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Outside Date Form for Homecoming Dance 2025
Please complete this form for any non PCHS student that will be attending the dance as a date. Students are only able to bring one outside date.
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Email
*
Your email
Name of PCHS student
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Your answer
Grade of PCHS student
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Your answer
Name of Non- PCHS guest
*
Your answer
Age of Non- PCHS guest ( guests must be in at least 7th grade and cannot be older than 21 years of age)
*
Your answer
School of Non- PCHS guest
*
Your answer
Address of Non- PCHS guest
*
Your answer
Name of parents or guardians of Non- PCHS guest
*
Your answer
All guests understand that they must abide by all rules of Pell City High school and /or Pell City School System policies while in attendance at this event. Guests understand that if they violate the rules of Pell City High School and /or Pell City School System Policies they may be removed from the event. By signing below, the guests agrees to abide by the rules and regulations of Pell City High School and /or Pell City School System.
Type the first and last name of the guests to agree to this statement.
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Your answer
I certify that the above named student is my guest and that I am responsible for his/her behavior.
Type the first and last name of the PCHS student to agree to this statement.
*
Your answer
I acknowledge that my child is responsible for his/her guest while attending this event.
Type the first and last name of the PCHS student's parent or guardian to agree to this statement.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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