G2M Permission Slip
Please feel out and submit the information below.  Paper copies may be returned to the Main Office.
Sign in to Google to save your progress. Learn more
About us:  
Out-of-School Learning Programs provide academic enrichment opportunities during non-school hours for children. These programs provide a range of high-quality services to support student learning and development, including: homework help, STEM programs, community service opportunities, as well as music, arts, sports and cultural activities. At the same time, centers help working parents by providing a safe environment for students.  

PROGRAM:   *
Student's Name: *
What school do you attend? *
Parent/Guardian Name: *
Address:  
Phone: *
Work Phone:  
Email:   *
Emergency Contact Name:   *
Emergency Contact Phone:   *
Please let us know if your child has any serious illnesses, physical limitations and/or food allergies.   *
I understand that prompt transportation is necessary at the conclusion of the above programming.  Adult supervision is not available for an extended time period.  (please remind your student to have all their belongings already with them) *
I understand that all school policies also apply to after school programming.  This includes current mask and social distancing requirements.   *
Photographic Media Release:  The Wausau School strives to recognize student achievement and promote educational opportunities.  Occasionally, reporters/photographers from the media or staff from partnering organizations are in the school to photograph or videotape participants and activities.  Be assured the Wausau School District will protect the confidentiality of your child's education program and needs.   *
G2M Memberships and Sponsorships - The cost for membership is $10 per year, or a $25 maximum per family to offset the cost of supplies. This is not intended to be a barrier to participation. Families are asked to pay, as they are able. Whether your child attends one class or several, this is a one-time annual fee. Please note that this membership fee is separate from and should not be confused with any athletic fees, membership fees for outside community agencies or other site-specific special programs or events. *
Parent/Guardian Signature:   *
If you have any questions, please contact the Out-Of-School Enrichment Coordinator at 715-261-0725 ext. 22115 or mgoesslheiser@wausauschools.org
The Wausau School District does not discriminate on the basis of race, age, color, religion, national origin, ancestry, creed, pregnancy, marital status, parental status, sexual orientation, sex (including transgender status, change of sex or gender identity), or physical, mental, emotional, or learning disability (“Protected Classes”).  The G2M (Growing Great Minds) out of school programming strives to create a successful environment for all students with our programs. G2M follows the same behavior guidelines as stated in the Wausau School District board policy 5000, "Student code of Classroom Conduct".
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wausau School District. Report Abuse