Dear Parent or Guardian, Bonner Community Food Bank and Food For Our Children support a weekend feeding Backpack program at Farmin Stidwell Elementary. Each week those students participating in the program receive a pre‐packaged bag of food to take home for the weekend. Each kit includes, but is not limited to, the following items: 2 entrees 1 breakfast cereal 2 fruit and grain bars 2 milks 1 Sunbutter cup 2 Fruit purees, 1 Fruit Strip 1 beef stick 1 bag of pretzels *Items may vary depending on availability. For your child to participate in this program, please sign the parental consent form below. If you have any questions regarding this program, please contact your school’s front office. __________________________________________________________________________________________________
2016‐2017 Backpack Program Parental/Guardian Consent Form I hereby give my consent for my child ______________________________________________ to participate in the weekend food program sponsored by Food For Our Children and Bonner Community Food Bank. I understand my child will receive food weekly as resources permit. If at any time I no longer wish my child to participate in the program, I will notify my child’s school in writing. I understand that it is my responsibility to make sure that my child named above as well as any and all others residing with my child can safely eat the food distributed. I understand that I should consult a medical professional if I have any concerns regarding food allergies and my child’s/families ability to consume any of the food provided. Printed Name __________________________________________________________ Parent/Guardian Signature ________________________________________________________
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Page 1 of 5. DHE,C. ffiffiffi. Catherine E. Heiel, Director ?irt;tic1t;;y rtttr/ fttt;i1;;ji7g tl,t /'rrtlr/; $thr: publit',ti*1 tly r;.;t i;z;y::t:;ti. January 2016. Dear Parents/Guardians : The Tdap vaccine protects children from three serious dise
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Page 1 of 2. HANDBOOK AGREEMENT/PERMISSIOM. PLEASE FILL OUT, SIGN, AND RETURN. (Signatures required on both sides of this form!) JHCA-E-2. HANDBOOK AGREEMENT. I,. , understand and agree to abide by the rules in the Athletic. (Student-Athlete Name). H
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Page 1 of 1. NEW YORK STATE PUBLIC HIGH SCHOOL ATHLETIC ASSOCIATION. WRESTLING MINIMUM WEIGHT ASSESSMENT. PARENTAL AWARENESS FORM. The appropriate and healthful control of body weight for wrestlers has been a concern of athletes, coaches,. athletic t
The District shall make no distinction between absences for UIL activities and absences for other extracurricular activities approved by the Board. A student shall be allowed in a school year a maximum of ten extracurricular absences not related to p
______ List of family members or friends that might pick her up: Please list any medical condition we should be aware of such as asthma, allergies ... ADDRESS: ...
Chaperones are asked to pay the $40 fee. _____ I cannot chaperone but would like to stay for a meal. _____ Friday supper $8.50. _____ Saturday lunch $7.00. _____ My child needs a ride with another member. Salem Youth Symphony. 503-485-2244. PO Box 11
the general or specific supervision and on the advice of any physician, dentist, or surgeon; licensed to practice in. the State of Arizona or any other state. The undersigned understand(s) and agrees that any medical, dental, or. hospital expense inc
Page 1 of 2. ESUMS HIGH SCHOOL. 130B LEEDER HILL 06517. PHONE: 203-946-5882. GUEST PERMISSION FORM FOR ATTENDING. SCHOOL DANCE. COMPLETE BOTH SIDES AND RETURN FORM TO SECRETARY-TERESA FLOWERS. Name of ESUMS High School Student (please print): ...
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Mar 4, 2017 - Page 1 of 1. PSAT 8/9 Test Informational/Permission Form - Google Docs.pdf. PSAT 8/9 Test Informational/Permission Form - Google Docs.pdf.
Field Trip Permission & Parental Consent Form 2017-2018.pdf. Field Trip Permission & Parental Consent Form 2017-2018.pdf. Open. Extract. Open with. Sign In.
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the Pack 208 website and Facebook page for our scouts and families, as well as to interest ... (You can use your existing non-Gmail account to create a Google.
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