Handbook Receipt

Permission Form & Handbook Receipt

This is the students first assignment. Two-sided completed form needs to be returned by the first Friday after receiving the Choir Handbook.

________________________       _______          __________

(Printed Student Name)              (Date)             (Class Period)

_________________________________________________________________________

(Parent Email – for choir purposes only! PLEASE PRINT)

_________________________________________________________________________

(Student Email – for choir purposes only! PLEASE PRINT)

**Please consider including your email address! Or simply send an email message to Julie Gallant, jgallant@nkschools.org

Permission for School Field Trips(i.e. NKHS campus and/or Poulsbo Elementary/no bus)

In order for my child to take part in and receive the advantages of a program planned and sponsored by North Kitsap School District, Kitsap County, Washington, I hereby give permissions for him/her to participate in any or all of the trips included in the choral music program of Poulsbo Middle School for the 2015-2016 school year.

I grant permission for my child to be photographed or video/audio taped in conjunction with these activities/performances.

I authorize North Kitsap School District and its employees to secure the services of a physician or hospital in the event of an accident or illness, and I assume responsibility for the expenses and will provide repayment of these costs.

_________________________________________________________________________

(Parent Signature and PRINTED NAME)                   (Date)

_________________________________________________________________________

(Student Signature and PRINTED NAME)                (Date)

Handbook Receipt

We, student and parent/guardian, have received the Poulsbo Middle School Choral Handbook 2015-2016 and agree to be responsible for the information contained therein.

_________________________________________________________________________

(Parent Signature and PRINTED NAME)                   (Date)

_________________________________________________________________________

(Student Signature and PRINTED NAME)                (Date)

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