Free Permission Slip 30Free Permission Slip 30
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PERMISSION Slip
Goal:___________________________________________________________
I give permission for my child listed below to attend ________________________
_________________________________________________
(Signature of Parent/Guardian)

__________________________
(Date)

__________IF YOU ARE INTERESTED IN HELPING WITH _______________ PLEASE INITIAL.
Please CLEARLY Print Information
Name of Child ______________________________________ Date of Birth ____________________
Boy

Girl

(Please circle)

Teacher’s Name_________________________________Grade ____________

Name of Parent/Guardian ______________________________________________________________
Primary Phone Number _______________________

Email ____

___________

Secondary Phone Number _____________________________________________
Address_____________________________________________________________
____________________________________________________________________
If we are unable to reach the parent/guardian listed at the ab