2019 WSHS ANGP Reservation Form $75.00
Use this form to register your Senior for the 2019 West Springfield All Night Grad Party, to be held on Wednesday June 4, 2019 starting at 11pm and ending Thursday, June 5, 2019 at 5:00 am at Lee District RECenter.
For your convenience, you can also buy a Graduation Yard Sign and Spartan Discount Cards at the same time! These are all important fundraisers for the ANGP.
When you submit this form, you'll have the convenience of paying by credit card via PayPal. You do NOT need a PayPal account for this. You can use the Guest user option with your own credit card.
Students who qualify for free or reduced lunch are eligible for a reduced price ANGP registration. See Assistant Principal, Shannon Matheny for details.
Please note that your student will not be registered and your purchase will not be complete unless payment is received. Also, there are no actual tickets for the party. To be sure that your student is registered, check out our Look Who's Coming to the 2019 ANGP list on the PTSA/ANGP website or posted outside the cafeteria.
Name of Parent or Guardian
Parent or Guardian HOME number on the night of the party (June 4, 2019)
Parent or Guardian CELL number on the night of the party (June 4, 2019)
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua & Barbuda
Bosnia & Herzegovina
British Indian Ocean Territory
British Virgin Islands
Central African Republic
Cocos (Keeling) Islands
Congo - Brazzaville
Congo - Kinshasa
French Southern Territories
Heard & McDonald Islands
Hong Kong SAR China
Isle of Man
Macau SAR China
Northern Mariana Islands
Papua New Guinea
São Tomé & Príncipe
South Georgia & South Sandwich Islands
St. Kitts & Nevis
St. Pierre & Miquelon
St. Vincent & Grenadines
Svalbard & Jan Mayen
Trinidad & Tobago
Turks & Caicos Islands
U.S. Outlying Islands
U.S. Virgin Islands
United Arab Emirates
Wallis & Futuna
Parent or Guardian email
Name of Senior
Student cell phone number on the night of the party (June 4, 2019)
List any allergies your Senior has here:
This party won't happen without volunteers. Please consider giving some time for our graduates.
Yes, I'd like to help plan the party.
Please contact me with opportunities for planning, fundraising and/or volunteering at the ANGP.
Please consider making a donation to the WSHS All Night Grad Party. Donations are tax deductible and are very much needed and appreciated.
DONATION TO THE ANGP
Important and REQUIRED for All Submissions
Informed Consent and Acknowledgment of Risk All Night Drug and Alcohol Free Graduation Celebration (WSHS ANGP).
IN CONSIDERATION of the right to attend and participate in the WSHS ANGP, the parent/guardian of the above-identified student and the student hereby:
Authorize and give the student permission to participate in the event.
Understand that the event will include such things as: swimming, inflatables,and other optional physical activities. By consenting to have the above named student participate in this event, you are consenting to allow the student to participate in all activities available at this event;
Acknowledge that there is an element of risk involved in any activity involving physical activities such as swimming and inflatables and certify that the participant is physically, mentally, and emotionally capable of attending and participating in the activities; assume all risk of and financial responsibility for any loss or injury to the participant or others that may occur as a result if the participant’s negligence or misconduct; and indemnify and hold any member of the West Springfield High School PTSA, the Fairfax County Park Authority, and the Fairfax County Board of Supervisors harmless from and against any and all costs, claims, demands, charges, liabilities, obligations, judgments, executions, costs of suit, and actual attorney’s fees incurred or suffered by any member of the West Springfield High School PTSA as a result of, or arising out of, the participant’s negligence or misconduct;
Authorize any member of the West Springfield High School PTSA to obtain or authorize any reasonable incidental and/or emergency medical treatment for the participant in the event the participant’s parent(s)/guardian(s) are not readily located and participant becomes ill, injured, or incapacitated; parent(s)/guardian(s) hereby accept the responsibility to pay for such treatment; and
*If your student cannot attend the WSHS ANGP, please notify the ANGP Committee at email@example.com BEFORE the party. On the night of the party, parent(s)/guardian(s) of students who we expect to attend the party but who do not show up WILL BE CALLED between the hours of midnight and 1:30am and notified of their student’s absence.
This Informed Consent and Acknowledgment of Risk may not be amended, supplemented or abrogated without the written consent of the West Springfield High School PTSA.
By checking the "Accept" boxes below, both the participant and the parent(s)/guardian(s), on behalf of participant, acknowledge that they have read this consent and understand its contents.
Both Parent/Guardian and Senior must accept:
I understand and accept the Informed Consent.
I understand and accept the Informed Consent.
Click the Submit button below to complete the registration and payment process. You will be able to either log into your PayPal account or enter your credit card billing information on the next page.
Please note that your senior will not be registered and your purchase will not be complete unless payment is received.
Do Not Fill This Out