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consent form (pdf)

THE 2007 LAUREL BALL COMMITTEE
66 CHARLES STREET BOX 456 BOSTON MA 02114
the 4rd Annual Laurel Ball~ exclusively for High School Students
Please review
these guidelines with your child and both sign below
1. The Laurel Ball Overseers and Committee will deny entry to anyone
arriving under the influence or suspected of
being under the influence of alcohol or drugs.
2. Anyone seen to be possessing alcohol or drugs will not be permitted
entry.
3. For those parents sending children in an unchaperoned limousine to
The Laurel Ball, Please make sure
that the driver waits until your child has been admitted and that your
child has the limousine company’s
telephone number and a number where a parent can be reached that
evening. Also check that
the limousine does not have a stocked liquor bar.
4. Attendees leaving the dance for any reason will be required to sign
out and will not be permitted to return.
5. Anyone distributing “after party” invitations will be asked to leave
and removed from the invitation list.
6. The Laurel Ball event will end promptly at 11 p.m. and the
committee cannot assume responsibility
for transportation. Please make prearranged plans with your child.
The proceeds from The Laurel Ball 2007 will benefit Epiphany School and
The Conservatory Lab Charter School.
We appreciate your support and are looking forward to a wonderful
evening for all.
The 2007 Laurel Ball Overseers & Committee
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Please return this portion in the reply envelope with your check.. We
cannot issue event passes without signed consent forms.
If you have more than two attendees on reply card, please copy
consent form as needed. Thank you
I have read the above, agree to the guidelines, and accept
responsibility for my son’s/daughter’s
behavior. I and my son/daughter understand that The Laurel Ball
Committee are not responsible in
the event of any accident or injury that occurs at The Laurel Ball
2007.
Parent’s Signature____________________________________________________
I have read the above, agree to the guidelines and accept
responsibility for my behavior.
Child’s Signature
________________________________________________________________________
Child’s Signature
________________________________________________________________________
Please Provide Emergency Telephone
for December 19th, 2007
__________________________________________________________________