3rd Grade Intramural Permission Slip 

                                                                                  Intramurals

                                    3rd Grade - Wednesdays October 18, 2023 –April 10, 2024

Meeting dates – 10/18, 10/25, 11/1, 11/8, 11/15, 11/29, 12/6, 12/13, 12/20, 1/3, 1/10, 1/17, 1/24, 1/31, 2/7, 2/14, 2/28, 3/6, 3/13, 3/20, 3/27, 4/3, 4/10.

                                                 Limited Capacity (lottery may be established!)       

  • Late Bus Available-Bus leaves front circle at 4:30PM

  • Late bus drops off students only at perimeter bus stops

  • Please see attached BUS RUN - Transportation Dept.–631- 791-4261

  • Parking in the front circle is prohibited. Please park to pick up your child at Crayons

  • Your child will be released to only those adults listed on the permission slip.

  • Please pick up your child by 4:20PM

  • Note is needed for any changes in adult pick-up instructions 

  • Must have sneakers to participate!

Email *
Student's Name *
Name of student's classroom teacher *
Parent/Guardian's Name *
Email *
Address *
Primary Contact Phone Number *
Emergency Phone Number *
If your child will be riding one of the late buses, please indicate below which bus stop they should get off.
*See bus stops*
Stops for Late Bus A

Or, please indicate below the name of the person(s) authorized to pick up your child.
 *
Parent/Guardian Electronic Signature
(Type Name)
 *
A copy of your responses will be emailed to .
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