SGA 2019 Parents Night Out
Thank you for your interest in the Mardela Middle/High School SGA's Second Annual Parents Night Out Event. This event is on December 6th. Drop off is between 5-5:30, pickup between 8-8:30. Your child will be fed a pizza dinner, be given crafts, cookie decorating, a movie, and more! Please fill out the form below to register. Send all checks (made out to Mardela Middle/High School) in to Ms. Krygeris or Ms. Pariseau by 12/2 to reserve your spot. We will be capping enrollment at 20 children.
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Number of children ($15 per child)
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1
2
3
4
Other:
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Children's Names and Ages (Remember only children ages 4-10 are permitted at this event, thanks in advance)
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Your answer
Parents Name and Phone Number
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Your answer
Contact Information in Case of Emergency
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Your answer
Allergies or medical concerns we should be aware of?
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Your answer
Name of adult picking child up (ID will be required)
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Your answer
I grant the Mardela Middle and High School SGA permissions to; photograph my child for means of news and publicity purposes. I further grant permission to administer first aid and then provide me with immediate notice of any injury, if the need arises.
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Yes
No
Required
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