2026 Grad Nite Form

SOUTH HILLS HIGH SCHOOL

CLASS OF 2026
Date: Friday, May 29, 2026

CASH PRICE: $295

CREDIT/DEBIT/PAYPAL PRICE: $305 ($10 convenience fee applies)

The Disneyland® Resort is excited to welcome the

SOUTH HILLS HIGH SCHOOL Class of 2026!

COMPLETE THIS FORM ONLY ONCE. DO NOT COMPLETE ANOTHER FORM TO CHANGE YOUR BUS. THE ORIGINAL FORM WILL DETERMINE WHICH BUS YOU WILL BE ON. NO BUS CHANGES WILL BE ALLOWED.

Grad Nite ticket includes transportation and a full day’s access to Disneyland Park and Disney California Adventure Park during normal operation hours. A private Disney California Adventure Park experience with dance parties from 9:00PM to 2:00AM.

Please arrive at District Field in the parking lot on the home side at 10:30 am. Buses will be leaving the District Field promptly at 11:00 AM. Buses will return to the District Field on Saturday, May 30th between 3:15AM-3:45AM.

To ensure the safety and security of all students and chaperones, you will not be allowed to arrange your own transportation or drive yourself to the event; all students must ride the bus to and from Disneyland® Resort. There are no in and out privileges at the park and all students will be required to stay for the entire event.

Parents: included are the (2) permission slips and PTSA Waiver to be completed online prior to purchasing a ticket. The last day to purchase tickets will be March 13, 2026. NO TICKETS WILL BE SOLD AFTER THIS DATE. THERE WILL BE NO RETURNS OR TRANSFERS BETWEEN STUDENTS.

Each student attending Grad Nite is responsible for his/her own ticket and wristband throughout the duration of the visit. Tickets and wristbands are non-transferable and will not be replaced if expired, lost, damaged or stolen.

If your student has any prescribed medications please note that ALL prescription and over the counter medication for students must be in the original pharmacy container or original labeled container and carried in by a chaperone from the school through the Resort security screening area.

If you have any questions, feel free to contact:

South Hills PTSA @ southhillsptsa@gmail.com

With your cooperation, I know this event will be a memorable one for our Graduating Seniors.

Rebecca Fogg-Martinez

SHHS PTSA President

Type a question

I hereby agree to the electronic submission of this form.
SOUTH HILLS HIGH SCHOOL PTSA GRAD NITE CONTRACT 2026
Student Name*

First NameLast Name
Student ID Number*
Code of Expectations

PTSA Grad Nite will be held on Friday, May 29, 11:30AM - Saturday, May 30, 2026 2:00AM at the Disneyland Resort, 1313 S. Disneyland Dr. Anaheim, CA 92802. All school and system policies apply at this event. Attending the PTSA Grad Nite is a privilege, not a right. Anyone not adhering to the expectations and policies of South Hills High School will be asked to leave the PTSA Grad Nite and will not receive a refund. Ticket prices are $295.00 cash. Credit card/ Paypal payments require a $10.00 convenience fee.

Ticket includes: Transportation, Park Hopper experience to both parks plus admission to the exclusive Disneyland Grad Nite Private Party Experience at Disney California Adventure Park. Grads can access both Disneyland Park and Disney California Adventure Park on the same day, then wrap up the night at the exclusive private party experience with other Grads from 9:00PM to 2:00AM.

All school rules outlined in the South Hills High School Student Handbook 2025-2026 apply to South Hills High School students. Students must be in good standing with the SHHS Administration to attend this activity. Expectations and consequences are the same at Grad Nite event as they are during the normal school day. All students must provide a current school issued ID or Driver's license.

***Prior to entry students will be subject to be searched by Disneyland Resort ***

This document serves to highlight some specific expectations and guidelines which will seek to make PTSA Grad Nite a safe, worthwhile and enjoyable event that highlights the best that ALL South Hills High School has to offer. Please read it carefully.

PTSA Grad Nite Attendance Expectations

Who May Attend:

Tickets will be sold on a first-come, first-serve basis to South Hills High School Seniors. We encourage students to purchase tickets at their earliest convenience as tickets are limited.

Disneyland Resort Dress Code: Appropriate clothing (shoes and shirts) is required at all times.

Guests wearing shirts with profanity, suggestive pictures and/or pictures of illegal substances are extremely prohibited. Costumes and Masks are not allowed.

All participants must abide by these regulations:

Provide a photo I.D. upon checking into the event.
Be subject to search by Disneyland Staff.
Follow school rules.
Respect and follow all directions given by chaperones and security personnel.
Comply with the dress standards identified on the SHHS student’s Code of Expectation Form.
Students under the influence are subject to not being admitted to the park and will not receive a ticket refund.
The PTSA is not responsible for lost or stolen items.
If you exit the park, you are responsible for following all re-entry rules if you wish to come back into the park. Chaperones will not have the authority to bring you back in.
There is zero tolerance for line jumping or saving places, profanity, vandalism and fighting. These are reasons for removal from the park and no refund will be given by the PTSA.
The following items are prohibited (All students will be searched prior to entering the Disneyland® Resort)

Alcoholic beverages or any illegal narcotic/substances.
Marijuana (or any of its derivatives, including Marijuana enriched products) even if it has been legally prescribed to student or chaperone.
Self-defense or restraining devices (e.g. pepper spray, mace).
Glass containers of any size including perfume/cologne bottles.
All outside food or liquids including factory sealed water bottles.
Fire arms, ammunition or weapons of any kind, or objects or toys that appear to be firearms.
Fireworks or other similarly explosive and/or flammable objects.
Weapons of any kind, or objects that appear to be weapons.
Laser pointers or other items deemed potentially harmful or disruptive.
Smoking, vaping and electronic cigarettes/ pens.
Selfie sticks and hand-held extension poles for cameras and other devices (including Bluetooth speakers).
Suitcases, bags, coolers or backpacks, with or without wheels, that are larger than 24” long X 15” wide X 18” wide.
All types of markers and highlighters.
Students who are not admitted or are removed from the Disneyland Resort for dress code or behavior violations are not eligible for a refund. Parents/guardians will need to pick students up.

Departure : Please arrive at the District Field no later than 10:30AM for check in.

The buses will be leaving the District Field promptly at 11:00AM.

Transportation: To ensure the safety and security of all students and chaperones, you will not be allowed to arrange your own transportation or drive yourself to the event; all students must ride the bus to and from Disneyland® Resort. There are no in and out privileges at the park and all students will be required to stay for the entire event.

Return: Buses will return to the District Field on Saturday, May 30th between 3:15AM and 3:45AM.

Any questions or concerns, please email southhillsptsa@gmail.com.

By signing below, I understand that I am responsible for my conduct and any consequences for misbehavior during South Hills High School PTSA Grad Nite. I attest and verify that I am physically fit and able to participate in this event and acknowledge that I am aware of the inherent risks in participating in rides and attractions of this type. I understand that if I violate any rules or regulations, I will be required to exit the Disneyland Resort and in such event, it is the responsibility of my parent/guardian to pick me up from Disneyland in Anaheim.
Student Signature*

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As a parent/guardian, I acknowledge and approve of my child attending South Hills High School PTSA Grad Nite. I also agree that my child is responsible for his/her actions and is subject to consequences. I attest and verify that my child is physically fit and able to participate in this event and acknowledge that I am aware of the inherent risks in participating in rides and attractions of this type.

I also acknowledge and agree that in the event my son/daughter violates any of such rules or regulations, my son/daughter will be required to exit the Disneyland® Resort and in such event, I agree to be responsible for picking up my son/daughter at the Disneyland® Resort.

I also expressly consent that my son/daughter may be the subject of a pat down search by Disney while on the premises of the Disneyland® Resort.
Parent/Guardian Signature*

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Parent/Guardian Name*
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email *
example@example.com
Emergency Contact Name*
Please enter a different name from Parent/Guardian field.
Emergency Contact Phone Number*
Please enter a valid phone number.
Relationship to Student*

Student/VolunteerParticipation in Voluntary Field Trip

PARENTAL PERMISSION, ASSUMPTION OF RISK AND MEDICAL TREATMENT AUTHORIZATION
Date*

MonthDayYear
Date
Student Name {studentName}
Student Date of Birth*

MonthDayYear
Date
Student Phone Number*
Please enter a valid phone number.
Student Email*
example@example.com
Student's Medical Insurance Carrier (If none tye "NONE")*
Policy Number (If none type "0")*
Has my permission to participate in the following field trip:

Destination/Nature of Activity: Senior GRAD NITE trip to DISNEYLAND/CA ADVENTURE.

Special Instructions: Bring a jacket and spending money for food, snacks, souvenirs, etc.

Departure: Friday, May 29, 2026 at 11:00AM from District Field.

Return: Saturday, May 30, 2026 at 3:45AM at District Field.

Person in Charge: Rebecca Fogg-Martinez Position: PTSA President School: South Hills High School PTSA
HEALTH OR SPECIAL NEEDS: (must be checked as appropriate)*

My student has no special health needs the chaperones should be aware of, and no medication is required on the trip.My student has a special need, and/or medications and instructions will be submitted to SHHS PTSA prior to the trip. I will contact southhillptsa@gmail.com with instructions.
In the event of illness or injury, I do hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care and emergency transportation considered necessary in the best judgement of the attending physician, surgeon, or dentist and performed under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services.

I agree to waive all claims against the PTSA President and Chaperones and hold them harmless from any and all liability or claims, which may arise out of or in connections with my child's participation in this activity.
Parent/Guardian Signature: {parentguardianSignature}

Parent/Guardian Name: {parentguardianName}

Parent/Guardian Phone Number: {parentguardianPhone}

In the event of any emergency, please contact:

Emergency Contact Name: {emergencyContact}

Emergency Contact Phone Number: {emergencyContact18}

Emergency Contact Relationship: {relationshipTo}

PARENT'S APPROVAL, STUDENT, FAMILY AND PARTICIPANT WAIVER
Please enter the name of all family members who may participate in any SOUTH HILLS HIGH SCHOOL PTSA sponsored events for the 2025-2026 Covina-Valley Unified School District school year (including student & parents):
Participant Name: {studentName}

Participant's Date of Birth: {studentDate}

Parent/Guardian Phone Number: {parentguardianPhone}
The undersigned paretn(s) or guardian(s) assume all risks in connection with the participation of all individuals listed above in any and all of the PTA sponsored actvities.

I attest and verify that all individuals listed above are 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 all individuals named above.

I do hereby certify that to the best of my knowledge and belief all individuals named above are 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(ren). I/we do herby consent to whatever x-ray, examination, anesthtic, 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/we hereby advise that the above named minor(s) has the following allergies, medicine reactions or unusual physical conditions, which should be made known to a treating physician:
Type Name of child and Allergy/Condition (TYPE N/A IF NOT APPLICABLE)*
I/we, as parent(s) or guardian(s) of the minor(s) do hereby, for my child/children, 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 any individuals listed above in any PTA spnsored activites. By signing below, I confirm that I have carefully read and fully understand its contents. I am aware that this is a release of liablity and signed it of my own free will.
Parent/Guardian Name: {parentguardianName}

Parent/Guardian Phone Number: {parentguardianPhone}
Street Address* City* State* Zip*
Date*

MonthDayYear
Date
Parent/Guardian Signature: {parentguardianSignature}
STUDENT PARTICIPANT WAIVER: I voluntarily agree to participate in PTA Unit sponsored events and activities held during the school year. I recognize that the PTA Unit has not undertaken any duty or responsibility for my safety and I agree to assume the full responsibility for all risk of bodily injury, death, disability, and property damage as a result of participating in the PTA Unit sponsored events and actvities. I recognize that these risks will vary based on the event and activity, and understand it is my responsibility to be aware of the risks before participating. I attest and verify that I am mentally and physically fit and able to participate in PT Unit sponsored events and activities. By my signature below, I hereby state that I understand there are risks involved in participating in PTA Unit sponsored events and activities and willingly and voluntarily accept these risks. By my signature, I hereby surrender any right to seek reimbursement from the California Stare PTA, including all unit, council, and district PTAs, and all of their officers, directors, members and volunteers for injury sustained and liability incurred during my participation in PTA Unit sponsored events and activities.

By signing below, I confirm that I have carefully read this document and full understand its contents. I am aware that this is a release of liability and signed it of my own free will.
Student Signature: {studentSignature}

Student Name: {studentName}
Date*

MonthDayYear
Date

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SOUTH HILLS HIGH SCHOOL

SOUTH HILLS HIGH SCHOOL PTSA GRAD NITE CONTRACT 2026

Student/VolunteerParticipation in Voluntary Field Trip

Grad Nite Ticket - Bus Selection