Prospect Grad Night 2025 Ticket

Prospect High Grad Night 2025 Ticket

This form includes permission, waiver, and ticket purchase and must be completely filled out and signed by the student and parent/guardian.
The Prospect High School PTSA Grad Night is a safe and sober celebration for Prospect's Class of 2025 graduated seniors. It will be held on the evening of graduation, June 5th. There will be many fun activities, entertainment, and food! Transportation is included in your ticket cost and graduates are NOT allowed to drive separately. The Grad Night event is not sponsored, endorsed, or funded by Prospect High School or CUHSD. For more event information, please visit https://prospectptsa.org/grad-night/

For questions, please email gradnight@prospectptsa.org

Date: June 5 - June 6, 2025

Location: The Venue will be revealed Jan. 6, 2025 (within the Bay Area)

Check-in at PHS: Thursday, June 5, 10:30-11:00 PM

Return to PHS: Friday, June 6, 6:00 AM
Student Information Section
Student's Name*

First NameLast Name
Student's Birthdate*

MonthDayYear
Date
Student's Cell Phone number*
Please enter a valid phone number.
Student's PERSONAL email (not school email)*
Student's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact ADULT *
Emergency Adult Cell Phone Number*
Please enter a valid phone number.
Parent Information Section
Parent/Guardian 1 Name*

First NameLast Name
Relationship to Student*
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Cell Phone Number*
Please enter a valid phone number.
Parent/Guardian 2 Name

First NameLast Name
Relationship to Student
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 CELL Phone Number
Please enter a valid phone number.
I am interested in volunteering for this event. Please contact me with more information on how I can help.

Parent/Guardian 1Parent/Guardian 2
PTA Parent’s Approval, Participant Waiver, Release, and Indemnity Agreement
The undersigned parent(s) or guardian(s) assume all risks in connection with the participation of {studentsName} in any and all of the Prospect High School Parent Teacher Student Association (PTSA) (herein referred to as "PTA") sponsored activities.

I, as parent(s) or guardian(s) of {studentsName}, do hereby, for my child, myself, my heirs, executors and administrators, release and forever discharge and hold harmless the California State PTA, the local PTA and all officers, directors, employees, agents and volunteers of the organizations, acting officially or otherwise, from any and all claims, demands, actions or causes of action which in any way arise from the participation of {studentsName} in any PTA sponsored activities.

I attest and verify that {studentsName} is physically fit and able to participate in any PTA sponsored activities. Further I acknowledge that it is my responsibility to understand any inherent risks associated with PTA sponsored activities and communicate those risks to {studentsName}.

I, do hereby certify that to the best of my knowledge and belief the student named above is in good health. In the event that I, or other parent/guardian, cannot be reached in an emergency, I hereby give permission to secure proper treatment for my child. I do hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary in the best judgment of the attending physician, surgeon or dentist and performed by or under the supervision of the medical staff of the hospital or facility furnishing medical or dental services. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs.

I hereby advise that {studentsName} has the following allergies, medicine reactions or unusual physical conditions, which should be made known to a treating physician:
List allergy/medical condition or put "None"*
Additional Medical information you need the organizers and venue to know
Parent/Guardian Signature *

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By signing (my "E-Signature") below, I confirm that I have carefully read and fully understand its contents. I am aware that this is a release of liability and signed it of my own free will. I agree that my E-Signature on this document is as valid as if I signed the document in writing.
Student's Signature *

Powered by Jotform SignClear
By signing (my "E-Signature") below, I confirm that I have carefully read and fully understand its contents. I am aware that this is a release of liability and signed it of my own free will. I agree that my E-Signature on this document is as valid as if I signed the document in writing.
Parent/Guardian Phone*
Please enter a valid phone number.
Date*

MonthDayYear
Parent/Guardian Address (if different than student address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Medication Information
If your student needs to bring prescription medication to Grad Night (including Epi-Pens, inhaler, diabetic supplies, etc), it must be in original packaging with prescription label and a parent (even if the graduate is 18) must fill out the following fields. If none needed, you may skip this section.
Student's Name
Medication Name
Dosage
Who will hold onto the student's medication?

StudentChaperone
Parent/Guardian Signature

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By signing (my “E-Signature”) above, I authorize my student to bring the medication listed above to Grad Night. I will not hold the Grad Night committee responsible for any loss or misuse of this medication. I agree that my E-Signature on this document is as valid as if I signed the document in writing.
Rules / Expectations / Policies
- Absolutely no alcohol, drugs, or weapons of any kind are permitted.
- Any student in possession of or under the influence of alcohol or drugs will be detained, the student’s parent(s) will be contacted, and the cost of your ticket will be forfeited.
- The venue is smoke-free and will not tolerate smoking anywhere in or around the venue grounds at Grad Night. This includes e-cigarettes and vaping.
- No fireworks or sparklers permitted.
- If there are any fights or unruly behavior, you are solely responsible for any broken, stolen or missing items.
- If actions at any time during Grad Night become unacceptable and/or a hindrance to others, Grad Night chaperones and/or venue management have the right to detain the student and call the student’s parents/guardian to remove them from the venue.
- Only buses will be permitted to the venue. Absolutely no student-driven vehicles will be permitted.
- Only Prospect graduated seniors who have purchased a ticket and chaperones are permitted at Grad Night. No other schools will be present and no guests are allowed.
- There are no in-and-out privileges at the venue.
- Current PHS photo ID is required for checking in at PHS.
- Do not bring money, yearbooks, or other valuables. Cell phones are welcome.
- No backpacks, duffle bags, purses, or fanny packs will be permitted.
- We will provide personal storage containers for student's keys, phone, ID, and sweatshirt/jackets that will be accessible throughout the event.
- All students’ belongings will be checked in at PHS upon arrival and will be returned at the conclusion of the celebration.
- If a student has purchased a ticket and does not check in by 11:00pm, an attempt will be made to notify the parent.
- Cars may be parked and left in the PHS parking lot overnight, however, it is recommended that students be dropped off and picked up as there will be no security in the parking lot.
- Ticket sales are final. Once a ticket is purchased, no refunds or transfers of tickets will be issued, no exceptions.
Student Signature *

Powered by Jotform SignClear
By signing (my "E-Signature") above, I confirm that I have carefully read and fully understand its contents. I agree that my E-Signature on this document is as valid as if I signed the document in writing.
Parent/Guardian Signature*

Powered by Jotform SignClear
By signing (my "E-Signature") above, I confirm that I have carefully read and fully understand its contents. I agree that my E-Signature on this document is as valid as if I signed the document in writing.
Purchase Your Ticket

ALL ITEMS ARE NON-REFUNDABLE. Upon check in at PHS, no physical ticket will be needed, as we will have a list of those who have purchased tickets.
If the cost of this ticket poses a financial hardship, please email gradnight@prospectptsa.org

My Products*

Grad Night Ticket$140 Ticket good now through Dec. 31, 2024

$140.00 Quantity
Item subtotal:$0.00

Donate to Grad Night Your donation will be used to fund Grad Night event tickets for seniors who otherwise wouldn't be able to attend and will provide a safe and memorable experience for the Class of 2024. (Each quantity is equal to $25)

$25.00 Quantity

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

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

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Prospect High Grad Night 2025 Ticket

Date: June 5 - June 6, 2025

Location: The Venue will be revealed Jan. 6, 2025 (within the Bay Area)

Check-in at PHS: Thursday, June 5, 10:30-11:00 PM

Return to PHS: Friday, June 6, 6:00 AM

Student Information Section

Parent Information Section

PTA Parent’s Approval, Participant Waiver, Release, and Indemnity Agreement

Medication Information

Rules / Expectations / Policies

Purchase Your Ticket