MHS 2017 All-Night Graduation Party Online Registration Form
Event Date: June 9, 2017, 9:30 pm to 4:00 am June 10
Event Address: University of Idaho Recreation Center
Contact information: moscowseniorparty@gmail.com
Fees: (online registration is not complete until payment is received and waiver is signed)
Received by May 5: $50
May 6 to June 9: $75
June 9/at the door: $100 (cash only)
Make checks payable to Moscow Senior Party and turn in to MHS office

*To pay via PayPal (please pay $52), click here: paypal.me/2017seniorparty

REQUIRED: All students must sign the University of Idaho Recreation waiver form: https://uidaho.co1.qualtrics.com/SE/?SID=SV_26kwGaSmxf807v7

We would like everyone to attend regardless of whether they can afford the $50 registration fee. Students can simply request a "scholarship" on the registration form and pay $0-49, depending on what they can afford.

Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Email *
Your answer
1. Parent/Guardian's Email *
Your answer
In case of an emergency, contact name *
Your answer
Emergency Contact Phone *
Your answer
Student's Medical Conditions *
Your answer
Dietary restrictions *
Do you want to be contacted if your senior leaves before the end of the event?
We need help! Can you assist with the senior party?
If yes, please choose from the options below:
Please indicate how you will pay for the registration. *
If you paid by check, please write check number here. If you paid online, please write the name on your card (this information is only used for accounting purposes and will not be shared) *
Your answer
Did you sign the University of Idaho Special Event Waiver? (you can sign online here: https://uidaho.co1.qualtrics.com/SE/?SID=SV_26kwGaSmxf807v7) *
Type your name here for signature of approval (all students must sign) *
Your answer
Parent Signature (if student is under 18) *
Your answer
Would you like to donate to the party? $25 would pay for half a scholarship, $50 would pay for a student who can't otherwise afford it. You can donate by sending a check to MHS office or paypal: paypal.me/2017seniorparty
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