January 2014

ROOSEVELT PROJECT GRADUATION 2014

Dear Roosevelt Seniors, Parents & Guardians:

The Friends of Roosevelt Project Grad is a group of volunteer students, parents,

guardians and concerned adults in the community who plan and host an annual

Project Graduation celebration for Roosevelt High School seniors.

Project Graduation is a nationally recognized drug and alcohol free, adult supervised

all-night party that has been a great success in many states. The purpose of this

special graduation celebration is to help to prevent teenage deaths caused by

drinking and driving on graduation night. Due to the efforts of a group of volunteers,

Roosevelt High School graduates were the first from a public high school in Hawaii to

enjoy a Project Graduation celebration in 1990. It has become a tradition that all

Roosevelt seniors look forward to each year.

The Class of 2014 will be graduating on Saturday, May 24, 2014, and so will many other

high school students. We need your help to make their special night a safe and joyous

occasion.

This once-in-a-lifetime event begins graduation night:

When: May 24, 2014 9:00 p.m. (Roosevelt Cafeteria – CHECK-IN)

to

May 25, 2014 7:30 a.m. (Roosevelt Cafeteria – PICK UP)

PLEASE BE PROMPT!

Where: SECRET DESTINATION

Fee: $100 for each Graduate (good to March 7, 2014 )

The registration fee of $100 is non-refundable. Note: the actual cost for each student

is more than $250. Thanks to year-round fundraising and donations from the

community, we are able to defray costs. The last day to register for $100 will be Friday,

March 7th. Seniors who register after March 7th will be assessed a late registration

fee of $150 through April 30, 2014. The late registration fee increases to $200 up

through and including the day of graduation. A limited number of sponsorships are

available for students who would otherwise be unable to attend (an application form

is included with this packet). Registration fees must be paid up front and will be

refunded based on any sponsorship (full or partial) approved/granted.

Please read all forms carefully, fill out forms completely and return with payment on

the designated registration dates! If you have any questions please contact Jamie

at 291-1171, Terry at 306-4989 or Leila at 531-9509 or email: rooseveltpg@gmail.com.

Mahalo,

Friends of Roosevelt Project Grad

January 2014

ROOSEVELT PROJECT GRADUATION 2014

REGISTRATION INFORMATION and DATES

Friends of Roosevelt Project Grad volunteers will be at the Roosevelt High School Senior Patio on the following dates to register seniors for Project Graduation 2014. Please bring all completed forms with your payment or sponsorship application. Seniors: Be sure to register early with your friends to reserve seats together

on the same bus…maximum of 30 students per bus!

~~There will be NO bus-switching once sign-ups are completed!!!~~

~~Late registrations will not be guaranteed shirts or reservations!!!~~ **For the seniors who register AFTER March 7th, the registration fee will be:

$150 through April 30, 2014

$200 May 1st through and including graduation day, May 24, 2014.

BE SURE EVERYTHING IS COMPLETE & SIGNED!

Date: Time: Wednesday, March 5th lunch period Thursday, March 6th lunch period **Friday, March 7th lunch period

**Last day to register at $100

NOTE: Additional copies of this registration packet will be

available in the Registrar’s Office for $1 each.

January 2014

REQUIRED FORM – PLEASE READ, COMPLETE & SUBMIT

ROOSEVELT PROJECT GRADUATION 2014

PERMISSION/WAIVER FORM

My son/daughter (please circle)__________________________________(please print name) has permission to

attend the Project Graduation celebration to be held on Saturday, May 24, 2014 (Graduation Night) from

9:00 p.m. to 7:30 a.m. Sunday, May 25, 2014.

I fully understand the potential problems involving alcohol and/or an illegal substance that could arise and

will cooperate fully with all volunteers of the Friends of Roosevelt Project Grad. In the event that my

son/daughter is found to be in possession of or under the influence of alcohol and/or an illegal substance, I

understand that he/she will be removed from the rest of the students and I will be notified and must pick

him/her up immediately.

I understand that students participating in this event cannot leave the premises of the Project Graduation

celebration at (Secret Destination). Students will not be released until the designated ADULT parent or

guardian signs them out on the morning of May 25, 2014. I understand that I am responsible for my child once

he/she is picked up from the RHS cafeteria. This is to protect my son/daughter from any traffic accidents or

fatalities due to fatigue in my child. Telephone use for personal reasons will be prohibited.

I know this celebration is a gift offered to all graduates and that it is being planned by a group of volunteer

students, parents and supportive adults. I understand that participation in this celebration party is fully

voluntary. In consideration of the benefits to be derived, and having full confidence that every precaution

will be taken to ensure the safety of my child, my signature below acknowledges my understanding of this

event and agreement to waive all claims, not to place suit or to hold liable any volunteer person, Friends of

Roosevelt Project Grad, Roosevelt High School Alumni Association and Roosevelt Alumni Foundation,

Roosevelt High School, Hawaii State Department of Education, or any of the vendors, including those

providing transportation, for any incident or injury that may occur to my child while attending the Project

Graduation celebration.

_____________________________________________________ ________________________________________________________

Print name of Father/Guardian Signature of Father/Guardian

Phone: Home__________________________Cellular:___________________________Work:_________________________________

_____________________________________________________ _______________________________________________________

Print name of Mother/Guardian Signature of Mother/Guardian

Phone: Home___________________________Cellular:___________________________Work:_______________________________

____________________________________________________________ __________________________ ___________________

Student Home Address City Zip Code

IF PERSON(S) NAMED ABOVE IS (ARE) NOT AVAILABLE IN THE EVENT OF AN EMERGENCY, NOTIFY AND

RELEASE MY CHILD TO: _________________________________________________________________(ADULT) Relationship________________________________________________Phone #s_______________________________________________

IF I CANNOT PICK UP MY CHILD, PLEASE RELEASE HIM/HER TO: ________________________________________

Relationship________________________________________________Phone #s_______________________________________________

A PICTURE ID WILL BE REQUIRED FROM THE DESIGNATED ADULT FOR PICK-UP OF THE STUDENT. UNDER

NO CIRCUMSTANCES WILL MY CHILD BE RELEASED TO ANYONE OTHER THAN THOSE LISTED ON THIS

PERMISSION/WAIVER FORM OR ALLOWED TO LEAVE ON OWN.

Please note any significant health problems (allergies, epilepsy, etc.) and medication taken by

your child on a regular or emergency basis____________________________________________________.

My child has medical coverage with (Please circle): HMSA Kaiser or Other: ___________________.

My child will be picked up, NO LATER THAN 8:00 am on Sunday, May 25, 2014.

_____________________________________________________________(Parent/Guardian/Sponsor Signature)

January 2014

REQUIRED FORM – PLEASE READ, COMPLETE & SUBMIT WITH PAYMENT

ROOSEVELT PROJECT GRADUATION 2014

REGISTRATION AND DONATION FORM

Bus#________

In addition to the registration fee, the Friends of Roosevelt Project Grad requests that you

consider a monetary donation to help defray the actual cost for each graduate to attend

this celebration. Fundraising has been particularly difficult this year and we need all the help

you can provide. If you are able to make a donation, please include the amount along with

your graduating senior’s non-refundable $100.00 registration fee.

If you are applying for a sponsorship, please complete this form, include payment and your

completed Sponsorship Application. If you are awarded a sponsorship, you will receive an

appropriate refund.

Please make check(s) payable to: Friends of Roosevelt Project Grad

Registration Fee (non-refundable) $ 100.00 If paid by March 7th

Student Home Phone #_______________ Donation $____________

Student Cell #________________________ Total Amount Enclosed $____________

*********************************************************************************************************** FRPG Registration Committee Use Only

Payment by: Check Ck #______________________

Cash Receipt #_________________

Total amount received $_______________ by: _________on________________

STUDENT AGREEMENT

All students are expected to adhere to the rules and regulations of Roosevelt High School. I

understand that if I violate any rules set by the Friends of Roosevelt Project Grad or if I am found

with alcohol or an illegal substance in my possession, my parent(s) or guardian(s) will be notified

and they must pick me up immediately.

______________________________________________ Senior Student’s Signature

***********************************************************************************************************

T-Shirt Order Form

A Project Graduation 2014 Souvenir T-shirt is included with your Registration Fee!

Your T-shirt Size: (PLEASE INITIAL THE SIZE OF SHIRT CAREFULLY. NO EXTRA SHIRTS WILL BE AVAILABLE FOR

EXCHANGE OF SIZES).

_______Small _______Medium _______Large_______X-Large ________XX-Large _______XXX-Large

January 2014

REQUIRED TO PARTICIPATE – PLEASE COMPLETE AND RETURN

XTREME FUN RENTALS, Inc. Roosevelt Project Graduation 2014

Waiver and Warning Information Sheet

PLEASE READ AND SIGN TO PARTICIPATE ON ANY RIDE OR ATTRACTION

You may experience some of the following physical effects:

*Unstable & Spongy Surface *Bouncy Feeling with a Recoil Action

*Abrasion on Exposed Elbows, Heels & Hands *Dizziness or Vertigo

*Possible Strain on Knees and Ankles *A loss of Balance

*A fear of Height *A Whole Lot of FUN

If you have any physical impairment that prevents you from participating in the

Xtreme Fun Rentals, Inc. rides we suggest that you do not enter the amusement

device.

PATRON RESPONSIBILITY There are inherent risks in the participation in or on any amusement ride, device, or attraction.

Patrons on an amusement ride, device, or attraction, by participation, accept the risk inherent in

such participation of which the ordinary prudent person is or should be aware. Patrons have a

duty to exercise good judgment and act in a responsible manner while using the amusement ride,

device, or attraction and to obey all oral or written warnings, or both, prior to or during

participation, or both.

Patrons have a duty to not participate in or on any amusement ride, device, or attraction when

under the influence of drugs or alcohol. Patrons have a duty to properly use all ride or device

safety equipment provided.

WAIVER OF LIABILITY I voluntarily release, indemnify, hold harmless and discharge Xtreme Fun Rentals, Inc. (hereinafter

collectively referred to as “X.F.R.”), from any and all liability, claims, demands actions or rights of

actions, whether personal to me or to a third party which are related to, arise out of or are in any

way connected with my use or participation on the X.F.R. attractions including those allegedly

attributable to negligent acts or omissions. I agree to reimburse any reasonable attorney’s fees

and costs which may be incurred by X.F.R. in the defense of any such liability claim, demand,

action or right of action. In the event that I file a cause of action against X.F.R, I agree to do so

solely in the state of Hawaii, and I further agree that the substantive law of Hawaii shall apply in

that action without regard to any conflict of law or rules of Hawaii.

I acknowledge and certify that I have had sufficient opportunity to read this entire document, that

I understand its content and that I execute it freely, intelligently and without duress of any kind and

agree to be bound by its terms.

Print Student’s Name: _______________________________________ Date: ____________________

________________________________________ _______________________________________

Print Parent/Guardian or Sponsor’s Name Parent/Guardian or Sponsor Signature

January 2014

OPTIONAL FORM

ROOSEVELT PROJECT GRADUATION 2014

SPONSORSHIP APPLICATION

If you are a graduating senior and would like to attend the Project

Graduation celebration on May 24-25, 2014, but are unable due to financial

hardship, you may apply for a sponsorship from the Friends of Roosevelt Project

Grad. It is our hope to find a grant for you so that you can participate in this

memorable celebration.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Student’s Name________________________________________________Phone_________________

Address__________________________________ City_________________ Zip Code____________

I would like to attend the Project Graduation celebration with a sponsorship grant.

I am available for a telephone or personal interview to verify my financial situation

so the committee can find a grant for me.

I participate in the reduced cost/free lunch program. Yes No

I understand that my personal interview information is confidential and that my

privacy will be kept at all times by the Friends of Roosevelt Project Grad.

___________________ _____________________________________ Date Senior Student’s Signature

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Please submit this form with your completed and signed Parent Permission/Waiver

Form, Reservation Form and Xtreme Fun Rentals Form together with the registration

fee to the registration sign up at the Roosevelt Senior Patio on any of the following

dates: Upon approval of a full or partial sponsorship, you will receive an appropriate refund.

Date: Time:

Wednesday, March 5th lunch period

Thursday, March 6th lunch period

Friday, March 7th lunch period

January 2014

IMPORTANT REMINDERS – PLEASE KEEP & POST AT HOME

ROOSEVELT PROJECT GRADUATION 2014

SA TU RDAY, Ma y 24 t h :

Check-in at the RHS auditorium prior to your final rehearsal by name and confirm your bus

number.

After the graduation ceremonies, check-in at the cafeteria at 9:00 p.m. Check-in will be by

bus number. Please be prompt when reporting to the cafeteria after graduation.

REQUIRED ATTIRE FOR SENIORS ATTENDING:

LONG PANTS (ankle length; no shorts, capris or pedal pushers)

PROJECT GRAD T-SHIRT (no alterations allowed)

COVERED SHOES.

NO Jewelry, Leis, Purses/Bags, Hats, Sunglasses, Pagers, Cell Phones or other electronic

devices are allowed. If these items and any other unauthorized/contraband items are found

on you, they will be confiscated and held for you until your return on Sunday, May 25th.

If you check-in without the proper attire, your parents will be called to bring you the

necessary items. You will NOT be allowed to participate in any activities until you have the

necessary items.

Graduates may bring with them only a jacket or sweater and required prescription

medication in a re-sealable plastic bag with their full name printed on it.

Graduates will be escorted from RHS to the Secret Destination, leaving at approximately 9:30

p.m. They will make one pass in front of the school on Nehoa Street. Family and friends are

encouraged to line Nehoa Street to cheer their graduate.

REMINDER: Any attendee, who is disorderly or disruptive or is found to have

unauthorized/contraband items, including drugs or alcohol, may be sent home at the

discretion of the chaperones.

S UNDAY, M ay 2 5 t h :

Parents/Guardians may PICK UP their graduates Sunday morning, May 25th, at the RHS

cafeteria at 7:30 am. PLEASE BE PROMPT, both the graduates and their chaperones will be

tired!

Parents/Guardians or other authorized person(s) are REQUIRED TO BRING A PICTURE ID to sign

out their graduate at the end of the Project Graduation celebration.

Graduates will only be released to the authorized Parent/Guardian orADULT designated on

the authorization form. NO EXCEPTIONS! Under NO circumstances will the graduate be

allowed to drive or walk home themselves.

Graduates will not be allowed to borrow cell phones to call someone to pick them up.

Parents/Guardians are expected to know when the graduates are to be picked up.

January 2014

SEND YOUR FAVORITE GRADUATE(S) A TELL-A-GRAD MESSAGE!

Tell-a-Grad is a special message to graduates from parents, family members and friends to be read the morning after attending the Project Graduation celebration. The messages will be in personalized goodie bags each attendee receives. Imagine how wonderful your grad will feel to receive a special note from a loved one!

Some Tell-a-Grad suggestions for your consideration: Commercial or handmade cards Letters Photographs or drawings

Please DO NOT include any fragile or valuable items.

How can you participate in Tell-a-Grad?

1. Place your Tell-a-Grad message and/or item in an envelope and address it to your grad. Be sure to include your grad’s FIRST AND LAST NAME and mark the envelopes “Tell-A-

Grad”. 2. Hand-deliver your Tell-a-Grad envelope to the “Tell-A-Grad” box located in the school office

or mail to: Friends of Roosevelt Project Grad P.O. Box 22473 Honolulu, HI 96823-2473

3. Deadline for receipt of Tell-a-Grad envelopes is Wednesday, May 19, 2014. 4. E-mail rooseveltpg@gmail.com if you’d like an electronic version of this flyer to share with

family & friends, or email Lynn Gokan-Oshiro at ashayoshiro@yahoo.com or call 222-4871, if you have any questions.

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FRIENDS OF ROOSEVELT PROJECT GRAD

Initially a committee of the Roosevelt High School Parent Teacher Student Association (PTSA), in

2007 we became affiliated with the Roosevelt Alumni Foundation and Roosevelt High School

Alumni Association.

“Together we make a difference”

For more information check our website at www.rooseveltpg.org

Or contact us at: Friends of Roosevelt Project Grad*

PO Box 22473

Honolulu, HI 96823-2473

E-mail: rooseveltpg@gmail.com

The Roosevelt Alumni Foundation is a non-profit organization in accordance with U.S. Internal

Revenue Code Section 501 (c)( 3). Federal Identification number 99-0308401.