Evergreen Form | Weston ADAP

Student's First & Last Name

Does your student attend Weston High School?

Yes

Student's Grade

9th Grade

10th Grade

If your student does not attend [or is not enrolled in] Weston High School and is a Weston resident, they are invited to attend as a guest of a current WHS student. Below please indicate the name of the WHS student whom your student will attend with.

Parent/Guardian First & Last Name

Parent/Guardian's Street Address.

Parent/Guardian's Cell Phone

Parent/Guardian's Email

During the Evergreen Dance, will you be available in case of emergency?

Yes

If you will not be available, please list the name and cell phone number for your preferred contact.

I give my permission for my child to receive emergency medical treatment (if necessary) while attending the Evergreen Dance.

Yes

I understand that ADAP reserves the right to administer a breathalyzer test upon entry if, in the chaperone’s reasonable judgment, a student appears to be under the influence of alcohol.

Yes

I understand that ADAP is a non-profit community organization that makes the Evergreen Dance available to persons only on the condition that I agree to assume complete responsibility for any injury or damage on behalf of my child and family. In addition,

Yes

ADAP has my permission to use any photographs from the Evergreen Dance in which my child may appear for purposes of publicity.

Yes

Please read the policy and procedures below, and review with your student. Scroll to the end of this section and provide confirmation that you have read.

The Evergreen Dance is for Weston's Freshman and Sophomore

students only.

• Only students who have submitted complete registrations and payment in advance will be admitted. Tickets are non-transferable and non-refundable.

• Students will not be admitted after 7:45 p.m.

• Once admitted, students are not permitted to leave the building before 9:15 p.m. Drivers are to pick up their passengers at the end of the event at 9:15 p.m.

Students are expected to dress and behave appropriately.

• Weston High School policies prohibiting smoking/vaping, and the use of alcohol and substances, will be in effect during the dance. ADAP reserves the right to administer a breathalyzer test upon entry.

• As bags are not permitted, we suggest that attendees leave all bags at home. If they are brought to the event they will be held at the check-in table. Wallets and Wristlets are permitted.

If it is determined by a chaperone that a student appears to be under the influence (or in possession) of drugs or alcohol prior to or after admission to the Evergreen Dance, or is otherwise in violation of school policies, the following steps will be taken:

• The student’s parent/guardian will be informed.

• The official in charge will make arrangements with the parent/guardian to have the student transported home. If considered necessary, emergency services and the police will be called.

• The student will be subject to consequences as determined by the school district and police.

ADAP is committed to providing a safe environment for young people to enjoy themselves. We ask all parents/guardians to begin chaperoning in their own homes prior to and after the event.

I have read the above policies and procedures and reviewed them with my student. I understand the consequences if my student violates any of the policies. I, or a designated adult, will be readily available to come to St. Francis Church if requested on the evening of Dec 6th, 2025.

Yes

I would like to volunteer to help with the Evergreen Dance.

Chaperone

Clean up

Set Up

Tickets are $90