06 GRAD NIGHT PACKET2013.pdf - Yorba Linda High School

Yorba Linda High SchoolGRAD NIGHT 2013April 2013To the parents of the Class of 2013:Graduation is just around the corner and we are looking forward to the Class of 2013 GraduationCeremony and then later in the evening GRAD NIGHT 2013!Grad Night 2013 will take place at the ESPN Zone in Downtown Disney, Anaheim. Our graduates willenjoy a memorable, safe night of fun with their classmates playing wide variety of games and activities,including video arcade games, race simulators and bowling. In addition, there will be a D.J., dancing, ahypnotist, a photo booth and more. Food and soft drinks will be available throughout the night, as wellas breakfast treats in the early morning hours.Attached are Permission Forms for Grad Night 2013, which must be completed and returned toparticipate. Parent signatures are required on all forms, even if your senior is 18 year of age. There willbe NO EXCEPTIONS!Seniors who have already purchased a Grad Night 2013 ticket need to return all 3 forms duringbreak or lunch on May 22, May 23 or May 24 to the Grad Night table in the quad area. At that time,they can make their bus selection. If your senior wishes to ride the bus with friends, they mustsign-up together. Students that do not sign up for a bus will be assigned to a bus at random.Seniors who have not yet purchased their Grad Night 2013 ticket can do so at any time until May 24 th .Order forms can be found online at www.ylhsgradnight.weebly.com. Tickets can also be purchased onMay 22, 23 or 24 at the Grad Night table.Grad Night 2013 will begin with check-in at the YLHS gym at 9:00 p.m. and continue throughout theactivities at ESPN Zone and return to YLHS at 5:30 a.m. the next morning. Grad Night 2013 will adhereto the ZERO TOLERANCE POLICY AND CODE OF CONDUCT RULES ENFORCED DURINGSCHOOL EVENTS.The Grad Night committee would like to thank everyone who has given their time and talents to ensurean exciting graduation celebration for the Class of 2013. We would also like to thank the City of YorbaLinda for supporting Grad Night with their donation. Our sincere appreciation is also extended to all thefamilies and businesses for their donations and support. Without our combined efforts, this event wouldnot be possible.All parents are welcome to attend Grad Night’s next committee meetings in the YLHS library on April 24and May 8, 2013 at 7:00 p.m. Check the website for latest information. Parents volunteering to help atthe event will be contacted soon.Sincerely,Grad Night 2013 Committeewww.ylhsgradnight.weeble.com

GRAD NIGHT 2013BEHAVIOR RESPONSIBILITIES FOR SENIORSAND RELEASE OF LIABILITYPLEASE READ CAREFULLY1. Drop seniors off at the main entrance to the gym at 9:00 p.m. on Tuesday, June 11, 2013.**Please do not drop your senior off earlier than 8:50 p.m. or later than 9:15 p.m.**ABSOLUTELY NO overnight parking is allowed in the YLHS parking lots.Pick up students at the YLHS parking lot at 5:30 a.m. on June 12, 2013.No grad will be released at any time during the Grad Night hours of 9:00 p.m., June 11 th –5:30 a.m. – June 12 th .2. Dress comfortably and in the grad night t-shirt provided. All activities will be indoors.3. YOU MUST HAVE THE FOLLOWING:*YLHS ID Card*GRAD NIGHT T-SHIRT (REQUIRED) – If the T-shirt is altered in any way, you will not beallowed to attend.4. YOU MUST HAVE TURNED IN THE FOLLOWING PAPERWORK:*Participant Waiver Form*Parent Permission, Medical Emergency and Waiver of Claims form*Behavior Responsibilities for Seniors form (cut off on bottom of form)5. DO NOT BRING THE FOLLOWING ITEMS:*Backpack, purse, fanny pack, wallet, iPods, pager, water bottle, gum*Jackets or outerwear*Alcohol, tobacco products, drugs, drug paraphernalia*Any kind of weapon6. YOU MAY BRING THE FOLLOWING ITEMS:Cell phone, personal camera (no camera bags, attachments or film canisters allowed). The GradNight Committee and volunteers accept no liability for lost or damaged items.7. EVERY SENIOR WILL BE SUBJECT TO A THOROUGH SEARCH, PER DISTRICT POLICY.THIS INCLUDES POCKET CHECKS, SOCKS AND SHOE CHECK AND RANDOM ALCOHOLSCREENING.8. No one is allowed to come to this event under the influence of any substance. Security personneland the police will be on hand to be sure this is adhered to.9. Everyone is expected to comply with these rules. If these rules are not followed,parents/guardians will be contacted to pick up the senior immediately. If contact cannot be made,the local police will be called and a chaperone will stay with the student until the senior is pickedup by a parent/guardian. NO REFUNDS WILL BE ISSUED IF THIS OCCURS.GRAD NIGHT 2013 is a zero-tolerance activity. All school rules are in effect. Graduates found withillegal substances will be subject to police and parental notification and the graduate will be removedfrom the event. Items not allowed: tobacco products, lighters, matches, alcohol, flasks, weapons,chains, gum, water bottles, chap stick, lip gloss, markers and sharp objects. Grad Night 2013 Securityhas the authority to remove any item from a graduate deemed potentially harmful.We have reviewed the above and understand that failure to comply with these policies will result inremoval from Grad Night 2013._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _CUT OFF and RETURN WITH PERMISSION FORMS______________________________________ ________________________________________Senior’s Signature/DateParent/Guardian Signature/Date______________________________________Print Name________________________________________Print Name

YLHS GRAD NIGHT 2013PARENT PERMISSION, MEDICAL EMERGENCY AND WAIVER OF CLAIMSALL YLHS 2013 GRAD NIGHT PARTICIPANTS AND THEIR PARENT MUST COMPLETE THIS FORM.I request that (Print Student Full Name)__________________________________________________be permitted to participate in theall-night graduation event planned for graduating Seniors of Yorba Linda High School by the YLHS Grad Night Committee on Tuesday, June 11,2013. I understand all graduates will meet in the YLHS Gym at 9:00 PM for check in and will be transported by chartered bus to the Grad Nightlocation, ESPN Zone in Downtown Disney. All graduates will be transported back to Yorba Linda High School at approximately 5:30 AM onTuesday, June 12, 2013. Under no circumstances, will students be permitted to leave ESPN Zone during our event. I understand that transportation toand from the school is the responsibility of the parent. Drop off and pick up of graduates will only take place at Yorba Linda High School. Werealize the participation in this activity is voluntary. We understand that this activity could cause serious illness, and/or injury and/or deathand/or property damage and we assume all risks for any such illness and/or injury and/or death and/or property damage No cars are to beparked overnight in the school parking lot.THIS VENUE WILL OBSERVE A ZERO TOLERANCE POLICY AND THE CODE OF CONDUCT RULES ENFORCED DURINGSCHOOL EVENTS WILL APPLY.We are aware that the event may include activities in which the participant may be injured. We understand and agree to hold harmless and indemnifythe YLHS Grad Night Committee, its board members, volunteers, its vendors, ESPN Zone, the Placentia-Yorba Linda Unified School District, its boardmembers, employees, agents and volunteers from any and all claims or liability resulting from or arising out of Grad Night activities. All graduates willfollow the same Code of Conduct rules that are enforced during school activities, as well as the zero tolerance policy. Every attempt will be made tocontact parents if your student has purchased a Grad Night ticket and does not check-in at the YLHS Gym on June 11 th , 2013.My Graduate__________________________________________ Date of Birth _____________________is in good physical condition.(PRINT full name of graduate)Should HE/SHE become ill or injured during this trip or activity, parent(s) or guardian will be notified first. HE/SHE MAY/MAY NOT (CIRCLEone) receive medical attention by medical staff and/or a duly licensed physician by calling 911. Additional Medical Information - allergies or specialconditions (specify NONE if appropriate): _______________________________________________________________________________Prescription medications currently being taken: ____________________________________________________________________________If medication is needed during the Grad Night event hours, please send an attached note with the medication instructions signed by the parent with aphone number for contact. All prescription medication must be in original containers, in a baggy with name on it and must be given to a Grad NightChaperone for safe keeping.If my child develops a headache or for other reasons needs Tylenol, Advil, or Benadryl during the Grad Night event hours, my childIS/IS NOT (circle one) permitted to be given any of these medications. ___________________________ :_____________________We agree to the above conditions of the 2013 Grad Night Policy:Student Signature__________________________Date_________Parent/Guardian Signature_________________Date_________Print Student Name Legibly_______________________________Print Parent/Guardian Name Legibly______________________Complete Address___________________________________________Phone Number-Home #____________________________*****MUST BE COMPLETED*****Parent Cell Phone #_______________________________We agree that the following people will be available for the above student in case of emergency from Tuesday, June 11, 2013 (9:00 PM) until Wednesday, June 12,2013 (5:30 AM). We must have at least 2 adults over age 21 available besides parents.Please print legibly:1) Name______________________________________________Area Code and Phone Number_____________________Relationship to Student_______________________________________________2) Name___________________________________________ Area Code and Phone Number __________________________Relationship to Student_______________________________________________Grad Night 2013 is not a Placentia-Yorba Linda Unified School District sponsored event.

YORBA LINDA HIGH SCHOOLGRAD NIGHT PARTICIPANT WAIVER FORMParticipant's First Name: ______________________________Participant's Last Name: ___________________________Participant desires to participate in Yorba Linda High School's Grad Night taking place on June 11, 2013 at ESPN Zone inDowntown Disney with other Yorba Linda High School students. The Yorba Linda High School Grad Night Committee hasengaged third party vendors and agents to offer a variety of services and activities at the Grad Night Participant and his/herparent(s) or legal guardian(s) (collectively the "Undersigned") have read the Participant's Waiver Form and understand thenature and the inherent hazards and risks of the intended activities related to the Grad Night The Undersigned alsoacknowledge that the Vendors have informed them that participating in the Grad Night is not without risk. Certain hazards andrisks are inherent in the Grad Night and cannot be eliminated without destroying the unique character of such activities.These inherent risks may contribute to the unique character of the Grad Night but can be the cause of destruction, loss ordamage to personal property, or personal injury, illness, suffering, or in extreme cases, permanent trauma or death. TheVendors do not want to frighten the Participant, his/her parents or legal guardian or reduce the Participants enthusiasm for theGrad Night, but believes it is important for the Undersigned to know in advance what to expect and to be informed ofthe inherent risks.The Undersigned acknowledge that by engaging in the Grad Night activities, the Participant has responsibilities as aparticipant to act in a reasonable manner at all times and to listen and follow the instructions of the Vendors. TheUndersigned also acknowledge that by engaging in the Grad Night, the Participant agrees not to engage in prohibitedbehaviors, including any acts of violence, unlawful drinking, smoking, or use of drugs.The Undersigned certify that the Participant is fully capable of participating in the Grad Night. The Undersigned represent thatthe Participant is in good health and have not been advised by a physician to refrain from Grad Night activities. TheUndersigned know of no reason, health-related or otherwise, why the Participant is not capable of participating in Grad Nightactivities including, but not limited to activities which require physical exertion such as running and dancing. TheUndersigned accept full responsibility for any injuries or illnesses that the Participant may suffer during Grad Nightactivities, including, but not limited to, those resulting from any pre-existing medical condition.It is understood that unforeseen circumstances may arise for which the Vendors shall not be held responsible.Notwithstanding the foregoing, nothing contained herein shall excuse Vendors from the responsibility for wrongfulmisconduct, gross negligence or illegal activities during the course of the Grad Night.The Undersigned acknowledge that the Vendors have been available to more fully explain the nature, risks, hazards, andrequirements of the Grad Night and to answer any questions or concerns.THEREFORE, IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE GRAD NIGHT,THE UNDERSIGNED ASSUME ALL RISKS AND ACCEPT FULL RESPONSIBILITY SURROUNDINGPARTICIPATION IN THE GRAD NIGHT, TRANSPORTATION RELATED TO THE GRAD NIGHT, AND ANYACTIVITIES UNDERTAKEN AS AN ADJUNCT THERETO, WHICH RISKS AND RESPONSIBILITY INCLUDEBODILY INJURY, DEATH, OR LOSS OF OR DAMAGE TO PERSONAL PROPERTY AND EXPENSES AS ARESULT OF THOSE INHERENT RISKS AND DANGERS IDENTIFIED HEREIN AND THOSE INHERENTRISKS AND DANGERS NOT SPECIFICALLY IDENTIFIED, OR AS A RESULT OF THE PARTICIPANT'SNEGLIGENCE IN PARTICIPATING IN THE GRAD NIGHT, AND THE UNDERSIGNED SHALL NOT HOLDOR ATTEMPT TO HOLD THE VENDORS RESPONSIBLE THEREFORE.The Undersigned have carefully read, clearly understand and accept the terms and conditions stated herein andacknowledge that this Participants' Waiver Form shall be effective and binding upon each of the Undersigned, theirrespective heirs, assigns, personal representatives and estates.Signature of Participant _____________________________________________________ Date__________________Signature of Parent or Legal Guardian__________________________________________Date______________________Grad Night is not a Placentia-Yorba Linda Unified School District sponsored event.