Request edit access
6th Grade Activity Night
COMPLETE BY MONDAY, SEPTEMBER 23, 2019

Date: Friday, September 27, 2019
Location: South Middle School
Time: 6:30 pm-8 pm

Students will only be admitted if they fill out an online permission form. Parents are welcome to sign up their kids on the day of the event, but registering ahead of time ensures that we have supplies for every child. Every child’s safety and well-being is our priority. 6th graders without parental permission will not be allowed to participate in activity night. Please communicate the plan for pick up, or how your child will get home, after the event. This is an activity for South Middle School 6th grade students ONLY! We want the activity night to be a fun experience; however students are expected to conduct themselves in a proper manner.

Look for the Sign-Up Genius on southpta.org to sign up for snack and drink donations, as well as parent volunteers the night of the event.

Individuals with disabilities should notify the principal if they require specific assistance, accommodations, or services. Please give the building principal advance notice of 24 hours. Notice: This event is solely sponsored by the PTA. School staff might not be present and have no responsibility for the event. Please direct all inquiries or concerns to the sponsoring PTA.

If you have any questions, please contact Preethi D’Souza (pdsouza2004@gmail.com ; 847-903-6696) or Gina Hamond (ghammond002@gmail.com ; 630-263-6700).

SUPPLY DRIVE: While it's free to come to activity night, we're requesting donations of new items: hats, socks, soap, shampoo/conditioner, cotton balls, Q-Tips, tissues, deodorant, toothbrush/toothpaste and shaving cream/razors for Journeys from PADS to Hope. You may bring an item to the event or drop it off in the office.

Sponsored by South PTA
Student's Last Name *
Your answer
Student's First name *
Your answer
Teacher's Name *
Your answer
Home Base # *
Your answer
WAC Agreement - Signed by Parent/Legal Guardian *Checking boxes indicates agreement. ALL BOXES MUST BE CHECKED for event registration. Expectations for Activity Night are: No dangerous behavior (examples: tag, moshing, running, etc), no profanity (foul language), and treat everyone with respect. All students need to have arrangements for pick-up promptly at 8:30 P.M. *
Required
Students MUST be picked up by 8:30 pm. There will be NO student supervision after 8:30 pm. After the event the student listed above will (choose one of the following): *
Student will walk home: (Please specify with whom, if relevant) *
Your answer
Student will be picked up by: *
Your answer
Parent/Legal Guardian's Name(s) : *
Your answer
Parent/Legal Guardian's Phone Number during event *(best reached - xxx-xxx--xxxx format please) *
Your answer
Any other specific requests:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy