Limestone County Schools

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					                       *FOR STUDENTS RIDING THE BUS*:
    RELEASE AGREEMENT AND PERMISSION FORM
STUDENT NAME:                                                                  GRADE: 7th–12th

TEACHER:      Mrs. M.McConnell/Ms.M.Perry Limestone County Gifted Program

EVENT: Limestone County Enrichment Program Talent Competition

LOCATION: Athens State University- Ballroom

DATE OF COMPETITION: Monday, May 21, 2012

MEANS OF TRAVEL School Bus to event only – Parents will need to pick students up at
3:30 pm at Athens State University

I acknowledge that my child will be participating in the event described above. I hereby
release Limestone County Board of Education, the school, its agents, the owner of the
building where competition is being held, and all volunteer personnel from all liabilities
or damage to my child or his/her property during his/her participation in this event.

Parent or Guardian (Please Print)______________________________________

Parent or Guardian (Signature)________________________________________

Date_______________

Phone(Where you can be reached the day of the event)__________________


    Have all classroom teachers sign that they are aware that you will be out on this day.
1st Period                                                 5th Period
2d Period                                                  6th Period
3rd Period                                                 7th Period
4th Period




                      Limestone County Schools ∙ Limestone County Career Technical Center
                              Limestone County Association Gifted Child Program
                                 505 East Sanderfer Road ∙ Athens, Al 35611
                    256.233.6495 Office • 256.233.6667 Fax • www.careertechnical.org
            Limestone County Schools
    Limestone County Career Technical Center
Limestone County Association Gifted Child Program
   505 East Sanderfer Road ∙ Athens, Al 35611
    256.233.6495 Office • 256.233.6667 Fax
           www.careertechnical.org

				
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