MSCS Host Event Guest Pass Request Form

Mountain Sage Guest Pass Request Form

To be filled out by the Mountain Sage host.
Mountain Sage Host Information

All MSCS hosts and, if a student host their parent/guardian, need to complete this form for a non-MSCS student to be eligible to attend a Mountain Sage event. Forms must be submitted at least one week prior to the date of the event.
Guest Pass for:*

First NameLast Name
Event Attending at MSCS*

Fall DanceSpring DanceOther
Date of the Event*

MonthDayYear
Date
Time of the Event*

Hour Minutes

AM/PM Option
Name of Mountain Sage Host*

First NameLast Name
Is the host a student or MSCS staff member?*

StudentStaff Member
Grade and Teacher:*
Students attending a Mountain Sage event must abide by the following guidelines:
- Submit this completed form at least one week prior to the date of the event
- All guests must present proof of the confirmation email from the school; this will serve as the ticket for entry
- Student must enter and leave with their guest
- For dances: all guests must be under the age of 15
- For other school events: all guests must be under the age of 18 or an approved volunteer at MSCS
- All guests agree to comply with the rules and guidelines that are outlined in the Mountain Sage Community School parent handbook while they are attending an event
- All guests will be kind, safe, respectful, and responsible to themselves and others
- Guests agree to listen and comply with appropriate behavior as outlined by staff
- Guests agree to follow all school health related requirements, including any stated COVID-19 precautions if needed (proper use of masks, social distancing, etc)
Mountain Sage Host Signature*

Clear
Mountain Sage Student Parent/Guardian Name:*

First NameLast Name
Parent/Guardian Phone Number:*
Please enter a valid phone number.
Parent/Guardian Email:*
example@example.com
Parent/Guardian Signature:*

Clear
Should be Empty:

Mountain Sage Guest Pass Request Form

Mountain Sage Host Information