Grad Package - COVER - St Paul's High School

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St Paul’s High School_______ Jesuit _______RELEASE AND INDEMNITYI have read the Safe Grad Rules and Regulations issued for this event and agree to be bound bythem.In consideration of being permitted to purchase a ticket or being permitted to take part in St Paul’sHigh School Grad 2013 (the “Event”), I, for myself, my children, any children for whom I amguardian, and my heirs, agree to release, save harmless and keep indemnified the St Paul’s HighSchool Inc. (which term shall include its officers and employees) and the Safe Grad Committee(which term shall include its organizers, and their respective agents, officials, servants andrepresentatives), from and against all claims, actions, costs and expenses in demands in respect todeath, injury, loss or damage to my person or property, or that my children or any children to whomI am the guardian, arising out of or in connection with my taking part in this Event, howsoevercaused. It is understood and agreed that this Release and Indemnity is to be binding on myself,children, my heirs, and my executors.The undersigned hereby consents to the collection of the foregoing personal information by StPaul’s High School Inc. for the purposes of the graduation events at or for St Paul’s High SchoolInc.I/we declare having read and understood the above release form.________________________________________ ____________________________________Signature (Parent/Guardian sign for minors)Please Type or Print Name________________________________________ ____________________________________Graduand or Guest Name (please print)DatePlease ensure that a separate formis completed for your son and hisguest (if he is bringing one).Parents/Guardians are required tosign the form if the attendees areminors.____________________________________GUESTS - please print the name of theGraduand you are accompanying.GRADUANDS - Please complete this form and return it to the President’s Office by Wednesday, 15 May.GUESTS - Please complete this form and return it to the President’s Office by Monday, 3 June._____________________________________________________________________________________St Paul’s High School ● Release and Indemnity ● 29 April 2013 ● www.stpauls.mb.ca
St Paul’s High SchoolGRAD’S LAST NAME _____________________________T ICKET O RDER F ORMGRADUAND’S GUEST NAME _______________________________Complete and return this form, along with your cheque (payable to St Paul’s High School), on or before,WEDNESDAY, 15 MAY, 2013 to the President’s Office at St Paul’s High School. If you have any questionsregarding information on this form (unless otherwise specified), please contact Jodi Kreitz (298-1087)._______________________________________________________________________________________FULL TICKET FOR GRADUAND/GUEST INCLUDES NUMBER OFTICKETS ARE $145.00 EACH DINNER/DANCE AND TICKETS REQUIREDSAFE GRAD PARTY ______ X $145.00 TOTAL $ ___________DINNER TICKET FOR GRADUATE/GUEST INCLUDES NUMBER OFTICKETS ARE $75.00 EACH DINNER/DANCE ONLY TICKETS REQUIREDNO SAFE GRAD PARTY ______ X $75.00 TOTAL $ ___________SAFE GRAD TICKET FOR GRADUATE/GUEST INCLUDES NUMBER OFTICKETS ARE $70.00 EACH SAFE GRAD PARTY ONLY TICKETS REQUIREDNO DINNER/DANCE ______ X $70.00 TOTAL $ ___________TICKETS FOR PARENTS/FAMILY MEMBERS INCLUDES NUMBER OFTICKETS ARE $75.00 EACH DINNER/DANCE ONLY TICKETS REQUIRED______ X $75.00TOTAL $ ___________TOTAL AMOUNT FOR ALL TICKETS PURCHASED $ __________________Please be advised that if the established ticket price for the 2013 St Paul's Graduation Dinner & Danceexceeds the actual cost of the event, excess funds will be donated to the Class of 2013 Bursary.__________________________________________________________________________________________SEATING ARRANGEMENTS FOR DINNER AT THE WINNIPEG CONVENTION CENTREALL GRADUATES WILL SIT WITH THEIR PARENTS.The Safe Grad Committee will work toward accommodating requests to sit with families and friends. If you wish to sitwith members of another Graduate/Family from St Paul’s, complete line number 3 with THEIR family name.Please ensure that you have confirmed this arrangement with the other family and that they have indicated the sameinformation on their form.1. FAMILY name of GRADUAND: ____________________________________________________________2. TOTAL number of people in GRADUAND’S party: __________________________________________3. If possible, we wish to be seated with the _________________________________________________ Family4. TOTAL number of people at the table ______________ (Tables of 8 or 10 are available)DO YOU HAVE SPECIAL DIETARY NEEDS?YES NO___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________St Paul’s High School ● Ticket Order Form 2013 ● 29 April 2013 ● www.stpauls.mb.ca
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Grad Package - COVER - St Paul's High School

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