2026 Homecoming Dance - Ticket and Permission Slip

Student Name

First NameLast Name

Student Email

example@example.com

Student: My atttendance at the 2026 Homecoming Dance means that I agree to comply with all school rules (handbook pages 73-84) that include the following:

No drinking, smoking, vaping, or use of drugs before, during, or after the dance.
No inappropriate behavior on the dance floor, in the building, or on the school grounds.
Students must arrive by 6:30PM or will not be admitted to the dance.
Refunds will not be issued if admission is denied for any reason.
Students are responsible for the behavior of their dates (high school age or 20 years old or under) and both will be escorted out of the dance without a refund if any infractions of the school rules occur.
Students leaving the dance will not be readmitted.
Proper attire is required. Dress code standards were emailed out and must be met. All dresses must be preapproved by Mrs. Alford (galford@acseht.org) by 3PM on Monday, October 12. Students arriving in dresses (even if preapproved) that do not meet stated dress code standards upon arrival will be denied admission or made to change. Administration reserves the right to refuse admittance to inappropriately dressed students or their dates.
Administration reserves the right to search all bags at any time during the event.

Non-ACS Student Date Information

Date's First and Last Name

First NameLast Name

Date's Email Address

example@example.com

STUDENT SIGNATURE: I have read and understand the above stated rules. I understand that I am responsible for my actions and those of my date at all times, and Atlantic Christian School will dictate the consequences for any infractions. In addition, I may be restricted from future ACS activities, including end of year celebrations such as graduation.

PARENT SIGNATURE: I, the parent of the ACS student named on this form have read all information above and hereby give my consent to his/her participation at the 2026 Atlantic Christian School Homecoming Dance on October 17, 2026, from 6:00-9:00PM. I understand that I hold Atlantic Christian School, their officers, agents, and employees, harmless from any and all liability or claims which may arise out of or in connection with my child's participation in this activity.

Parent Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

If purchasing two tickets, the second ticket is for:

Date's First NameDate's Last Name

Ticket/s

Homecoming 2026 Ticket

$20.00 Quantity

Total

Credit Card

TICKET AND PERMISSION SLIP FORM

Ticket/s*

Credit Card

Ticket/s