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June 12^th, 2008

10:30 pm to 5:15 am

Oakton High School’s All-Night Graduation Celebration

Reservation Form

Download printer friendly 'pdf' Reservation Form 

Please complete this form and return to:

"Paws to Celebrate 2008" OHS ANG Celebration

c/o Paddi Lonnquest, Registrar

11442 Bronzedale Drive

 Oakton, VA  22124-2007

RESERVATIONS:   The celebration cost is $55.00 ($65 after January 31st, 2008).  Please make checks payable to OHS PTSA and include the student’s name and ANG on the memo section of the check.   Passports (tickets) will be distributed at the Celebration.  A list of students who have reserved tickets will be mailed in March.

Senior’s Name: ____________________________

Home Phone:_________________________

Parents’ Names: __________________________________________________   

Parent’s E-mail:____________________@___________________

DONATION:   $______________

Any amount is appreciated to help defray costs and to provide ANG student scholarships.  Donations are tax deductible.

PAYMENT:  You may submit one check for the ticket(s) and donation(s), payable to OHS PTSA and please include the student’s name and ANG on the memo section of the check.

Ticket Price: $___________

Donation:       $___________           Total Amount Enclosed:     $___________

Parental Authorization and Acknowledgement of Risk

I understand that participation in the All Night Graduation Celebration, (ANGC), involves public property, and that neither the All Night Graduation Committee, nor its parent volunteers, will have any responsibility for the condition of this property.  I have been made aware of the purpose of the ANGC, and its various activities, and agree that, to the best of my knowledge, my child is physically able to safely participate in this Celebration.  Also, I have had an opportunity to have all my questions concerning the All Night Graduation Celebration answered to my satisfaction. 

_____________________                  ___________________________________

Date                                                                Print Student Name

______________________________       ________________________________

Print Parent/Guardian Name                   Parent/Guardian Signature         

Parent/Guardian Contact Number:  ________________________________