Panther Club Activity Release Form
COMPLETE ONE FORM PER ASEP CLASS
Student Name (First and Last) *
Your answer
Early/ Late/ 3rd- 5th *
Will be attending the following activity:
ASEP Class Name: *
Your answer
My child will go to the above activity on *
My Child will return to the Panther Club after his/her ASEP class *
Any child not picked up from dismissal time of their ASEP class will be escorted to Panther Club and appropriate Panther Club fees will apply. *
Required
I have read and understand the above Panther Club Activity Release Form (please type full name as your signature) *
Your answer
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