LRE ROLLER SKATING AT LIBERTY RIDGE

LRE ROLLER SKATING AT LIBERTY RIDGE
Item 1#:
2425 LRESKATPERM
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Student First Name
Student Last Name
Teacher Name
• I understand that district procedures have been followed in planning for this field trip. A plan has been filed with the principal regarding safety and supervision issues. • Weather conditions will be considered prior to the trip and necessary adjustments may be made. This could include canceling the field trip. • I also understand that I will be responsible for paying all expenses related to sending my child home from the trip due to disciplinary reasons or illness if the school staff deems it necessary. I authorize my child to participate in the field trip.
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Parent/Guardian Signature
Parent/Guardian Phone:
Does your child have special needs which will require special attention or supervision on the field trip?
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If YES, please explain the necessary considerations:
Roller Skate Size
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Description

Add donation amount if desired. No fee is required but donations are appreciated.

Complete all fields:
     Do you authorize your child to attend, yes or no
     Parent signature
     Parent phone number
     Does your child have speial needs, yes or no
     If yes, please explain
     Choose Roller Skate Size
   

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