Freehold High School Prom 2017

If you are a SENIOR at Freehold High School and are attending prom, you MUST fill out this survey.

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* 1. FREEHOLD BORO SENIOR CONTACT INFORMATION

LAST Name **LAST**

First Name **FIRST**

Student ID #

Homeroom Teacher

Email

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* 2. EMERGENCY CONTACT INFORMATION (This should be a parent/guardian- It should NOT be your phone number)

NAME

PHONE NUMBER

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* 3. DO YOU HAVE ANY ALLERGIES?

Yes

If you answered yes, please specify:

**If you are bringing a guest that is not a SENIOR at FREEHOLD HIGH SCHOOL, you must answer questions 4, 5, 6, 7 & 8.

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* 4. PLEASE SELECT THE OPTION THAT BEST DESCRIBES YOUR GUEST

Underclassmen (freshman, sophomore, junior AT FREEHOLD HIGH SCHOOL)

Out of School (anyone who does NOT CURRENTLY go to FREEHOLD HIGH SCHOOL)

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* 5. GUEST CONTACT INFORMATION

Last Name

First Name

Age

Phone Number

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* 6. If your guest is an UNDERCLASSMAN, please provide his/her STUDENT ID:

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* 7. GUEST EMERGENCY CONTACT INFORMATION

NAME

RELATIONSHIP TO GUEST (parent ,aunt, etc)

PHONE NUMBER

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* 8. DOES YOUR GUEST HAVE ANY ALLERGIES?

Yes

If you answered yes, please specify:

Freehold High School Prom 2017

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* 1. FREEHOLD BORO SENIOR CONTACT INFORMATION

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* 2. EMERGENCY CONTACT INFORMATION (This should be a parent/guardian- It should NOT be your phone number)

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* 3. DO YOU HAVE ANY ALLERGIES?

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* 4. PLEASE SELECT THE OPTION THAT BEST DESCRIBES YOUR GUEST

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* 5. GUEST CONTACT INFORMATION

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* 6. If your guest is an UNDERCLASSMAN, please provide his/her STUDENT ID:

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* 7. GUEST EMERGENCY CONTACT INFORMATION

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* 8. DOES YOUR GUEST HAVE ANY ALLERGIES?

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* 9. PROM SONG

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* 10. PROM KING (must be a SENIOR at Freehold Boro)

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* 11. PROM QUEEN (must be a SENIOR at Freehold Boro)