Indianola Middle School Spring Dance
This form should be used by any 6-8th grade former Indianola student who is NOT currently enrolled at Indianola K-8 but who wishes to attend the school dance on Friday, May 19, 2017 from 7:00-9:00 p.m. in the school's gymnasium. (Columbus Gifted Academy students with Indy as their home school do NOT need to complete the form).

Students must complete this form to request permission from the building principal, Mrs. Brandy Koethe. This form should be submitted no later than Wednesday, May 17. Completion of the form does not mean permission has been granted, you will be notified as soon as possible.

Tickets can be purchased for $5 during lunch periods Monday, May 15- Friday, May 19. They can also be purchased at the door on Friday for $6.

Student's first and last name
Your answer
Current grade
Current school of attendance
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Year(s) student was at Indianola
Your answer
Parent/Guardian Name and Phone
Your answer
Additional Emergency Contact Name & Phone
Your answer
Email address
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Food allergies or other conditions we should know about
Your answer
I understand:
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