2025 NHS SANP Registration

Student Information
Student Name*

First NameLast Name
Student Name Short Text
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 2025 NHS SANP 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 Senior Parade!
$120.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00
Please use Visa or Mastercard for Payment. Discover Card or American Express may only work if you process payment through PayPal.

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