Clipper Trip Wednesday, FEBRUARY 1, 2017

Wagner Middle School students are invited to go on a Clipper Trip venturing to the Orono Trampoline Park on Wednesday, February 1. The bus will leave Wagner at 2:30 pm. Students will be able to bounce for 90 minutes before returning to Wagner at approximately 5:30pm. Pick up arrangements MUST be made in advance of the trip. In order to go, students must:

Return this permission slip to Mrs. Murphy by January 31 WITH $20 (cash or check made payable to Wagner Middle School) to cover Orono Trampoline Park Ticket. Complete an Orono Trampoline Park waiver. This can be done online at http://www.oronotrampoline.com/online-waiver/ Bring a pair of jump socks. This is a requirement of Orono Trampoline Park and can be purchased for $2.70.

Optional: Bag snack/lunch for an afternoon snack, money for concessions

KDDDDDDDDDDDDDDDDDDDDDDDDDDD Student Name: _____________________________________________

Grade: 5 6 7 8

_________________________________ has my permission to participate in the Wagner Middle School Clipper Trip to the Orono Trampoline Park on Wednesday, February 1, 2017. I understand that the trip will be departing from Wagner at the end of the school day and returning at 5:30 pm. I am aware that I am responsible for providing transportation when my young adult returns to Wagner. __________________________________________________________________________________________________ Parent/Guardian Signature date Email Address: ____________________________________________________________________________________ Emergency Contact Name: _______________________________

Best Contact Number: ___________________

I have completed an Orono Trampoline Park waiver. I need to complete an Orono Trampoline Park waiver. I have included $2.70 to be able to purchase a pair of jump socks. My young adult has a pair of jump socks and will bring them on the day of the Clipper Trip. As a Wagner Middle School student attending the Clipper Trip to Orono Trampoline Park on Wednesday, February 1, I acknowledge that I will positively represent myself and Wagner Middle School. __________________________________________________________________________________________________ Student Signature date


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