My student ______________________________________, |
Print Name |
|
| |
| Student cell phone # ________________ |
| |
| ______ will be permitted to participate in the 2007 Senior Trip |
| |
| ______ will NOT be permitted to participate in the 2007 Senior Trip |
| |
| |
| |
_______________________ |
_______________________ |
___________ |
Print Parent/Guardian Name |
Parent/Guardian Signature |
Date |
