2023 NHS SANP Registration

Student Information
Student Name*

First NameLast Name
T-Shirt Size
Student Dietary Restrictions (Please select all that apply)*

No Dietary RestrictionsVegetarian OnlyVegan OnlyGluten FreePeanut Allergies
Parent/Guardian Information
Parent/Guardian 1*

First NameLast Name
Parent/Guardian 1 - Phone*
Please enter a valid phone number.
Parent/Guardian 1 - Email*
example@example.com
Parent/Guardian 2

First NameLast Name
Parent/Guardian 2 - Phone
Please enter a valid phone number.
Parent/Guardian 2 - Email
example@example.com
During the Event
Select Emergency Contact
Emergency Contact (defaults to Parent/Guardian 1)*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Prescription Form
Waiver
SANP Ticket Purchase*
prevnext( X )
Senior All Night Party TicketTicket price includes a themed 2023 NHS Senior t-shirt, food, entertainment, games, activities, and the opportunity to win great prizes. Most importantly, a safe, fun, and memorable night for our Seniors! Price also includes funds for Senior Reveal, Senior Breakfast, and our new tradition of a Senior Parade!
$120.00

Total

$0.00
After completing this form, please click Submit. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact sanpfinance@gmail.com.

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Student Information