Panther Club Activity Release Form
COMPLETE ONE FORM PER ASEP CLASS
Student Name (First and Last)
Early/ Late/ 3rd- 5th
Will be attending the following activity:
ASEP Class Name:
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.
I have read and understand the above Panther Club Activity Release Form (please type full name as your signature)
Never submit passwords through Google Forms.
This form was created inside of moraga.k12.ca.us.