Timberline Senior Graduation Party ~ Student Registration Information & Waiver
Name of student______
Address______
Parent(s)/Guardian(s)email: ____________
Emergency Contact /Cell Phone: ______
Do you need GLUTEN FREE PIZZA? Yes No
WAIVER, RELEASE OF LIABILITY AND ASSUMPTION OF RISK This is a Waiver,Release of Liability and Assumption of Risk associated with the Timberline High School class of 2017 All Night Graduation Party to be held at Wahooz Family Fun Zone and Pinz Bowling Center in Meridian, ID on May 26th to 27th 2017. You and your parent(s) or guardian(s) must sign this if you want to attend and participate in the party. The intent of this agreement is to explain the rules regarding the party and to protect the Timberline Parents Organization (TPO) from liability associated with your attendance and participation. You and your parent(s) or guardian(s) agree to the following: 1. You acknowledge that you are sufficiently healthy and capable of determining which activities you can participate in and assume all risk of injury due to your attendance and participation. 2. You acknowledge that this is a drug and alcohol free party. If you are under the influence of drugs or alcohol or use drugs or alcohol while at the party, you will be detained while a resource officer or police are contacted. Your parents will also be notified. 3. You agree to waive, release, discharge and forego any and all claims of any type against the TPO and assume all risks related directly or indirectly to your attendance and participation. You further agree to hold harmless and indemnify the TPO from any claims whether brought by you or a third party due to your attendance and participation. “TPO” includes the organization, its officers, agents, representatives, volunteers, or anyone else helping the TPO with this party. Claims include, but are not limited to, claims for injury, death, disability, sickness, disease, or damage to personal property whether caused by the actions, inactions, or negligence of the TPO and where brought by you, your heirs, assigns, representatives, insurers or relatives. 4. You further agree that the TPO is not responsible for lost or stolen items and that you are responsible for the care of your personal property. 5. You agree that you will be held responsible for any damages or vandalism caused by you. 6. You agree that rude, violent, or other objectionable behavior is prohibited and that you will be required to leave the party if you engage in such behavior. 7. You acknowledge that you are a representative of Timberline High School and agree to conduct yourself so as to not damage the reputation of or cause embarrassment to Timberline High School or your fellow classmates. 8. You agree that in order for a student under the age of 18 to leave the event prior to 3AM on May 26th, a parent or guardian must verbally speak to a chaperone to give approval. It is not the responsibility of the TPO or Wahooz to notify parents of students over the age of 18 when they leave the premises. Any student, regardless of age, will not be allowed back into the event once they have left the premises.
-I HAVE READ THE ABOVE AND AGREE TO THE TERMS OF THIS AGREEMENT.
______
Student Name Student Signature Date
-I HAVE READ THE ABOVE AND AGREE TO THE TERMS OF THIS AGREEMENT AND AGREE THAT MY SON OR DAUGHTER MAY ATTEND THIS PARTY UNDER THE TERMS OF THIS AGREEMENT.
______
Name of Parent/Guardian Signature of Parent/Guardian Date
HELP PLEASE!
Willing to chaperone from 11:00-1:00am or 1:00-3:00am? Yes No
*Willing to provide a RAFFLE ITEM to be raffled off the night of the event? ______
*Willing to provide additional CASH DONATION towards the party? ______
*Willing to provide a scholarship ticket of $55 to help a senior go to the party? Yes No
(*Please bring raffle items or cash donations to front office or with you to registration table)