My child, _____, will be

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My child, _____, will be Powered By Docstoc
					Please fill out either the BUS RIDER section or the WALKER/CAR RIDER section
below. Return this entire form to Mrs. Hannum. She will forward it to your child’s
instructor and the Elementary School office.

BUS RIDER: My child, ___________________________________, will
be participating in the Language Enrichment Program at ________________
Elementary School on each of the following dates:
(List the dates your child will be participating in the sessions.)
___________________________________________________
My child will not be riding the bus home on these dates and will be picked
up at 4:45 pm by one of the following authorized people:
______________________________________________________
        (List names of people who are authorized to pick up child after the sessions.)
Thank you,

____________________________________                             _____________
Parent/Guardian signature                                               Date

*************************************************************
WALKER/CAR RIDER: My child, _______________________________,
will be participating in the Language Enrichment Program at
___________________ Elementary School on each of the following dates:
(List the dates your child will be participating in the sessions.)
___________________________________________________________________________
My child will not be walking home on these dates and will be picked up at
4:45 pm by one of the following authorized people:

        (List names of people who are authorized to pick up child after the sessions.)
Thank you,
____________________________________                             _____________
Parent/Guardian signature                                               Date

*************************************************************
Y-CARE: My child participates in the Y-Care program and will be
attending Y-Care after the sessions on the dates indicated.
(List the dates your child will be participating in the sessions.)
_____________________________________________________________
_____________________________________________________________
Thank you,
____________________________________ _____________
Parent/Guardian signature                     Date

				
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posted:9/13/2012
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