GAYLA! Sign-up and Permission Form
Location:
Rumson-Fair Haven Regional High School Cafeteria
74 Ridge Road, Rumson NJ

Event information or questions?
Contact Make it Better for Youth: prom@makeitbetter4youth.org

Date/Time: Friday, May 10th, 2013 from 7pm-10pm
Students are to be picked up no later than 10:15 pm.

Cost: $20, payable in Cash, Check, or Money Order to Make it Better for Youth
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Student Name *
Parent/Guardian Name *
Parent/Guardian Primary Phone Number *
Home Address *
School Where Student Attends *
Emergency Contact *
Email Address *
This helps Make it Better for Youth Keep you up to date on relevant news and events
I give permission for my child to attend Better for Youth/RFH Dance on Friday, May 10th, 2013. I understand that all students attending the dance must follow Rumson-Fair Haven's code of conduct or parents will be called and students will be asked to leave the dance. All guests who do not attend RFH must provide proof of age and/or photo ID at the door. Students must provide their own transportation to and from the facility. Appropriate supervision will be provided by RFH and Make it Better for Youth. Dance participants will not be permitted to leave the premise for any reason. There will be zero tolerance for drugs and alcohol. *
Parents/Guardians, please write your name again in the box below.
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