2023 PLHS Senior Celebration

2023 PLHS Senior Celebration

ONLINE REGISTRATION IS OPEN
Tuesday, June 6, 2023

9:00 PM to 1:00 AM @ VALLEYFAIR
Fee = $75.00 (through March 31st, 2023)

*Fees increase after March 31st:*

$90 - April 1 through May 1

$110 - May 2 through May 22

$125 - After May 22

(NO UNREGISTERED WALKUPS ALLOWED ON DAY OF EVENT)
Student Name*

First Name Last Name
Student E-mail: Please do NOT use your school email address*
example@example.com
Student Phone*

Area Code Phone Number
Parent Name*

First Name Last Name
Parent E-mail*
example@example.com
Parent Phone*

Area Code Phone Number
I, the undersigned parent/legal guardian, authorize my child’s participation in the 2023 Senior Celebration. It is my understanding that participation in the activities at the 2023 Senior Celebration is not without some risk or injury. As such, in consideration of my child’s participation in the 2023 Senior Celebration, I hereby release, waive, discharge and covenant not to sue the sponsoring organizations and ISD #719 from any and all liability, claims, demands, action, and causes of action whatsoever arising out of or related to any loss, damage, or injury including death that may be sustained by my child, whether caused by negligence’s of the releases, or otherwise while participating in such activity, or while in, or upon the premises where the activity is being conducted.
Signature*

Registration*

Registration Fee$75.00

Convenience Fee for credit card transaction$5.00

Sponsored Student Donation (Scholarship)$75.00

If you want to provide a sponsorship for a specific student(s), please list their name(s) in the space below your credit card information.

Item subtotal:$0.00

$5-$20 Event Donation Options$5.00

Any contribution is appreciated!

Quantity
Item subtotal:$0.00

$25+ Event Donation Options$25.00

Any contribution is appreciated!

Quantity
Item subtotal:$0.00

Total $0.00

Tuesday, June 6, 2023