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.