PARENT/GUARDIAN’S APPROVAL AND STUDENT WAIVER

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This form is required to be completed for all students attending After-Prom. This form is to be completed by the student's parent/guardian. After completing this form, you will have the opportunity to purchase After-Prom tickets, in section 3.

NOTE: After-Prom is intended for OMHS Juniors and Seniors, and their Prom guests. Freshman and Sophomores may only attend After-Prom if they attended the OMHS Prom.

Email *

1) First and last name of person attending After-Prom *

2) Email address of person attending After-Prom *

3) Name of school that person attending After-Prom attends (OMHS, or name of other school) *

3a) (For Non-OMHS Students) What is the first and last name of the OMHS student who is your date.

4) Grade of student attending After-Prom *

12th

11th

10th (Must attend OMHS Prom as guest of Junior/Senior)

9th (Must attend OMHS Prom as guest of Junior/Senior)

5) As the parent/guardian, I give my permission for my child to participate in the PTSA-sponsored OMHS After-Prom at The Main Event at the Mall In Columbia (type child's name below) on April 30, 2022 from 11PM - 2AM. *

Yes

6) I do hereby certify that to the best of my knowledge and belief said minor is in good health. *

Yes

7) In case of illness or accident, permission is granted for emergency treatment to be administered and it is further understood that the undersigned will assume full responsibility for any such action, including payment of costs. *

Yes

8) I hereby advise that the above named minor has the following allergies, medicine reactions or unusual physical condition which should be made known to a treating physician. (If none, please write the word “none.") *

9) By typing my name, I am giving my permission for my child to attend this PTSA-sponsored event. *

10) If my child does not arrive at After-Prom by 11:30, please... *

Text me to indicated that my child has not arrived by 11:30

Do nothing. I do not need to be notified.

11) If you give permission for your child to leave prior to the ending time of 2AM, indicate your preference. *

Text me to indicate that my child is leaving prior to 2AM

Do not text me if my child is leaving prior to 2AM

My child does not have my permission to leave prior to 2AM (if child leaves without permission, we will text the parent)

12) Parent/guardian cell phone *

13) Parent/guardian email *

14) Parent/guardian first and last name *

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