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Title of Trip
PARENTAL INFORMATION AND SIGN UP FORM

WHO CAN SIGN UP?
WHEN?
WHERE?
COST?
If you are interested in your child participating, please fill out the bottom section of this form and return it to
_________________with _______________ fee. There will only be a total of _____________ slots available and the
deadline to sign up is _____________________ or when sessions are full. Once we receive your form and payment, more
information will be forwarded to you via email, including the itinerary of the __________________. information sheet. If
you have any questions, please forward them to
________________________
(_________________________email)
l

______________________________________________________________________________
Make checks payable to Greenbrier Middle School

Participant’s Name: _________________________________ Grade ____________
T-shirt size: Youth S M L XL / Adult S M L
Parent’s Name: ________________________________ Phone number ________________
Parent’s ema