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LAHS Grad Night Party - Class of 2021

Welcome Seniors and their Parents/Guardians! 
You are here to sign the Release of Liability for Grad Night this year, 2021.   Please be aware of some important details:
CA Dept. of Public Health guidelines will be followed.  Masks will be required.
1) Date: Friday, June 4th, 2021
2) Time: 7:30pm - approx. 3am*  
     No late arrivals or early departures allowed.

3) *All* students will board buses to Grad Night.   
      No arrivals/departures allowed in individual cars
4) Buses will return to LAHS.
5) It will be 90% outdoors.  Dress appropriately - Bring jacket or sweater as it can get chilly.
6) It is fully catered
7) There will be plenty of activities.
It's going to be a fantastic night! 
Thanks for your support, and GO EAGLES! 
Liz Pidto-Parker           &     Tanya Dargel-Conroy   
2021 Grad Night Chairs         

Please complete the fields below for the Liability release.


Permission is hereby given for the above-named student to participate in the Los Altos High School All-Night Party (Grad Night 2021) at an undisclosed site on June 4, 2021, from 7:30pm. until the following morning at approximately 2:30 a.m..

I understand and acknowledge that neither the Mountain View/Los Altos Union High School District nor the Grad Night 2021 Committee and sponsoring Los Altos High School Parent/ Student Association (PTSA) will be responsible for the above named individual prior or subsequent to the event or while the event is in progress. The undersigned parent or guardian assumes all risks in connection with the student’s participation in Grad Night.

As the parent or guardian of the student, I do hereby for myself and heirs, executors, administrators and assigns forever waive release and discharge the Mountain View/Los Altos Union High School District, the California State PTA, its officers, employees, agents and volunteers (which includes Los Altos High School PTSA) from all liability, claims or demands for any damage, loss or injury to the student and the student’s property or parent/guardian’s property or to myself in connection with participation in these activities, which occurs on the premises of the event, before, during or after the aforementioned party, unless caused by the negligence of any of these entities. 

If my student is under a physician’s care for any health concerns, he/she will have a physical examination prior to participation and/or will get clearance from our doctor preceding the Grad Night Party, where physical/sports activities might occur. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood and agreed that the undersigned will assume full responsibility for any such action, including payment of costs. 

List any information emergency responders should be given about the student (allergies, medicine reactions, unusual physical conditions, etc.) or which could limit participation.   Please enter "NONE" if there is no information to provide.

As the parent or guardian of the above-named student, I hereby understand and agree that during his/her visit to the Grad Night 2021 site, my student will use the facilities and equipment at his/her own risk, and the site shall not be liable for any damages arising from personal injuries sustained in, on or about the premises of said facility. I hereby fully and forever release and discharge the site owners and employees from any action or cause of action, present or future, whether the same be known or unknown, anticipated or unanticipated resulting from or arising out of the said site or the facilities and equipment thereof. 


Parents/guardians and students should be aware that this is an event free of tobacco, drug and alcohol. If a student is caught with drugs, tobacco or alcohol in his/her possession at the event, the student will immediately be banned from any further activity and his/her parent/guardian will be called and required to pick up the student. If a parent/guardian does not respond, the local police department will be notified.

No refunds will be issued after April 30, 2021. The site requires an inspection of all students and their belongings upon arrival.


ALL fields below MUST be completed in order for the student to participate in the Grad Night Party.

I, the parent/guardian, have read and agree to the above statements. I authorize my child to participate in the Grad Night Party. *
Signature of Parent / Guardian: *
I, the participating student, have read and agree to the above statements. *
Signature of Participating Student: *