2018 WSHS ANGP Reservation Form $100.00
Use this to form to register your SENIOR for the WSHS All Night Grad Party and to buy a Graduation Yard Sign and Spartan Discount Cards.
If you are ONLY interested in a Yard Sign or Discount Cards, click the light blue box labeled Discount Cards and Graduations Yard Signs on the PTSA webpage.
Use this form to register your Senior for the 2018 West Springfield All Night Grad Party, to be held on Wednesday June 13, 2018 starting at 11pm and ending Thursday, June 14, 2018 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. Contact Assistant Principal, Johnny Pope for details. JWPope@fcps.edu
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 2018 ANGP list on the PTSA/ANGP website or posted outside the cafeteria.
Check this box if you DO NOT want your student’s name posted on the "Look Who’s Coming to the 2018 ANGP" list on the ANGP website. Your student's name will still be posted on the paper list outside the cafeteria.
I DO NOT want my student's name posted on the ANGP website.
Name of Parent or Guardian
Parent or Guardian HOME number on the night of the party (June 13, 2018)
Parent or Guardian CELL number on the night of the party (June 13, 2018)
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Parent or Guardian email
Name of Senior
Student cell phone number on the night of the party (June 13, 2018)
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 firstname.lastname@example.org 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.
Below you can purchase a yard sign and discount cards. These are all important fundraisers for the ANGP.
2018 GRADUATION YARD SIGN
You will be contacted about yard sign pickup/delivery. Please be sure to provide your contact information and address above.
Yard Sign - $25
SPARTAN DISCOUNT CARDS
Several local vendors give discounts on this card: BGR The Burger Joint, Domino's, Subway, Monty’s Steak House, Popeye’s, Auntie Anne's, Cardinal Shell, Village Chicken, Austin Grill, Panda Express, Jersey Mike's Subs, Firestone Complete Auto Care, Einstein Bros. Bagels, Hard Times Cafe, Papa John's, Merchant Tire & Auto, McDonald's, Boardwalk Burgers & Fries and Kilroy's. This is a great gift to give family members, teachers, coaches and neighbors. Get yours TODAY! They are valid until September 30, 2018.
to see the local businesses offering discounts on the Spartan Card.Correction: Firestone offer is $5 OFF oil change.
1 Card - $10
2 Cards - $20
3 Cards - $30
If you would like to buy more than 3 discount cards (they make great gifts!), enter the quantity (4 or more) you would like to purchase here.
Enter a number greater than or equal to
And because this form can't do the math, please multiply the number of Spartan Cards you entered above by $10 and enter the amount below.
Cost of additional Spartan Discount Cards.
Do Not Fill This Out