2021 Grad Night Registration and Waiver
Carlmont's 2021 Grad Night will be on Friday, June 4 at 7:00 pm to Saturday, June 5 at approximately 2:00 am.

Details can be found on PTSA Grad Night page

Please complete the waiver and then wait for the payment page to appear. Signatures from both PARENT/GUARDIAN #1 and GRADUATE are required.

There are no refunds, transfers, or exchanges.

NOTE: Before attending Grad Night, you will be requested to verify that you are fully vaccinated against COVID-19 or provide proof of a negative Covid test within 72 hours.

*Full vaccination is defined as 14 days after receiving the final dose in the series (Pfizer-BioNTech, Moderna or Johnson & Johnson).

*For those who are not fully vaccinated, we will provide no-cost Covid testing on Wednesday, June 2nd, at Carlmont. Details will be provided.

Please read the COVID-19 information sheet here

PLEASE PRINT OUT AND SAVE YOUR RECEIPT TO AVOID DUPLICATE SUBMISSIONS!

If you receive an error message due to a duplicate entry, please contact Sherri Newmyer at sherri.newmyer@gmail.com.

Formulario en Español

中文表格
  • If you receive an error message, this is most likely a duplicate entry. Please contact CHSGradNight2021@gmail.com in order to fix this issue.
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  • In the event either parent/guardian cannot be contacted.
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    In the event either parent/guardian cannot be contacted. Must be someone other than Primary Guardian.
  • until May 11, 2021
  • $
    The past year has been difficult for many of our families. Any amount would be appreciated and will be used to support students in need who would otherwise not be able to afford to attend Grad Night.
  • We want everyone to attend Grad Night. If you need assistance with the cost of the ticket, please contact Terri Plack (tplack@seq.org) to request the scholarship ticket information.
  • MEDICAL RELEASE AND RISK WAIVER

  • By signing this waiver, I agree that the student registered on this form has my (our) permission in all PTA sponsored events for the school year of 2021.

    The undersigned parent or guardian assumes all risks in connection with the student’s participation in any and all of the PTA sponsored activities. I (we) hereby release and discharge the California State PTA, all PTA officers, employees and agents from all liability, claims or demands for any damage, loss or injury to the student, the student’s property, or parent’s property in connection with participation in these activities, unless caused by the negligence of the PTA.

    I do hereby certify that to the best of my (our) knowledge and belief said minor is in good health.

    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.

    I (we) hereby advise that the above named minor has had the following allergies, medicine reactions or unusual physical condition which should be made known to a treating physician or which could limit participation.

    (If your child has a medical condition, please select from the boxes below. If your child has no medical condition, please select NONE.)
  • If the graduate has no health concerns, select NONE. If you select OTHER, provide details, or if your graduate is taking MEDICATION and/or bringing medication to the event, please complete the section below.
  • Please attach any documentation regarding your student's medical care that you wish the available medical professional to have available
  • GRAD NIGHT RULES AND INFORMATION

  • 1. All 2021 Carlmont High School Graduates in good standing and eligible to walk in the 2021 graduation ceremony, including Middle College Graduates, are invited to attend the Grad Night 2021 celebration.

    2. Graduates must have a photo ID and have purchased a ticket and completed the necessary waiver and permission forms in advance. No ticket sales after May 28th.

    3. All attendees must show proof of COVID-19 vaccination or negative COVID-19 test; details to be announced.

    4. School Resource Officers (“SRO”) from the Belmont Police Department and parent volunteers will be at the Scots Gym during check-in and at the venue.

    5. Graduates will undergo a pat-down search prior to boarding the buses. Adult volunteers will be trained to conduct this search by the Carlmont SRO and will be supervised by the SRO.

    6. Anyone arriving intoxicated, under the influence of drugs or acting in a disorderly manner will be referred to the SRO and will not be allowed to attend the event.

    7. At check in, graduates will place their personal items in individual, sealed bags upon check-in, including car keys and IDs. These items will be returned upon returning from the venue. DO NOT BRING VALUABLES.

    8. The following items are NOT allowed: cell phones, Apple watches (or similar), cameras, pagers, any device with the ability to communicate, yearbooks, purses, backpacks, personal hygiene items, makeup, lip balm, food, chewing gum, mints or water bottles.

    9. All medications must be checked-in to be held by the nurse during the event, with the exception of epi-pens and inhalers. The nurse will have personal hygiene items available at the venue.

    10. Attire is informal and within school dress code. The venue will have indoor and outdoor activities. Graduates are encouraged to DRESS IN LAYERS and bring a jacket, as it can get very cool this late at night.

    11. Any serious infraction of the Grad Night rules will be reported to the parent/guardian by telephone and may result in removal from the event. If the parent/guardian cannot be reached, the graduate in question will be considered to be in custody of the security and/or police.

    12. Graduates are expected to remain at the venue and travel as a group until returning to Carlmont High School at approximately 2 a.m.
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