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Bertram School Permission Slip
Please fill out all the information below after reading the Waiver Form for your student to participate in Challenge Adventure Programming at Camp Twin Lakes
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Students First and Last Name
*
Your answer
Grade
*
3rd Grade
4th Grade
5th Grade
Teacher
*
Choose
Frye
Guffey
Ramon
Baker
Celis
Deason
Carranco
McCally
Pape
Parents First and Last name
*
Your answer
Parents Email
*
Your answer
Parents Phone Number
*
Your answer
I have read, understand and accept the terms and conditions stated below and acknowledge that this agreement shall be effective and binding upon the parties during the entire period of this and all future programs I participate in.
*
I GIVE my permission for my child to participate in Challenge Adventure Programing
I DO NOT GIVE my permission for my child to participate in Challenge Adventure Programing
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