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WHS Senior Party Registration Form
Student Information
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* Indicates required question
Email
*
Your email
Student Name
Your answer
Student Cell #
Your answer
Student E-mail:
Your answer
Parent/Guardian Name 1 and Cell #
Your answer
Parent Guardian Name 2 and Cell #
Your answer
Parent/ Guardian 1 E-mail
Your answer
Parent/Guardian 2 E-mail
Your answer
Does your Student have a pre-existing Medical Condition/dietary Restriction that may need attention during this event? Please describe
Your answer
I grant permission to administer over the counter medication (Advil, Tylenol) to my student, as deemed necessary.
Yes
No
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Cost- Please pay via Paypal or Credit card after submission. if paying by check please submit the registration form and drop off check at the school.
*
$80
Required
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