Century Senior Party Registration Form
Please complete and send the completed form with payment of $65 per student (prices go up 12/24/19) payable to Century High School Party to:

Century High School
Attn: Senior Party Registration
2525 Viola Road NE
Rochester MN 55906
or
Maria Witter
Attn: Senior Party Registration
2523 Northridge LN NE
Rochester MN 55906

**If you find it difficult to pay for your student's ticket, please email centuryseniorparty2020@gmail.com with student name, parent/guardian name and contact phone number or speak directly with Mr. Fogarty***

The senior party is an overnight lock-in and will have security present in the building and on the grounds. Student personal property carried in or prizes won during the evening can be stored in a secured checkroom, but no containers of any kind will be allowed into the party. Century High School is a drug, alcohol and tobacco free campus.
Student Name (Last/First) *
Your answer
Parent/Guardian 1 name, email and phone number
Your answer
Parent/Guardian 2 name, email and phone number
Your answer
Please consider an extra donation to help fund scholarship tickets. List below the amount you will donate via mailed check for accounting purposes.
Your answer
By submitting this form, both the parent/guardian and student understand: 1. The student must stay in the building until release at 5 am. Parents will be notified if student leaves early 2. Party participants and their parent/guardian assume all risk relevant to this event and waive all claims against the Senior Celebration Committee members, volunteers or parents of Rochester Public High Schools. (both boxes must be checked)
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