Parental Consent Form for Early Departure from Prom

Parent/Guardian Full Name

Relationship the Student

Address

Phone

Student’s Full Name

Grade

Event Details

Event Name: The Social Season Soirée

Event Date: May 10, 2025

Event Host: The Homeschool Social Collective

Event Location: The Nexxt Space

575 W Pike Ste. 21

Lawrenceville, GA

Prom Start Time: 7:00 PM

Scheduled End Time: 11:00 PM

Reason for Early Departure

Departure Time

Time

HoursMinutes

Transportation Arrangements

Name of the Driver (if not the student)

Relationship to Student

Contact Number for the Driver

(If the student will be driving themselves, please indicate “Student Driving Self” and list vehicle details.)

Checkout Policy

Sign-Out Requirement:
- All students leaving early must sign out with an event chaperone, security personnel, or designated staff member before exiting the venue.
Identification:
- If someone other than the student is driving, that individual may be required to present valid identification at checkout.
No Re-Entry:
- Students who depart early will typically not be allowed to return to the prom, unless explicitly permitted by event policy.
Parental Confirmation:
- Parents/guardians are encouraged to confirm with the event coordinator or staff that their child has departed safely.

Please place your initials here to indicate that you have read and understood the above policies.

Parent/Guardian Acknowledgment

I, the undersigned parent/guardian, grant permission for my child to depart the prom event at the stated early departure time. I understand the following:

1. Liability & Responsibility:

- Once my child leaves the venue, the school/event organizer is no longer responsible for my child’s safety or conduct.

2. Check-Out Procedure:

- My child must follow any established check-out procedure, such as signing out with an event chaperone, security, or designated staff member, before leaving.

3. No Re-Entry:

- If my child departs early, they may not be allowed to return to the prom, unless explicitly permitted by event policy.

4. Contact:

- I will ensure my child or the designated driver contacts me upon safe arrival at their next destination, if applicable.

Please place your initials here to indicate that you have read and understood the above policies.

Electronic Signature Disclosure

By signing this document electronically, you acknowledge and agree that your electronic signature is legally binding and has the same validity and enforceability as a handwritten signature.

I have read, understood, and agree to the conditions regarding my child’s early departure from the prom event.

Signature

Signature field is empty.

**Please submit this completed form to the designated event coordinator or school official by the required deadline. Failure to do so may result in the denial of the early departure request. Thank you for your cooperation.

For Host/Organizer Use Only

Received By (Staff Name)

Date + Time Received

Check-Out Procedure Acknowledged (Initial)

Get in Touch

info@thehomeschoolsocialcollective.com

470.256.4719