PERMISSION SLIP - This form must be filled out for students to purchase tickets.
Dress code for the dance - We are asking that students dress up for this dance.  They are not required to go out and purchase a new outfit.  Dress code could be described in any of the following ways:

Dressy Casual
Sunday Best
Something they would wear to a nice restaurant

What not to wear
Sweat pants
Pajama Pants
Sign in to Google to save your progress. Learn more
Email *
Tickets 
$10 if you buy in school
$15 if you buy at the door
Tickets will be sold during lunch 2/3/25 - 2/6/25
Permission slip must be filled out prior to purchasing a ticket. No ticket will be sold without a permission slip. 
Drop Off and Pick Up Map
Student last name: *
Student first name: *
Grade Level *
Pizza
Pizza can be PRE-PURCHASED.  It will be delivered in two shifts, one at 6:30 and one at 7:00.  Each slice will cost $3. 
Clear selection
My child will" *
Parent/guardian name for electronic signature: *
Parent/guardian phone number in case of emergency: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Madison Public Schools.

Does this form look suspicious? Report