How to Complete a

Guest Permission Form

Pick Up Form from Main Office, Satellite Office, or download

from BHS Website

Complete Part A yourself……

HOMECOMING 2009 DANCE GUEST APPROVAL REQUESTBATTLEFIELD HIGH SCHOOL

15000 Graduation Drive, Haymarket, VA 20169(571) 261-4400 ▪ FAX: (571) 261-4411

ONE GUEST PER BATTLEFIELD STUDENT

Middle School students OR anyone over 21 are NOT permitted as dates!

PLEASE COMPLETE THIS FORM FULLY AND LEGIBLY OR YOUR REQUEST WILL BE DENIED

PART A---------------------------------------------------------------------------------------------------------------------------------

NAME OF BATTLEFIELD STUDENT: ________John Bobcat________________

GRADE: __11____ 1ST PERIOD TEACHER & RM # ___Mr. Jones 3001_______

Required information!

NAME OF GUEST: ________Jane Yellow Jacket________

(Guest=ANYONE NOT CURRENTLY ENROLLED AT BHS)

(Printed) BHS student’s Parent: ________Mary Bobcat_____________Mary Bobcat___, ___703-555-5555__________________ (Signature) (Phone #)

You Fill In HERE, carefully and completely

Your Parent HERE

Get form to your Guest to bring to their school/employer for Part B

PART B-------------------------------------------------------------------------------------------------------------------- Name of High School/College or Employer if no longer in school: ___Osbourn Park HS__ Telephone # of High School/ Employer: _____703-555-6666_______________________ To be completed by High School Administrator or Employer (only if not in school ) OF THE GUEST!!!! Please indicate the

status of this student at your high school/ place of employment, and Return or FAX this form to 571-261-4411.

____X_ This individual is in good standing at our school/place of employment.

__________ This individual is not in good standing at our school/place of employment. __________ Please contact me regarding this student. Phone #_________________________

Name of Administrator/ Employer: _______Mrs. OP_______________________________________

(Please print)

Administrator’s Signature/Employer: ________Mrs. OP_____________________________________

Your Guest’s school/employer completes this

Part C (VERY IMPORTANT)Either you return the Form to your Supervising Assistant Principal OR the “other” school employer FAXES it to BHS

Letters A – DavMr. McMillan in Main Office(Mrs Newton)

Letters SAM-ZMrs. Lester in Satellite Office(Mrs. Cordle)

Letters MB-SALMrs. Porter-Lucas (or Mr. Ross) in Main Office(Mrs. Means)

Letters HB_MAMrs Zdravecky in Main Office(Mrs. Blackwell)

They will Sign Off in Part C, return it to you, and then………

PART C------------------------------------------------------------------------------------------- All individuals wanting to attend the Battlefield Homecoming Dance who are not current BHS

students must see that this form is completed and returned or faxed to BHS student’s alpha Assistant Principal.

Guest Expectations:

Guests must conform to all rules and policies as outlined in the PWC Schools Code of Behavior.Guests must present a photo ID to enter the dance.This application must be completed and approved before tickets will be sold.Guests must conform to the dress and decorum standards required of Battlefield HS students.

* Accepted and approved by Battlefield Administrator: __Mr. AP_____

Once they have signed it, it will be returned to you so that you can now order the Dance Tickets

….you fill out a ticket order form for you and your guest, put it, $50, and the Guest for in an envelope

and turn in to Main Office

Complete the form below and return it, in a sealed envelope, to the box in the main office, before OR after school.

Tickets for you AND your non-BHS guest will be delivered to homerooms on October 25-27th PRINT CLEARLY OR YOUR ORDER WILL NOT BE PROCESSED

Your name ______John Bobcat______________________Your 1st period class ___Mr. Jones 3001_________ Teacher AND room #-REQUIRED) Date’s name*_____Jane Yellow Jacket__________________DO NOT ORDER TICKETS FOR YOU AND YOUR DATE UNTIL YOUR GUEST HAS BEEN APPROVED BY THE

ADMINISTRATION

Check/ Money Order # _____1001__________ Amount enclosed $50

Order Form section, you fill in this carefully and completely!

• September 13: ALL FORMS AVAILABLE

• MONDAY OCTOBER 18TH : GUEST FORMS MUST BE IN THE OFFICE

• FRIDAY OCTOBER 22ND : TICKET ORDER FORMS WITH GUEST FORM SIGNED MUST BE IN OFFICE

• OCTOBER 25-27: TICKETS DELIVERED TO HOMEROOMS

DATES AND DEADLINES