CYPRESS CREEK HIGH SCHOOL

HOMECOMING DANCE GUEST REQUEST

The completed form must be turned in to Hannah Hall, Principal’s Secretaryno later than FRIDAY, OCTOBER 13TH by 2:00 pm.

To be considered, the application must have a clear copy of a valid driver license or photo id of the guest attached and be complete.

All guest applications are subject to approval or disapproval by the principal or designee. No middle school students or anyone over the age of 20 will be considered. Providing false information on this application will result in the request being denied.

GUEST NAME ______AGE _____ GRADE _____

SCHOOL ATTENDING (if applicable) ______STUDENT # ______

ADDRESS ______CITY ______ZIP ______PASCO GRAD? YES NO

As a guest of a student, I understand the following:

All guests must comply with all school and Code of Conduct requirements.

Dress Code for Young Men: Dress pants, dress shirt and dress shoes. A tie and jacket is strongly recommended. All pants must be securely worn around the waist. No “polo” style shirts will be allowed. Athletics shoes/sneakers (i.e. Nikes, Adidas, etc.), skate shoes (i.e. Vans, Airwalks, etc.) or workboots will not be permitted. The principal's/designee's decision is FINAL.

Dress Code for Young Women: Must wear a dress, pant suit or gown that is in good taste. The outfit may not be made of see-through material. Strapless dresses and two piece gowns are allowed; however, no more than 2 inches of your midriff should be exposed. No open styles, which show the entire stomach area, are permitted.Front necklines shall not be lower than a line formed between the right and left armpit. This guideline governs cleavage and the principal's/designee's decision is FINAL. The dress length and all slits cannot exceed more than six inches above the knee.

Dress Code for Both Young Men and Young Women: Students dressed inappropriately will be turned away at the door. Students will not be admitted wearing cargo pants, sneakers, jeans/denim, khakis, Dickies (or other casual pants), t-shirts, torn clothing, chains/spikes, sexually implicit or explicit clothes, shorts, hats and head coverings, bandanas, or items referencing tobacco or alcohol products. The principal's/designee's decision is FINAL.

Students must be in good standing at their school.

Guests must present a driver license or school ID for identification for admission.

This dance is a tobacco free activity. The use of tobacco products is NOT permitted.

Students are not allowed to re-enter the dance upon leaving.

Students must vacate the premises within 30 minutes of the dance ending.

Guests will be removed from the premises with no refund for improper conduct, violations of rules, and/or refusal to comply with requests from staff and chaperones.

  • Are there criminal charges in the guest’s past or currently pending for the guest? Y or N

If “yes,” please state situation and status of charges ______

  • Any discipline referrals received during this school year for the guest? Y or N

GUEST SIGNATURE ______DATE ______

GUEST PARENT NAME (print) ______PHONE ______

(Both guest’s parent name and guest’s parent phone number where they can be reached DURING the dance are REQUIRED. If guest does not live with parents, then please list the guest’s cell phone number. This is a requirement.)

PARENT SIGNATURE ______DATE ______

As a School Official at ______, I verify that the student named above is in good standing with the school on this date, ______.(THIS SHOULD BE FILLED OUT BY ADMINISTRATION @ GUEST’S CURRENT SCHOOL)

______

Printed Name of AdministratorSignature of Administrator Title

This section to be completed by CCHS student AND parent.As a CCHS student, I understand the following:

Students may bring only one guest. A ticket for a guest may not be purchased until the request has been approved. No requests will be accepted at the door. Both the CCHS student and guest will be removed from the premises with no refund if it is determined that a guest is in violation of any school expectation.

CCHS STUDENT NAME (print) ______STUDENT # ______GRADE ______

PARENT NAME (print) ______PHONE ______

(Both parent name and parent phone number where they can be reached DURING the dance are REQUIRED.)

STUDENT SIGNATURE ______PARENT SIGNATURE ______

The administrative decision regarding guest approval is final and may not be appealed.