Kona Ice Permission Form

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The Westbrook PTO is excited to offer Kona Ice to all Westbrook students on Wednesday, May 22nd. Please complete the form below by May 5th to indicate if your child can participate. Nutritional information and ingredients can be found at this link:
https://www.kona-ice.com/flavorwave/nutrition.aspx

Email *

Students Last Name: *

Students First Name: *

Parents Name: *

Homeroom Teacher: *

I give my child permission to have Kona Ice at Westbrook on Wednesday, May 22nd.

Yes

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