Harvest Academy Christian School Permission Form

Harvest Academy Christian School

After School Activities Permission Slip

370 Holiday Isles Dr. Clewiston, FL 33440 (863) 805-0485
By completing this form, you are allowing your child to stay after school to partake in school sponsored activities. The activities covered under this permission slip include school sponsored programs, academic clubs and any other school sponsored activity that would require your child to remain on the premises beyond the normal school hours of operation at any designated time throughout the academic school year.
Please completely fill in this form:
Student Name *

First Name Last Name
Student Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian's Name *

First Name Last Name
Cell Phone Number *
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
Parent Email Address *
example@example.com
Are there any health conditions we should know about? *

Please completely fill in this form: