East York Family BBQ &"Moving On Up" 2017
Student name (last name, first name)
Preferred email contact
Grade 8 School name (please check)
Family BBQ August 29, 4-6 p.m. (Please check)
We will attend the Family BBQ. I have indicated the expected number of guests below.
Two (2) people
Three (3) people
Four (4) people
Five (5) people
Six (6) people
Seven (7) or more people
We will not attend the Family BBQ
I give permission for my son/daughter/ward to take part in "Moving On Up" on Aug.30, 10 a.m.-1 p.m.
Yes (If yes, please complete the questions below)
Health card number
Emergency Contact name and phone number
Does your child have any medical conditions?
If yes, please give additional information.
Does your child have any allergies?
If yes, please give details
Does your child require an Epi-Pen?
Send me a copy of my responses.
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