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Solutions Extended Day ~ In-School Activity Permission Form
Please fill this form out if your child is participating in an activity within the school.
*Reminder: If your child leaves school grounds, they can NOT return to Solutions.
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* Indicates required question
Child's name:
*
Your answer
School:
*
Choose
Jefferson
Oak St
Kennedy
Keller
Parmenter
Before school activity:
Choose
Extended Learning Class
Meet with Homeroom Teacher
School Sponsored Activity
Other
If you chose "other", please specify the before school activity:
Your answer
Afterschool activity:
Choose
Girl Scouts/Brownies
Bus Buddies
School Sponsored Activity
Music Program
Best Buddies
Other
If you chose "other", please specify the afterschool activity:
Your answer
What location within school grounds is the activity taking place?
*
Your answer
What time does the activity begin?
*
Time
:
AM
PM
What time does the activity end?
*
Time
:
AM
PM
What date does the activity begin?
*
MM
/
DD
/
YYYY
What date does the activity end?
*
MM
/
DD
/
YYYY
What day of the week does the activity take place?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
How will your child be transported to/from the Solutions program?
*
Choose
Solutions should drop off/pick my child up at the activity location.
Someone from the activity will walk my child to/from the program.
My child will be picked up from the activity and will not attend Solutions afterwards.
My child is participating in a before-school activity and will go to school after the activity.
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