2013 GRAD NIGHT PARTY AT THE RACING VENUE TICKET ORDER FORM

1. Del Mar High School Grad Night of 2013 Presents:All Night Racing Grad Night Party for the Class of 2013 is presenting a night of fast & furious fun: This includes a round trip bus ride to and from Del Mar High to Livermore for: Go Kart racing, fun and food! What you can expect: DJ, Casino, all night video games available, racing, & much more Go Karts are designed to go up to 40mph, so each student must participate in safety review prior to driving. Consent Permission forms must be signed by parents. Email ldr1219@yahoo.com.PARENT PARTICIPATION IS NEEDED TO HELP MAKE THIS A SPECIAL NIGHT FOR OUR TEENS! GET INVOLVED! Go to http://groups.yahoo.com/group/GradNt/or email us at donspta@yahoo.com ATTN: Grad Night When: June 6, 2013 from 9:00 pm to 4:00 am (all students need to arrange for rides home afterwards) Where: Everyone meets at Del Mar, Thursday night at the Teacher Faculty Lounge to sign in before boarding the buses. Final details and schedule will be available as the date approaches. Cost: * $95.00 if paid before December 14, 2012 (or received during Christmas break with a post mark on or before 12/14/12). $125.00 if paid or post marked after 12/14/12. Each student will receive a commemorative Grad Night T-shirt (more on this later) --------------------------------------------------------------------------------------------------------------------------------------------------------- • 2013 GRAD NIGHT PARTY AT THE RACING VENUE TICKET ORDER FORM • [_] I am paying in full the $125.00, which includes the commemorative T-Shirt. *unless 3 coming together, see above • [_] I am making a deposit of $50.00 to reserve my place and pay the remaining balance of $45.00 later (only if received before 12/14/12 otherwise, the balance will be $__-.00) • [_] I am making a deposit of $_____.00 to reserve my place and will make $_____.00 monthly. All monies due 2 weeks before Grad Night. • Make checks payable to Del Mar PTSA Grad Night on the check • Return form* with payment to DMHS Main Office or mail to Del Mar PTSA Grad Night 2013, 1224 Del Mar Ave, San Jose, CA 95128 • Student Name:__________________________________________________ T-Shirt Size: S M L XL (circle one) • Parent/Guardian Name: ____________________________________________________________________________ • Home address: ____________________________________________________________________________________ • Home Phone:_________________________ Cell Phone _______________________________ • Email Address________________________________________________ • Every year, we ask if anyone could help those who are less fortunate and can’t afford the full payment. We ask everyone to consider any of the following: • [_] I would like to make a donation of $_________ • [_] My business/I would like to help sponsor a student to Grad Night for $_________ • [_] My business/I would like to donate a raffle prize. • [_] I would like to donate some snack or dessert for Grad Night • Contact:______________________________________ Phone#________________ • Email ____________________________________________________________________ • *-All payment forms must have an signed copy of the Student/Parent Permission form turned in and the Liability form signed. See Main Office or Yahoo GradNt site above for a copy.