JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Jags Den Permission Slip
Jags
Den is an after school homework help program. It is a free program for students that allows them to get support from teachers on classwork, homework and studying for tests after school. Please email Ms. Stover at estover@lccsnj.org if you have any questions.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I give permission for my child, _____________, to attend Jags Den after school Monday-Thursday until 4:15 pm. (Please enter your child's full first and last name below.)
*
Your answer
Select your childs grade:
*
4th
5th
6th
7th
8th
Can you child walk home after Jags Den?
*
Yes, my child is allowed to walk home from school after Jags Den.
No, my child can only be picked up after Jags Den.
Does your child attend circle space after Jags Den?
*
Yes, my child attend circle space.
No, my child does not attend circle space.
Please note Jags Den will be dismissed from the front of the building at 4:15. If you are picking up your child before 4:15 please report to the main office.
I will pick my child up at the front of the building at 4:15.
Clear selection
Parent/Guardian Signature
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Learning Community Charter School.
Report Abuse
Forms
