ASRP Permission Slip

ASRP Permission Slip
I hereby give permission for my child blanks.
to attend the After School Reading Program. The program will be held Monday-Thursday, 3pm to 4pm. I understand it is my responsibility to pick up my child who will be waiting outside of the front office with the teacher at 4:00.
My phone number is
Format: (000) 000-0000.
My name is
signature

Clear
date

MonthDayYear
Date
Please return to the Computer Science teacher, Mrs. Pierce in the Library.
Should be Empty: