Popcorn Friday Opt-In Permission Form

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Dear BF Families!

The Ben Franklin PTO will begin hosting Popcorn Fridays beginning March 15, 2023. We are hoping to host this event twice a month throughout the rest of the school year. The school district has an "opt-in" policy where the parent/guardian must give permission to allow their child to participate in popcorn Fridays.

Please complete the form below to either opt-in/out.

**One form needed per student!**

Email *

Student's Name *

Student's Teacher *

Mrs. Ruiz

Mrs. Magner

Ms. McNelly

Mrs. Lipka

Ms. Lira

Mrs. Boris

Mrs. Kim

Mrs. Wood

Mrs. Borchers

Mrs. Burmeister

Mrs. Gaedtke

Ms. Balson

Mrs. Gross

Mrs. Dodd

Mrs. Busniewski

By checking a box below, you are hear-by giving (or not giving) your student permission to purchase (for one quarter) and consume the popcorn distributed.

*nutrition facts below*

Yes, I give my student permission to purchase & consume popcorn.

No, I do not give my student permission to purchase & consume popcorn.

Required

Parent or Guardian's Full Name *

Submit

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