Under 18 Permission Slip
Parent Name
*
First Name
Last Name
Parent Phone
*
Please enter a valid phone number.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Child Name
*
First Name
Last Name
I understand that Collage Club is about making collage art. My child is prepared to participate in the Club to the best of their ability. I understand that my child will not be specifically supervised during collage club and will be in an environment of mixed children and adults. I have discussed with my child that if anyone makes them feel unsafe, they will ask for help or file a confidential report as soon as possible. My child will give and receive respect from Collage Club members. I understand that my child may be dismissed from Collage Club if they are found to be bullying or harassing anyone or if they are using club time for other activities.
*
Yes
Submit
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