2|42 Community Center Permission Slip
Event Date: November 14, 2019
Event Time: 11:30 am - 6:00 pm
Event Address: 648 S Wagner Rd #9002, Ann Arbor, MI 48103

*Transportation will be provided from Saline Middle School at 11:30 and parents are responsible for picking students up FROM 2|42 Community Center by NO LATER than 6:00 pm.
*Pizza will be provided for students upon arrival
Email address *
I allow my child to ride the 5th Corner bus to the 2|42 Community Center on Thursday, November 14, 2019 at 11:30 am after school. *
Parent Name: *
Your answer
Student Name: *
Your answer
Parent Phone Number: *
Your answer
Dietary restrictions and/or allergies
Your answer
I understand that I will have to pick up my child by no later than 6:00 pm at the 2|42 Community Center (648 S Wagner Rd #9002, Ann Arbor, MI 48103) instead of the 5th Corner *
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