John Rogers Elementary Worldwide Culture Night Sign‐up

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We would love to know what will be represented for this evening. If your family plans to make a display, bring in food, or bring anything else to contribute to the evening, please fill out this form and return to school or fill it out online via the QR code below by Thursday, May 25th.

If you have questions, please email triciagroebner@gmail.com.

Your student/s will bring home poster paper to make a poster to share your cultural history, traditions, language, interests, stories, history, etc. You do not have to fill this form out if you are only planning to do that poster. This form is for additional contributions.

Student Name/s *

Parent/Guardian Name(s)

Phone Number *

Email Address *

Culture/Country, if applicable

Teacher Name/s *

Check all that apply: *

I would like to create a display (photos, artifacts, jewelry, currency) from my culture.

I would like to share a performance (tea ceremony, dance, etc.) from my culture.

I plan to bring food from my culture for the potluck.

I can help with this event. (setup, cleanup, greeter, etc) We will send a volunteer sign-up form ahead of the event.

I would like financial assistance for something I’d like to bring.

Other:

Required

I am interested in being involved with a PTA Committee or PTA Board next year. (Checking this is not a commitment.)

Yes, please contact me!

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