2018 MVHS After Prom Permission/Release Waiver
ALL PARTICIPANTS MUST COMPLETE THIS PERMISSION/WAIVER, INCLUDING GUESTS
(Guests include MVHS Freshmen, Sophomores or students from other schools)

AFTER-PROM 2018 will be held at Mountain Vista High School, 10585 Mountain Vista Ridge Highlands Ranch, CO. (immediately following Prom) on Friday, April 20-21, 2018, from 11:00pm to 2:30am.
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¬ CHECK-IN LOCATION IS FRONT ENTRANCE OF THE SCHOOL ONLY
¬ ALL STUDENTS MUST HAVE A PICTURE ID FOR ENTRANCE
¬ ABSOLUTELY NO ADMITTANCE AFTER 1:00 A.M.
¬ ALL STUDENTS MUST CHANGE CLOTHES PRIOR TO ARRIVING AT AFTER-PROM. NO CHANGING FACILITIES AT PROM OR AT AFTER-PROM.

*If a student leaves the facility, he/she will not be permitted to return (NO RE-ENTRY).
*Students will not be allowed to leave before 1:00am unless they meet the following criteria:
1. Anyone 18 years of age or older may sign themselves out after 1:00 a.m. when checkout begins.
2. Anyone under 18 years old must have the “Consent to Release Student” portion of this form signed by a parent or legal guardian.
*There is no place to secure personal belongings. No personal items are allowed other than wallets, small purses and
cell phones.

Email address *
MVHS Jr./Sr. Name: *
Your answer
Student Age *
Student Phone #: *
Your answer
Guest Name:
Your answer
Guest Age
Guest School
Your answer
My student has the following allergies or conditions (please list all allergies/conditions or write N/A): *
Your answer
I grant permission for my student to participate in the Mountain Vista High School After-Prom Party for MVHS juniors and seniors and their guests, April 20–21, 2018 (immediately following Prom) from 11:00pm to 2:30am. This event will be held at Mountain Vista High School 10585 Mountain Vista Ridge Highlands Ranch, CO 80126. This event will include, but is not limited to, the following activities: inflatables, casino games, race car simulators and food. I understand that my student’s participation in the Party is entirely voluntary and that my student’s participation potentially involves risks and obligations that are impossible to predict but which are beyond the scope of those normally associated with traditional school functions. These risks include, but are not limited to, the risk of loss or damage to personal property, the risk of sickness, personal injury or death while participating in the Party. In the event of injury, I hereby consent to an x-ray, examination, medical procedures, anesthetic, medical, dental or surgical treatment and hospital care to be rendered to my student under supervision of professional health care providers. *
Required
I give permission for District personnel to search all personal items that my student brings in with them to After-Prom. I understand that MVHS and Douglas County School District are not responsible for lost or stolen items. I exempt and release the District, its employees, authorized volunteers and the After-Prom Committee from any and all liability, claims, demands, actions or causes of action whatsoever, arising from the student’s participation in any aspects of the Party, unless caused by actions for which the District would be liable under Colorado Law. *
Required
Signature of Parent or Legal Guardian *
Your answer
Signature of consent for student to leave anytime before 2:30am. *
Your answer
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Phone # where Parent or Guardian can be reached. *
Your answer
A copy of your responses will be emailed to the address you provided.
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