2022 Senior All Night Party

2023 Senior All Night Party

Student Permission & Waiver Form
Student Name: *

First Name Last Name
The Senior All Night Party admission includes food, games, entertainment, and bus transportation from RHS to Dave &
Buster’s and back to RHS. All students are required to ride the bus to and from Dave & Buster’s.
- Buses will begin loading at 10:15 pm.
- Student ID will be required for admission. No bags or purses will be allowed.
I hereby give my permission for my son/daughter (Named Above) to attend the Rochester High School Senior All Night Party on Wednesday, May 31, 2023.

I understand that games and activities will be available which may pose certain risks to the participants. I hereby assume such risks for the student identified hereon and waive and hold the Rochester Community Schools, the Senior All Night Party Committee and volunteers, Dave and Buster’s and its employees and operators providing the games and devices harmless from liability relating to the use of such games and devices.

I acknowledge that the RCS Student Code of Conduct will be enforced at the event.

Questions? For questions, email SANP committee chairs Michelle Vitale (586-360-6892, prnces1972@gmail.com) or Wendy Huntley (248-760-4819, wendyhuntley@icloud.com)
Parent Name *

First Name Last Name
Parent Signature *

Clear
Email *
example@example.com
Student Signature *

Clear
Emergency Contact (Night of Party) *

First Name Last Name
Emergency Contact Phone Number *
Please enter a valid phone number.
Interested in helping?

Check here if interested in volunteering with the Senior All Night Party committee. Check here if interested in donating a gift card or making a cash donation for the senior raffle. Any donation can be dropped off in the RHS Main Office.
Should be Empty:

2023 Senior All Night Party