ONLINE FORM | Senior Celebration

CONTRACT LINK

Contract

ALL Seniors that plan on attending the event MUST return this contract along with payment

*For best results this form should be filled out on a desktop or laptop computer

Student Full Name

I have paid $150 - No refunds after April 1st

Payment may be made via Personal check (Please make checks payable to: PENTUCKET PARENT ALLIANCE) sent into the School or Mail it to:

Pentucket Parent Alliance, PO Box 801, West Newbury 01985 OR drop off at the Main Office or, PayPal https://www.paypal.com/donate/?hosted_button_id=4PQ47Y85NMREG or Venmo @PRHS-SC

Cost is $150

I have also added a contribution to Sponsor a Student to my payment

All students must be dropped off and enter the High School between 5:30pm - 6:45pm on Saturday, June 7, 2025. No student will be allowed to drive home on Sunday morning. Pick up will be approximately 7:00 am Sunday, June 8 th.

(Please be prompt, our chaperones are tired too.)

* All students must be checked in by a parent and or guardian at the “registration area” in the Cafe in order to participate. A nurse will be present to “pat down/ frisk” all students who choose to participate.

Students are NOT allowed to bring anything but a sweatshirt.

No cell phones, No wallets, No Keys, No cash, No drinks, NOTHING...

(safety is our concern)

Exceptions are: eyeglasses, contact lenses and solutions, feminine hygiene products and prescription medicine. Medicines must be in original container.

All must be carried into Cafe in a clear plastic bag with your students name on it to be inspected., and held by the nurse for the evening.

Any student who appears to be under the influence of drugs or alcohol at registration will NOT be allowed to participate! A parent or guardian will be required to pick up their child immediately. **No refund will be given**

*All students are expected to act appropriately. Each student shall follow the directions of all chaperones, bus drivers and parent volunteers.

*Students may NOT leave this event at any time.

*Everyone is asked to dress comfortably and appropriately for a 10+ hour night event. Please be aware that bathrooms are not always readily available... plan ahead

NO OPEN TOED SHOES - Sneakers only please!

Please indicate if your student has any FOOD ALLERGIES

Possible RESTRICTIONS/ NON- PARTICIPATION: Medical Alerts, Motion Sickness, Anxiety, Fear of Water/ Dark, Other

Check here if you give permission to administer Tylenol or Advil to your student if needed?

**By Signing below you have read and agree to the above statements

Student Signature

I give permission for my child to attend the all-night senior celebration extravaganza. I am aware that this evening may bring my child to various locations throughout the evening by school bus. I understand that there are many volunteer chaperones and that every perceivable precaution will be taken to safeguard the welfare of my child while on this trip. Pentucket Regional High School and the Pentucket Parent Alliance will not be held responsible in the event of any accident.

Parent Full Name

Parent Signature

Parent Phone (during the hours of this event)

Parent Email

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

PLEASE DO NOT FORGET TO PAY AFTER SUBMITTING

Any additional questions please contact:

The Pentucket Parent Alliance Pentucket Parent Alliance

**If you would like to download a printable copy of this contract please click here. Once downloaded you may Mail it to: Pentucket Parent Alliance, PO Box 801, West Newbury 01985 OR drop off at the Main Office OR SCAN AND EMAIL to Pentucket Parent Alliance