HS Winter Jam Parent Consent/Transportation Form
February 4, 2023
Student Information
Student's Name
*
First Name
Last Name
Student's Cell #
*
Grade 2022-23
*
8
9
10
11
12
Gender
*
Male
Female
Any Food Related Allergies? If yes, please list in the comment box
*
Yes
No
Parent/Guardian Information
Name
*
First Name
Last Name
Parent/Guardian Cell #
*
E-mail of Parent for Communication about this event
*
Does the student have any food or medication or other allergies? Chronic illness or medical conditions? If yes, please describe.
*
Parent/Guardian Signature
*
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