River Bend Middle School
After School Activity Permission Form
2015-2016
Student:_______________________________________Grade:_____
(print name clearly)
has my permission to stay after school on date(s):
Monday, September 14th
and/or Wednesday, September 16th
or the following weekdays (circle):
Monday
Wednesday*
to participate in the following activity:
Vocal Workshop and/or Dance Workshop for Musical
My child will be:
_____walking home
_____getting picked up by me
_____getting picked up by:__________________________________
Please have your child return this slip to
the staff member sponsoring the activity.
Parent Signature:__________________________________________