Class of 2011 Project GraduationRegistration and Waiver Form

My son/daughter, , has my permission to attend Project Graduation 2011. I know this celebration is an event offered to all graduates and that it is being planned by a group of volunteer students, parents and supportive adults. I understand that participation in this celebration is fully voluntary. In consideration of the benefits to be derived and having full confidence that every precaution will be taken to ensure the safety of my child, my signature below shows my understanding of this event. I agree to waive all claims and not to place suit or hold liable any volunteer persons for any incident or injury that may occur to my child while attending this event as well as damage or loss of any personal item. Students are not allowed to bring cell phones to the event however digital cameras are allowed.

I promise my son/daughter will arrive free of drugs or alcohol. I understand that if my son/daughter is found to be in possession or under the influence of alcohol, tobacco or drugs, (with exception of prescription drugs) or displays unruly conduct, I or the adult designated on the Final Release Form, must pick him/her up. No refund will be considered. Under no circumstances will my son/daughter be allowed to drive home.

I UNDERSTAND THAT IF I VIOLATE ANY RULES SET BY THE PROJECT GRADUATION COMMITTEE OR IF I AM APPREHENDED WITH ALCOHOL, TOBACCO OR ANY ILLEGAL DRUG IN MY POSSESSION, MY PARENT/LEGAL GUARDIAN WILL BE IMMEDIATELY NOTIFIED TO PICK ME UP. I ALSO UNDERSTAND THAT I AND MY PARENTS WILL BE RESPONSIBLE FOR ANY EXPENSES INCURRED AND THAT THE POLICE WILL BE NOTIFIED.` ____ _______ Print name of Senior Signature of Senior

I HAVE READ ALL OF THE ABOVE RULES/GUIDELINES AND AM CONFIDENT THAT MY SON/DAUGHTER WILL ABIDE BY THEM. I AGREE THAT IF I RECEIVE A PHONE CALL NOTIFYING ME THAT MY SON/DAUGHTER IS NOT OBEYING THE GUIDELINES SET FORTH; I WILL PICK UP MY SON/DAUGHTER IMMEDIATELY.

______ __ Print name of Parent/Legal Guardian Signature of Parent/Legal Guardian Date

Home Phone: Mailing Address City Zip

Work Phone: Parent’s Cell phone:

Parent’s Email: Student’s Email:___________________________

If souvenir T-shirts are given, my son/daughter would like a size (circle one): S M L XL 2XL

If a souvenir sweatshirt is given, my son/daughter would like a size (circle one):S M L XL 2XL

(Please make checks payable to: Friends of Kaiser PTSA – Project Grad)