CELEBRATION GRADUATION 2008 - GUEST FORM
Please fill out form completely; incomplete forms will be returned to the student.
There is a $15 charge for guests. Guests are not eligible for prize drawings.
Guest Name__________________________________________________________
Address__________________________________ Phone_________________________________
Name of PHS Senior (Required) __________________________________________
_____________________________ has my permission to attend the PHS Celebration Graduation, June 13-14, 2008.
He/she will be driven home from the event by an adult who has not participated in Celebration Graduation.
In case of emergency, contact:
Name_________________________________ Relationship to student__________________
Home Phone___________________________ Cell Phone___________________________
_____________________________________ ____________________________________
Signature of Guest Printed Name
_____________________________________ ____________________________________
Signature of adult responsible for Guest Printed Name
(Form must be signed by a parent or guardian regardless of the student’s age.)
This section to be filled out by Portsmouth High School.
Name of Guest________________________________
____________________________________________ _________________
Approved by Mr. Donovan Date
Fee paid by: cash check # ________
Questions? Contact Amy Feitelson, 964.7433/944.7653/afeitelson@comcast.net
or Diane Agrodnia-Dorow, 430.8034/969.7705/agrods@aol.com
COMPLETED FORMS MUST BE RETURNED TO SANDY WHITE IN THE MAIN OFFICE BY MAY 30th.