Say No To Drugs Club - 5th Grade Students ONLY
Details about the program - Click on the link for information about the Say No to Drugs Club
Sign in to Google to save your progress. Learn more
Email *
Student Last Name *
Student First Name *
Homeroom Teacher *
I understand that the club meetings are held after school.  Bus transportation is not provided.  My child will be transported from the Say No to Drugs Club by (please specify):
  I grant permission for my son/daughter to participate in the Manning Elementary Say No to Drugs Club.  I give permission for my child to be photographed and/or filmed for our school yearbook, newspaper, hall display, newsletter, website and blog.
Best phone # for Mrs. Dispensa to contact if needed *
Best email for Mrs. Dispensa to contact if needed *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Community Unit School District 201. Report Abuse