Junior Prom 2010:

Information Packet

 

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May 14th, 2010

Jacques Reception Center

7 – 11pm

 

Instructions:

 

·       Prom bids cost $65 per person, therefore $130 per couple.

 

·       Payment must be in full at time of purchase. Cash or check only.

Ø   Make checks out to Middletown High School North Class of 2011.

 

·       Prom bids will be sold AFTER SCHOOL ONLY in room 2401 on April 21st – May 5th! Please make a note of these dates!

 

·       Your contract must be completely filled out in order to purchase your prom bid.

 

·       Tables will be chosen the day you buy your bid.

Ø   If you know who you would like to sit with, they must come with you and buy their bid at the same time.

Ø   You will not be able to fill in your name at a table if you have not purchased a bid.

 

·       You must select one of the following meal choices:

·       Chicken Francaise

·       Prime Rib

·       Penne a la Vodka

 

 

Junior Prom 2010

 

Please make sure all boxes are completely filled out!

 

Student # 1:

 

Student Name

 

 

 

 

Student Cell Phone:

 

 

 

 

 

Parent/Guardian Name:

 

 

 

 

Parent/Guardian Contact Number(s):

 

Home:

 

Cell:

Emergency Contact Name & Phone Number:

(Used in the event the Parent/Guardian cannot be reached.)

Name:

 

Phone Number:

 

Student # 2/Guest:

Student Name

 

 

 

Student Cell Phone:

 

 

 

 

Parent/Guardian Name:

 

 

 

Parent/Guardian Contact Number(s):

 

 

Home:

 

Cell:

Emergency Contact Name & Phone Number:

(Used in the event the Parent/Guardian cannot be reached.)

Name:

 

Phone Number:

 

Meal Choice:

Student #1

Student #2

 

 

 

 

 

 

 

 

 

 

Dear parents/guardians:

 

Please carefully review the 2010 Prom Contract below, as the terms and conditions will apply to all Middletown Junior and Senior Proms. The 2010 Prom Contract will govern the behavior of Middletown students, as well as any guests from outside the district. The most critical component of the contract is the link to the student’s participation in the graduation ceremony. Any Middletown senior who violates the Middletown Township Public Schools Substance Abuse Policy will be excluded from participating in the graduation ceremony.

 

 

Sincerely,

 

Patricia Vari-Cartier

Principal

Middletown High School North/ South

Prom Contract

 

  • The prom is a special event, and students’ attendance at this event is a privilege that is subject to compliance with the rules and other provisions set forth in this contract as well as all school rules and Board Policies.  Violations of this contract or school policies will result in disciplinary action and possible police notification.  Further, any violation of the Middletown Township Public School District Substance Abuse Policy by a senior student will result in loss of the privilege to participate in this year’s graduation ceremony. 

 

  • Students and guests must check in at the prom within 30 minutes of the start time.  Any student arriving more than 30 minutes late will not be admitted to the prom, and a parent/guardian will be contacted.

 

  • Each student and guest must present a school identification card at check-in at the prom.  If a guest is not enrolled in any school, a driver’s license or other valid identification must be presented.

 

  • Students must remain at the prom until 10:30 p.m.

 

  • Any student serving a suspension from school or absent from school on the day of the prom will not be admitted to the prom, and no refund will be issued.

 

    • Junior prom—All students must remain in school on the junior prom date until the end of period 11 at 2:13 p.m.  Underclassmen must also remain in school until the end of period 11 at 2:13 p.m.

 

  • Students must attend the Rude Awakenings Program for their grade in order to be eligible to attend the junior or senior prom.  No refund will be issued to a student who is deemed ineligible to attend the prom for failure to attend the Rude Awakenings Program.

 

  • Once inside the banquet facility, no student may leave the building.  No one will be permitted to go to the car.

 

  • No smoking is permitted inside or outside the banquet facility at any time. 

 

  • Attire—Formal attire is required.  Students and guests are expected to dress in an appropriate manner.  Any student or guest not dressed appropriately will be required to leave the prom, and a parent/guardian will be notified.  No refund of the prom bid will be given.

 

  • No backpacks, bags, or storage containers other than small purses will be permitted into the prom.  Purses are subject to search by staff at any time.

 

  • Students may not switch or substitute an escort, whether or not the escort is a Middletown High School North/South student.  No refund of the prom bid will be given if a student or his/her escort is unable to attend for any reason.

Initials:  Student #1 _____ Parent #1 _____   Student  #2 _____ Parent #2 ______

Middletown High School North/ South

Prom Contract

Substance Abuse Policies and Procedures for Proms

 

The following procedures will be carried out for any student or guest suspected of possession or use of alcohol or a controlled dangerous substance.

 

1.      The student or guest will be required to submit to a urine test and/or a breathalyzer test that may, at the discretion of administration, be administered on site at the prom, at the local police station, or at a medical facility. 

 

2.      A parent/guardian will be notified, and the parent/guardian will be required to pick up his/her child.  No refund of the prom bid will be given.

 

3.      The police will be notified.  The student/guest may be subject to police action, including arrest or other legal charges.

 

4.      All consequences outlined in the Student Handbook and Board Policy will be enforced, including suspension, loss of parking privileges, loss of privileges to participate in extra-curricular activities and sports, and any other applicable penalties.

 

5.     A CONFIRMED POSITIVE DRUG/ALCOHOL TEST OR CONFIRMED POSSESSION OF ALCOHOL, DRUGS, OR DRUG PARAPHERNALIA WILL RESULT IN LOSS OF THE PRIVILEGE FOR SENIORS TO PARTICIPATE IN THE GRADUATION CEREMONY.

 

 

Students and their guests are expected to act in a mature and appropriate manner at the prom.  The prom facility is considered an extension of the school; therefore, all school rules and Board Policies, including disciplinary actions, will be in effect.  The parent/guardian will be notified if a student disregards the rules and policies, and the student/guest may be removed from the prom with no refund of the prom bid.

 

Any student bringing an escort who is not a student of Middletown Public Schools will be responsible for his/her escort adhering to this contract as well as all school rules and Board policies.

 

Any student found falsifying any information, signature, or initials on this contract will not be permitted to attend the prom, no refund will be given, and disciplinary action will be taken.

 

Compliance with the rules set forth in this contract as well as school rules and Board Policies is a condition of admittance to and continued attendance at the prom.  Violations of this contract, school rules, or Board Policies will result in disciplinary action, removal from the prom, and parent/guardian notification.  Violation of the Board’s Substance Abuse Policy will also result in police notification and loss of certain privileges, including loss by senior students of the privilege to participate in this year’s graduation ceremony.

 

Prom bids are nonrefundable.

 

Administrative discretion will be used in the final adjudication of all penalties and disciplinary actions.

Initials:  Student #1 _______ Parent #1 _____    Student  #2 _______ Parent #2 ______

 


Middletown High School North/South Prom Contract for Students

 

The undersigned acknowledges reading and understanding the rules and requirements appearing on the previous two pages of this Contract, and agrees to abide by them as a condition of attendance at the Middletown High School North/South prom.

 

Further, I promise not to drink alcohol or consume any illegal substance on prom night.  I commit myself to celebrating in a safe and healthy way.  I pledge not to get into a car with someone who has been drinking alcohol or who has consumed an illegal substance.  If I find myself in a situation where I feel unsafe or uncomfortable, I promise to call you, my parent or guardian, for a ride home.  I commit to this pledge and recognize there are consequences for every decision I make.  In signing this contract, I fully understand and acknowledge the conditions of attendance at the prom, and will adhere to the aforementioned conditions and advise my date of the same.

 

Middletown High School North/South Student Information

 

Student #1  Name _____________  Student #1 Signature _______________ Grade ____

 

Student #2 Name _____________  Student #2 Signature _______________ Grade ____

My escort is NOT from MHSN/S.  Fill in information below.

 

Name of Guest NOT from MHSN/_____________________________________

 

Signature of Guest NOT from MHSN/S ___________________________________

 

Age of Guest _________         School Attending_____________________________

 

Signature of School Administrator at guest’s school attesting to student’s good standing at the school and permission to attend Middletown High School’s prom.

 

Administrator Name and Title _________________  Signature ___________________

 

 

Middletown High School North/South Prom Contract for Parents

 

The undersigned acknowledges reading and understanding the rules and requirements appearing on the previous two pages of this Contract, and agrees to abide by them as a condition of attendance at the Middletown High School North/South prom.

 

Further, as a parent/guardian of a student attending the Middletown High School prom, I promise to make myself available during the evening of May 14th , to pick up my child from the prom if s/he has not adhered to the conditions of the Middletown High School Prom Contract.  By signing this contract, I acknowledge reading and understanding the conditions of attendance at the prom.

 

Parent Information—Student #1

 

Parent/GuardianName ______________  Parent/Guardian Signature________________

 

Home Phone Number  _______________          Cell Phone Number ___________________

 

Emergency Contact Name ________________ Telephone Number __________________

 

Parent Information—Student #2 or Guest

 

Parent/Guardian Name ______________  Parent/Guardian Signature_______________

 

Home Phone Number  ________________       Cell Phone Number ___________________

 

Emergency Contact Name _____________      Telephone Number ___________________