Brockton Post Prom Party
Acknowledgement Form
This form is to be completed by the individual attending the Brockton Post Prom Party and his/her parent/guardian. Prom dates must also fully complete this form. Admission wristbands will
be distributed at check-in at the event. Positive ID will be required.

THIS FORM MUST BE COMPLETED AND RETURNED BY MAY 16, 2011

Participant Acknowledgement

I understand that all rules that apply to the Brockton High School Senior Prom apply to the Brockton Post Prom Party. I understand that if I am under the age of 18, I may not operate a motor vehicle during the hours of 12:00 a.m. (midnight) and 5:00 a.m. unless accompanied by a parent or legal guardian. I understand that the doors open at 11:30 P.M., that there will be no admission after 12:30 AM or when capacity has been reached. I understand that I will not be allowed re-admission if I exit The Fruth Center at any time. No alcohol or illegal substances will be allowed on the premises.

Parent/Guardian Acknowledgement
 

I give permission for _________________________________________ to attend the Brockton Post Prom Party which will take place after the Brockton High School Senior Prom on Thursday, May 26, 2011 at The Fruth Center, located at 891 Montello Street, Brockton, MA. I agree to assume full risk and to waive, relinquish, and release all claims I and/or the participants may have, and indemnify, hold harmless and defend Brockton Post Prom Party, Inc., The Fruth Center, the Triple P Committee, volunteers and/or sponsors of the event. This includes its officers, agents, servants and employees from any such claims resulting from injury, damages or loss sustained on account of participation in the event. I understand that I am responsible for all personal medical insurance and that the participant’s parent/guardian must cover any medical cost incurred. I also understand that every precaution will be taken to protect the safety of the participant. I agree to emergency treatment by a physician or hospital for my son/daughter in the event that I cannot be reached.