South Mecklenburg High School

South Mecklenburg High School

Outside Prom Guest Request Form

Outside guest forms are due by April 23, 2015

Prom ticket sales April 27-May 1

2015 Junior/Senior Prom

PLEASE PRINT

SMHS Student Name ______

Outside Guest’s Full Name ______

Guest’s Date of Birth ______

Guest’s Drivers License Number State ( ) #______

______I attend High School at ______(Name of School) and agree to help keep prom safe, I pledge to adhere to guidelines established within the CMS Students’ Rights, Responsibilities and Character Development Handbook.

Guest Signature ______

Signature of guest’s Principal/Assistant Principal ______

Printed Name and Phone #______

Date ______

or

______I do not attend high school, I pledge to adhere to guidelines established for CMS students within the Students Rights, Responsibilities and Character Development Handbook. I am a member in good standing of the community and have no criminal record and/or no criminal actions pending.

_____College Student at ______(name of school)

______I do not attend school

Tickets will only be issued to those who meet following the requirements:

·  Guests must be under the age of 21.

·  Guests must be a student in good standing at their current High School or a citizen in good standing within the community.

·  Guests may not have a criminal record or criminal actions pending.

·  Guest request form must be completed and approved in order for a ticket to be purchased

·  A photo copy the guest’s photo identification MUST BE ATTACHED to this form for approval of this guest form and a ticket to be purchased.

·  ALL GUESTS must have photo identification in order to enter the venue on prom night.

I have read and understand all rules and procedures for attending SMHS Prom and agree to abide by all South Mecklenburg High School and CMS guidelines and rules.

Guest Signature ______Date ______