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WEB Lock In--6th Grade WEB Permission Form--PLEASE COMPLETE THIS FORM BY Thursday February 16, 2017
When: Friday, February 24th - Saturday, February 25th

Cost: $12.00 Registration Fee due by: February 16th, 2017.
Please click on the following link to pay your registration fee: https://www.spsezpay.com/Olmsted/ezpay/Login.aspx

There will be a ticket drawing for prizes available to students who have their permission slip and registration fee submitted by February 16th!!!

8:00 pm (drop off—Café Doors) —7:00 am (pick up—Café Doors)
**Please be respectful of these timelines. **

HIGHLIGHTS:
*Basketball
*Door Prizes
*Board Games
*Dancing
*Dodgeball
*Jewelry Making
*Nail Painting
*Donuts
*Snacks
*Volleyball
*D.J.
*Movies
*Corn Hole

GENERAL RULES:
*Students will not be allowed to leave before 7:00 am unless previously arranged. Contact Mr. Kurz if your child needs to arrive after 9:00 pm or to leave before 7:00 am.

*All school behavior rules apply to this event. Any student in violation of school rules will be removed from the Lock-In and a parent/guardian will be called to pick up the student.

*School dress code applies.

*Boys and girls will have separate sleeping areas and will be supervised by same gender adult chaperones at all times.

*The Lock In is an activity for OFMS 6th grade students and 8th WEB Leaders only.

WHAT TO BRING:
*Pajama bottoms and t-shirts
*Sleeping bags, blankets, and pillows
*Snacks
*Bottled water ONLY—no other beverages (ie—energy drinks)

WHAT NOT TO BRING:
*Money or other valuables. Anything that is brought is your responsibility.

NOTE:
*All activities will be confined to the gyms, Café, stage, and designated class rooms. Students may not go to their lockers during the Lock-In.
*Please be sure to make arrangements for the morning pick up at 7:00 AM.

First Name of Student
Your answer
Last Name of Student
Your answer
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Emergency Contact Phone Number #1
Your answer
Emergency Contact Phone Number #2
Your answer
Emergency Contact Phone Number #3 (optional)
Your answer
Volunteers--We are looking for Parent Volunteers to assist us with Lock In Event Activities. Please choose a time below if you are able/willing to volunteer your time.
***Please Note that if you have not heard from a WEB Coordinator by February 22nd, then you have not been selected to chaperone the event.***
Required
Donations
We are looking for door prize donations. If you are able to donate, we thank you in advance for your generosity
Required
Medication--will your child need medication during this event?
***If your child will need medication during this event, please complete & return the medication form to the Guidance Office by February 22, 2017. The link to the form can be accessed here: https://docs.google.com/document/d/1t9VS_cPc4-Pi1d5wk0d23WC3IbR4bS_lize36_Aw8TQ/edit?usp=sharing
Please Type your Name. This will act as your electronic signature giving your student permission to participate in the WEB Lock-In.
Your answer
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