Senior Banquet Permission Slip

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This form gives permission for a student to attend the Northeastern Clinton Central Senior Banquet on June 24th at 5pm at the Adirondack Room of the Butcher Block, followed by a class movie at Cumberland 12 Cinemas. Students will be finished with the movie at approximately 11pm.
Per class vote, there will NOT be NCCS transportation provided so this permission slip allows students to transport themselves to and from these venues. This form should ONLY be filled out by a parent or legal guardian.

Email *

Information of Student attending the banquet

Please fill out this form regarding your child's information

Student First name *

Student Last name *

My student is a.. *

Senior at NCCS

Date of a Senior at NCCS

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