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CBE Admin Approved Not Approved CENTRAL BUCKS HIGH SCHOOL-EAST GUEST PERMISSION REQUEST THIS FORM MUST BE RETURNED TO Mr. Shillingford BEFORE YOU PURCHASE TICKETS. OTHERWISE THE GUEST WILL NOT BE PERMITTED TO ATTEND THE EVENT CB EAST STUDENT INFORMATION Name of CB East student Name of event Senior Prom May 2nd 2014 I understand that I am responsible for any guest that I bring to a school activity. CBE Admin Approved Not Approved CENTRAL BUCKS HIGH SCHOOL-EAST GUEST PERMISSION REQUEST THIS FORM MUST BE RETURNED TO Mr. Shillingford BEFORE YOU PURCHASE TICKETS* OTHERWISE THE GUEST WILL NOT BE PERMITTED TO ATTEND THE EVENT CB EAST STUDENT INFORMATION Name of CB East student Name of event Senior Prom May 2nd 2014 I understand that I am responsible for any guest that I bring to a school activity. I am aware that my guest must follow all rules and policies of the Central Bucks School District while attending this function* Signature of CB East Student Date GUEST INFORMATION Guest must be in at least 9th grade and under 21 years of age. Name of guest Age Home address of guest Home phone number of guest GUEST SCHOOL INFORMATION Attending school Phone number of school Guest School Administrator Please indicate the status of the above student. This student is in good standing at our school* no longer attending our school* Name of Administrator print Signature Phone activity. I am aware that I must follow all rules and policies of the Central Bucks School District while attending this function* I am aware that I will need photo identification to attend this event. Shillingford BEFORE YOU PURCHASE TICKETS* OTHERWISE THE GUEST WILL NOT BE PERMITTED TO ATTEND THE EVENT CB EAST STUDENT INFORMATION Name of CB East student Name of event Senior Prom May 2nd 2014 I understand that I am responsible for any guest that I bring to a school activity. I am aware that my guest must follow all rules and policies of the Central Bucks School District while attending this function* Signature of CB East Student Date GUEST INFORMATION Guest must be in at least 9th grade and under 21 years of age. I am aware that my guest must follow all rules and policies of the Central Bucks School District while attending this function* Signature of CB East Student Date GUEST INFORMATION Guest must be in at least 9th grade and under 21 years of age. Name of guest Age Home address of guest Home phone number of guest GUEST SCHOOL INFORMATION Attending school Phone number of school Guest School Administrator Please indicate the status of the above student. Name of guest Age Home address of guest Home phone number of guest GUEST SCHOOL INFORMATION Attending school Phone number of school Guest School Administrator Please indicate the status of the above student. This student is in good standing at our school* no longer attending our school* Name of Administrator print Signature Phone activity. This student is in good standing at our school* no longer attending our school* Name of Administrator print Signature Phone activity. I am aware that I must follow all rules and policies of the Central Bucks School District while attending this function* I am aware that I will need photo identification to attend this event.

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