GRAD NIGHT 2014 REGISTRATION FORM

SSFHS GRAD NIGHT May 30, 2014

REGISTRATION FORM

This registration form, along with other mandatory forms listed below, is required for every graduate who participates in Grad Night 2014. Reservations are contingent upon being eligible for graduation and participation in graduation events. The form also includes the optional contribution selection.   

IMPORTANT DATES AND FEES

Registration - Now through January 7,2014:    $250.00

Please mail or deliver to the school office all forms and registration payment (including any optional donation)  to:

South San Francisco High School, ATTN: SSFHS Grad Night 2014

400 B Street, South San Francisco, CA 94080

MANDATORY FORMS:  Registration Form, Hold Harmless Agreement/Permission Slip, and Medical Emergency Information Form.

PAYMENT:  Please make checks payable to SSFHS Grad Night 2014.  There are no refunds.

Please complete the information below, detach and send with all other Grad Night 2014 forms.

 

Name of Graduating Senior (please print) ­______________________________________

Telephone Number (Home) ______________________ Amount Enclosed $___________   
Email address:_________________________________
Cell phone Number______________________________

Name of person who will be picking up graduating senior:______________________

CONTRIBUTION (OPTIONAL)

I would also like to make a donation (please email us for the Tax ID#: your cancelled check and a copy of this form are your receipt) to offset event costs.  I've added the amount checked below to my fee payment:

$25 _____    $50 _____    $100 _____    Other _________