Year 3 EOY Student Form 2023-2024

Please Read!!
This completed form with parent and student signatures, and a minimum of $60 deposit are due by Tuesday, October 31, 2023 to reserve a spot. Gradventure seats are first come first serve, if all the seats fill before Tuesday, October 31, 2023 then a waitlist will be started for those still interested.
This form alone will not reserve your spot, a deposit must be made on Rycor.

Student's Full Name Student's Full Name First Last
Student Number
I would like to sponsor a Year 3 Student who is unable to pay for themselves
I have a business and would like to be a sponsor for the end-of-year activities and have our logo on the back of the Year 3 shirt (email kfuqua@pasco.k12.fl.us)
My child would like to participate in the following activities (check all that apply):

My child would like to participate in the following activities (check all that apply): Gradventure event ticket w/EOY t-shirt, meal ticket, PVMS Clear Bag, and transportation($190) Year 3 EOY t-shirt (for students NOT attending Gradventure) ($15) Field Day w/lunch ($30) (available on Rycor 4th quarter) Year 3 Dance ($30) (available on Rycor 4th quarter)
Year 3 EOY Activity Behavior Expectations
I acknowledge I have read the Year 3 End of Year Activity Behavior Expectations Chart shown above and the timelines provided.

I acknowledge I have read the Year 3 End of Year Activity Behavior Expectations Chart shown above and the timelines provided. I acknowledge
Parents/Guardians please read and sign below:

By signing below, I acknowledge I have read the following before I pay for the end of year activities.

No refunds will be given for any end of year activities after Friday, March 1st (unless the park cancels the event).

For academic and/or safety reasons, we may choose to deny attendance to students that are not on track for promotion to high school and/or have exhibited poor or questionable behavior at any time prior to each EOY promotional event. See the diagram below for referral expectations.

Parent signature indicates agreement and understanding of all expectations above: Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Full name of parent/guardian that signed: Full name of parent/guardian that signed: First Last
Students please read and sign below:

By signing below, I acknowledge I have read the following before I pay for the end of year activities.

No refunds will be given for any end of year activities after Friday, March 1st (unless the park cancels the event).

For academic and/or safety reasons, we may choose to deny attendance to students that are not on track for promotion to high school and/or have exhibited poor or questionable behavior at any time prior to each EOY promotional event. See the diagram above for referral expectations.

Student signature indicates agreement and understanding of all expectations above:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Full name of student that signed: Full name of student that signed: First Last
I understand completing this form does NOT reserve my child's spot. I must log into Rycor and make the minimum deposit before 10/31/23 or before all seats fill.
https://www.studentquickpay.com/pasco/

I understand completing this form does NOT reserve my child's spot. I must log into Rycor and make the minimum deposit before 10/31/23 or before all seats fill.
https://www.studentquickpay.com/pasco/ I understand

Year 3 EOY Student Form 2023-2024

Year 3 EOY Student Form 2023-2024

Year 3 EOY Activity Behavior Expectations