally uses, possesses, sells, or gives to another, drug
paraphernalia at school or at a school-sponsored activity or event; or (d) facilitates the possession or transaction of illegal
substances or paraphernalia at school or at a school-sponsored activity or event, will be disciplined. Such discipline may
include participation in intervention activities, referral to a law enforcement agency when appropriate, and/or suspension
or expulsion from school.
 Weapons: It is unlawful for any student to carry onto, handle, transfer, or use any weapon on any school property,
including buses, or during any school-sponsored activity. This includes weapons in cars parked at school. Weapons
include items such as firearms, knives, explosive devices (including firecrackers), and any other objects which may be
used as a weapon or which imitates a weapon. The use of pepper spray is not allowed at Auburn Mountainview High
School. Violation of this policy will result in emergency suspension with a recommendation for expulsion. Students who
have knowledge of weapons on campus, and fail to report that information, may be subject to disciplinary action.
Procedures:
 When entering the dance, a photo ID is required – NO EXCEPTIONS!
 Dance participants may not leave the dance and return at a later time.
 Dance times are from 8:00 - 11:00 p.m. The last time for dance entry is 9:30 p.m.
READ THOROUGHLY AND FOLLOW ALL DIRECTIONS – THIS IS IMPORTANT TO GETTING YOUR PASS APPROVED!
AUBURN MOUNTAINVIEW DANCE GUEST PASS
REQUIRED SIGNATURES
Box 1 AUBURN MOUNTAINVIEW HIGH SCHOOL STUDENT
By signing you agree that you are responsible for yourself and will follow all dance rules and guidelines set forth in this contract
and at the direction of chaperones. If you are bringing a guest to the dance, your signature below indicates that you agree that you
are responsible for your guest and that she/he will follow all dance rules and guidelines set forth in this contract and at the
direction of all chaperones.
_____________________________________
____________________________
___________________________
AMHS Student Signature
Printed Name
Phone
NO ADMITTANCE WITHOUT PHOTO ID AT THE DANCE
Box 2 AUBURN MOUNTAINVIEW HIGH SCHOOL STUDENT’S PARENT/GUARDIAN
By signing you are giving permission for your son or daughter to attend the dance, and you acknowledge the dance rules and
guidelines set forth in this contract and at the direction of chaperones. If your daughter or son is to bring a guest, your signature
below indicates that you are giving your son or daughter permission to bring the guest.
_____________________________________
Parent/Guardian Signature
____________________________
Printed Name
___________________________
Phone
Box 3 GUEST
By signing, you agree to follow all Auburn Mountainview High School rules at the dance as set forth in this contract and at the
direction of all chaperones.
_____________________________________
Guest Signature
____________________________
Printed Name
___________________________
School Name
___________________
Date of Birth
_________________
Age
___________________________
Grade
____________________________________
Parent/Guardian of Guest Signature
____________________________
Printed Name
If NOT in high school, school graduated from: ________________________Year:______
___________________________
Phone
__________________________
Driver’s License Number
NO ADMITTANCE WITHOUT PHOTO ID AT THE DANCE
Box 4 GUEST STUDENT’S SCHOOL ADMINISTRATOR (High School or College)-if not enrolled,
we will need an employer’s reference.
I_____________________________________ (High/College School Principal, Asst. Principal, Dean of Students, Activities
Director, and Dorm Resident Director) approve the above stated student attending the Auburn Mountainview dance. I declare that
he/she is in good standing with the policies and rules of ____________________________________________________School.
_____________________________________
Administrator Signature
____________________________
Phone
___________________________
Date
AMHS Activity Coordinator Use Only
Approved
or
Denied
Approval Signature_________________________________ Date_________________________