Ms. Amy's Students - Lowes Foods 2017 - 2018
My scholar has my permission to participate in the CMCS Field Experience going to Lowes Foods grocery store in Pawleys Island. I understand that Ms. Amy will send 3 students to the grocery store each Friday and will notify me prior to my scholar's turn to go.

Event Date: Each Friday
Departure Time: 8:30 AM
Return Time: 9:30 AM
Event Address: Lowes Foods grocery store, Pawleys Island, SC
Travel Arrangements: Ms. Amy, Ms. Cait or an approved parent will drive

We look forward to continuing a weekly "Community Snack" this year in our class. This will involve:
- Students contributing $1.00/week to a class snack fund to participate
- Students creating a healthy snack menu/recipe/grocery list
- A parent chaperone driving three students each week to the grocery store to purchase groceries
- Students preparing a healthy snack to serve to their classmates

Scholar's First Name
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Scholar's Last Name
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Teacher Name
Parent Name
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Parent Email
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Parent Emergency Contact Number
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Second Emergency Contact
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Second Emergency Contact Number
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Authorization for Medical Care
Should it be necessary for my scholar to have medical care while participating in this trip, I hearby give the School District personnel permission to use their judgement in obtaining medical care for the scholar and I give permission for the physician selected by the School District to render medical care deemed necessary and appropriate by the physician. I understand that the School District has no insurance covering such medical or hospital costs incurred by my scholar and, therefore any cost incurred for such treatment shall be my sole responsibility.
Authorization for Medical Care
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Scholar Allergies - Please list all allergies.
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I agree to direct my child to cooperate with directions and instructions of the school.
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