Attached are all the forms needed for you to attend

Attached are all the forms needed for you to attend the 2015 Performing Arts Department AllNight Party. Please read over ALL of the information carefully with your parents. Be sure to
have a thorough understanding of all the rules and regulations.
The party is on Friday, April 24 – Saturday, April 25, 2015. Check in is from 10:00pm –
10:30pm, and the party ends at 7:30am. All students must be out of the building by 8:00am.
Pizza will be served at 12:30am and breakfast will be served at 7:00 am. The party is for all
choir, band, drama and tech crew students.
 The cost for this year’s party is $20.00.
 ALL PERMISSION SLIPS AND MONEY ARE DUE NO LATER THAN
TUESDAY, APRIL 14TH TO MR. ABEND, MR. MOSES OR MRS WYGOCKI.
 Please make checks payable to “DAKOTA CHOIRS.”
 DO NOT put money and forms in the band safe!
WE NEED PARENT CHAPERONES! The more chaperones we have, the more activities we
can offer.
IMPORTANT REMINDER- You are responsible for your own items. The band & choir
councils, the chaperones, the band, the choir, and Dakota High School will not be held
responsible for any equipment or personal belongings, so please keep an eye on your
belongings!
Above all, we hope you are looking forward to this year’s party! It’s going to be a great time!
Sincerely,
The 2014-2015 Band/Choir Council
All- Nighter Rules and Policies
Must be signed & returned to Mr. Abend / Mr. Moses or Mrs. Wygocki by Tuesday, April 14th
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All school rules apply throughout the night.
All forms must be completed by parents and students.
Students MUST remain in the party areas at all times.
Non band/choir/drama or tech students are not allowed.
Wristbands must be worn all night or you will be asked to leave.
Questions can be directed to Mr. Abend or Mr. Moses
IF ANY RULES ARE BROKEN, YOU WILL BE ASKED TO LEAVE.
We understand and agree to follow the rules above.
Student Name (printed) ________________________________________
Student Signature __________________________________________ Date__________
Parents Signature ___________________________________________ Date__________
__________________________________________
Parent Chaperone Form
Please PRINT
Chaperone Name: _______________________________________________
Child’s Name: ___________________________________________________
Home Phone Number: _____________________________________________
Please specify which shift you would like to work:
9:30 p.m. to 2:45 a.m.
_________
2:30 a.m. to 7:45 a.m. _________
* We understand these are late hours, but we need parents to sign up in order to make this event
possible! If you have already signed up through the musical, there is no need to sign up again.
Dakota Performing Arts ALL-NIGHTER PERMISSION FORM
Purpose: This form communicates to the students’ parents the particular days of this school sponsored activity,
and affords the teacher/sponsor information necessary to act reasonably in the case of an accident, emergency,
or other situation, which might arise during this activity.
Name: Performing Arts All-Nighter
Teachers: Mr. Abend & Mr. Moses
Dates: April 24 – 25, 2015
Cost: $20.00
Location: Dakota High School
Time: 10:00 pm – 7:30 am
Telephone: 723-2862 (band) or 723-2860 (choir)
Name of Student:__________________________________________________
Home Address: __________________________________________________
Parent(s) Names: __________________________________________________
Home Phone:
__________________________________________________
*Emergency Name & Contact Number: ____________________________________
I hereby give my child permission to participate in the Dakota High School Performing Arts All-Nighter and do
hereby relieve the Chippewa Valley School District of all responsibility beyond that of normal supervision.
Student behavior in this activity is regulated by and subjected to the Student Code of Conduct.
Parent/Guardian Signature: _____________________________Date_____________
Students: I have read, understand, and agree to abide by the rules and policies of the Chippewa Valley School
District and Dakota High School.
Student Signature: ____________________________________ Date_____________
If your son or daughter ABSOLUTELY must leave early or arrive late, please state the…
Reason___________________________________________________________________
_________________________________________________________________________
_________________________
Time______________
Otherwise, every student is required to stay in the building at the
All-Nighter for the full time period once checked in from 10:00 pm – 7:30 am
Dakota Performing Arts
ALL- NIGHTER CONSENT FOR MEDICAL TREATMENT
Student Information
Last Name: _______________________ First Name: __________________________
Middle Name: ________________________ Birth date: _________________________
Grade: 9
10
11
12
City:__________________ Zip: _______________
Parent/ Guardian Information
Last Name: __________________________ First Name: _________________________
Relationship to Student: _____________________
Home Phone No: ___________________________
Cell Phone No:_____________________________
Last Name: __________________________ First Name: _________________________
Relationship to Student: _____________________
Home Phone No: ___________________________
Cell Phone No:_____________________________
Emergency Contact
Name: ___________________________ Relationship to Student: __________________
Home Phone #: __________________________ Cell Phone #: ____________________
Medical Information
Known Allergies: _________________________________________________________
Medical Conditions: ______________________________________________________
Medications: _____________________________________________________________
Medical Insurance Provider: ________________________________________________
Policy Number: __________________________________________________________
I _______________________ as a legal parent/guardian of ____________________, give consent for medical
treatment as needed for the emergent health and welfare of my child in my absence.
Parent Signature: _____________________________________ Date______________
Dakota Performing Arts
ALL-NIGHTER LAN/VIDEO GAME AREA POLICY
Anyone who brings his/her own personal equipment in to the LAN/Video Game Area is solely responsible for
HIS/HER OWN equipment. No one from the band & choir councils or any parent chaperone will be held
responsible for lost/damage/stolen equipment.
Students must bring all cables required to give power to their equipment. They must bring in their own games
for the equipment.
If a student brings equipment, it is open for public use.
Please fill out the bottom portion of this sheet.
Equipment Description
Game System: (please circle)
Playstation (PS2, PS3, PS4)
X- Box
Nintendo (Gamecube, 64, Super)
Game System Attachments:
Wii
Other:
DDR Dance Pad
Qty:
Remote
Qty:
Other:
Qty:
I,______________________ hereby give my permission for public use of my equipment. I understand that
whatever happens to my equipment is my responsibility.
I also will not exclude anyone from using my equipment.
Student Signature: ____________________________ Date: _____________________