Staff & Board Senior Dinner & Graduation Form

Name Exactly as You Wish it to Appear in Graduation Program *

Senior Dinner Entree Choice: *

Sauteed Chicken Breast with Wholegrain Mustard Cream Sauce

Pan Seared Salmon Filet with Lemon Caper Butter Sauce

Creamy Polenta and Ratatouille (v)

I am Not able to attend Senior Dinner

Allergies/Dietary Needs, If Any

List any allergies or dietary needs.

Please list up to five seniors with whom you have a relationship (with them or their parents).

This will be used to make the seating arrangements for Senior Dinner.