Student Name*My son/daughter has my permission to attend the 6th-8th grade Field Day Dance at RGS Gym on Friday, June 3, 2022 from 7:00-9:00 PM and will purchase their ticket in advance. Student First Name Student Last Name Pickup by Parent/Guardian*I will take my child home from the dance and will pick up him/her at 9:00 p.m. at RGS gym.† If another adult will pick up your child, select No, and enter the first and last name of the authorized adult in the next box. Yes No Pickup by Authorized Adult*My child has permission to be picked up from the dance at 9:00 p.m. by another adult. Enter the first and last name of the authorized adult in the box.† Acceptance of Rules*Students are expected to abide by the Riverdale Grade School standards, including dress code and behavior. No cell phones, please! Attire for the dance is casual. Attendance is limited to RGS students only. Students are not allowed to leave the dance early unless a parent or authorized adult picks him/her up. After a student leaves the dance, he/she may not re-enter. Yes, my child understands the expectations and will follow the rules Parent/Guardian Signature*Please enter your first and last name as your signature and submit the form by Tuesday, May 31. Enter your email address to receive a copy of your submission (Optional) †Please note, 7th grade Leadership students will be finished with clean up by 9:10 pm.