Registration for Project Graduation "The Big Event"
Please fill this form out completely and submit payment via the QR code at the bottom of the form.  If you need financial assistance to help pay for registration please contact your counselor and click the appropriate box below.
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Student Name
Student ID
Birthdate
MM
/
DD
/
YYYY
Cell Phone Number
Student Email
Emergency Contact Name (Parent or Guardian).  In the event of emergency, this person can be contacted during the hours of 8pm on Friday, May 20th and 1am on Saturday May 21st.
Emergency Contact Phone
Emergency Contact Email
Emergency Contact #2 Name
Emergency Contact #2 Phone
Emergency Contact #2 Email
Will you need medication administered during the event?   If you have prescription medication or emergency prescription medication that needs to be administered during the hours of 8pm to 1am, please print Prescription Drug Drop Off (https://docs.google.com/document/d/1kQMTEsbDZQAQxcp154MCrzA0fUO1xp8r/edit?usp=sharing&ouid=109545169086967558780&rtpof=true&sd=true) form and present to the first aid nurse when entering HCI.
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I have read and agree to adhere to the Participation Agreement. By typing your name below you consent to adhering to the Participation Agreement.  https://docs.google.com/document/d/1rzNjVVJO31SKaOgwPXH4Rthda3WJ9fsfa5DRs58jtEA/edit?usp=sharing
Project Graduation "The Big Event" registration fee is $10 per student when registering by May 10th.  It can be paid through the Square link below:
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