Join Us for the 5th Grade Promotion Picnic!

We will host the students at Peers Park for a Promotion Picnic!

Activities will include:
Park Games with Run4Fun;
Traditional 5th Grade BALLOON TOSS!!!! (at the end)
Tie-Dyeing of their graduation t-shirts (please bring them and do not wear them);
and a picnic lunch on their new beach mats.

Masks and social distancing in line with current County guidelines will be adhered to and strictly enforced.

Location: Peers Park 1899 Park Blvd., Palo Alto, CA
Time: Wednesday, June 2nd,
Drop off between 10:30 - 10:45am
Pick up at 1pm

You have to do 4 (four) things for your child to attend the Promotion Picnic:
1. Sign out your child early from school. Details forthcoming on how this will happen.
2. Provide transportation to and from the picnic.
3. RSVP that your child is attending the picnic (we will base our food orders on RSVPs so this is super important!!!!)
4. Agree to the liability waiver below - each child will have a picnic wristband (similar to bubble soccer for Last Day Fair)

Sign in to Google to save your progress. Learn more
Will your child attend the picnic? *
What is your child's name? *
What class is your child in? *
Required
Who will drop off and pick up your child? Please list first and last name and a contact phone number. *
Are you able to volunteer at the Picnic?
Clear selection
If you are able to volunteer at the picnic - please list your name and email or cell number so we can contact you.
Cheese quesadilla boxes from Chipotle with chips and a drink will be provided for lunch. My child would like to have: *
Required
Please list an emergency contact and a phone number. *
The undersigned parent(s) or guardian(s) assume all risks in connection with the participation of all individualslisted above in any and all of the PTA sponsored activities.I attest and verify that all individuals listed above are physically fit and able to participate in any PTA sponsoredactivities. Further I acknowledge that is it my responsibility to understand any inherent risks associated with PTA sponsored activities and communicate those risks to all individuals named above.I do hereby certify that to the best of my knowledge and belief all individuals named above are in good health.In the event that I, or other parent/guardian, cannot be reached in an emergency, I hereby give permission tosecure proper treatment for my child(ren). I/we do hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary in the best judgment of the attending physician, surgeon or dentist and performed by or under the supervision of the medical staff of the hospital or facility furnishing medical or dental services. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs.I/we, as parent(s) or guardian(s) of the minor(s), do hereby, for my child/children, myself, my heirs, executors and administrators, release and forever discharge and hold harmless the California State PTA, the local PTA and all officers, directors, employees, agents and volunteers of the organizations, acting officially or otherwise, from any and all claims, demands, actions or causes of action which in any way arise from the participation of any individuals listed above in any PTA sponsored activities.By signing below, I confirm that I have carefully read and fully understand its contents. I am aware that this is a release of liability and signed it of my own free will. *
Required
Please type your full name and phone number. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy