Permission Slip - English Rose Day School (Page 2 of 2) in pdf

Permission Slip - English Rose Day School Page 2

English Rose Day School

Brown Bear, Brown Bear @ the Bardavon Theatre - Poughkeepsie,

NY – Wednesday, October 19, 2016 – 10.00am

Open to All Pre-K Classes – FDK/Extra Year and Enrichment

Classes

Child’s Name: ______________________________________

Child’s Teacher: ____________________________________

# of Children ______ X $6.00 = _________

# of Adults

______ X $6.00 = _________

Limit of 4 tickets per family at this time – unless we have more available closer the time we will advise

then

Check / Cash Enclosed: _________________ Check # ______

My child is attending the field trip with _________________________________________. I have

arranged this directly with the above-stated person. They understand they are responsible for my child

during the entire field trip, including transportation back and forth from the theater.

Please check off where appropriate:

___My child is going on the trip and is not coming back to school

___My child is going on the trip and will be coming back to school

___My child is not going on the trip but is coming to school.

___My child is not going on the trip and will not be in school.

I understand that my child and his/her family are attending the above-mentioned field trip. I

understand that I am responsible for my own child and family. I understand that I am responsible for

my own transportation.

________________________________________

__________________________

Parent Signature

Date

________________________________________

Print Name

Permission Slip - English Rose Day School Page 2