2007 Project Graduation

 

Registration Form and Commitment Contract

REGISTRATION INFORMATION

PLEASE PRINT

Student’s name___________________________________________________________

Parent’s/Guardian’s name_______________________________________________________

 

Address___________________________________________________________________

 

Telephone_________________________                                     E-mail________________________

 

COMMITMENT CONTRACT

 

I,_________________________________________________plan to attend Woodford County Project Graduation 2007 at Falling Springs Arts & Recreation Center (FSARC).  By signing this contract my parent/guardian and I acknowledge that we have read, understand and agree to abide by the following rules:

 

1.        This Commitment Contract must be completed signed by the student and parent, and submitted at the time of party pre-registration.  No student will be admitted without a contract on file. Picture ID is required for admittance.

2.        Project Graduation is a drug-, alcohol-, and tobacco free-environment.  I will not be admitted if it is suspected that I have already consumed drugs or alcohol. My use of any of these products during the celebration will result in my immediate removal and a phone call will be made to my parent/guardian.  A law enforcement official will be on site to deal with inappropriate behavior or violation of the law.

3.        I will respect the event site and do no malicious damage.  I understand that in the event of my inappropriate behavior I may be asked to leave the party and agree that if asked to leave, I will do so.  Any violation will be dealt with in accordance with the law.  My parent/guardian will be contacted to pick me up.

 4.        I understand that once I check in at FSARC between 10:00 p.m. and 11:00 p.m., I cannot leave the building until the event is over.  If I leave, I cannot reenter.

5.        I understand that if I decide to leave FSARC on my own, my parent/guardian will be contacted and must pick me up at FSARC.  Students will be released only to their parent/guardian.
 

6.        No backpacks, book bags or handbags will be allowed beyond the check-in point.  Such items will be relinquished at the registration tables, identified as property of the student, kept in a secure area and returned to the student at the end of the event.
 

7.        Appropriate clothes must be worn.  Shirts and shoes are required.
 

8.        I hereby release and agree to hold harmless Woodford County Project Graduation, Inc. and its volunteers, employees and agents from any and all claims that may arise from my use or presence on and at such premises and activities.

 

Student signature                                                                                                                         Date

 

PARENT CONSENT – I hereby give my permission for ______________________________________to participate in Woodford County Project Graduation 2007.  I understand and agree to the above conditions for his/her participation.  I understand if he/she does not check in by 11:00 p.m. that I will be notified. I understand if he/she violates any of these conditions, I will be contacted and he/she may be asked to leave the event.  If he/she is asked to leave, I will pick up him/her at FSARC.
 

During the party I can be reached by phone at___________________________________________or _____________________________                                          .

   

Parent/Guardian signature _______________________________________________________Date______________________________

 

Insurance Information

 

In case of emergency, hospital preference___________________________________________________________

 

Physician name and phone number:________________________________________________________________

 

Insurance carrier and contract number______________________________________________________________