End of year Pool Party at Pecos Park
I understand that by submitting this form I am giving my child(ren) permission to participate in the Pecos Park Pool Party.
DEADLINE FOR SUBMITTING FORM MAY 16
PAYMENT MUST BE MADE NO LATER THAN MAY 16, 2018
Payment should be made online or directly to the office.
Thursday May 24th, 2018
9:30am - 2:30pm
Pecos Pool
Email address *
Name of person filling out form *
Your answer
Family name *
Your answer
Emergency contact name and phone number *
Your answer
Number attending *
Name(s) of Child(ren) attending ($10.00 per non ELS child 3 yrs and older) *
Your answer
Name(s) of adults attending ($10.00 per adult) *
Your answer
Who will transport your child (children) to the pool party? Provide name and contact information. *
Your answer
Who will transport your child (children) from the pool party? Provide name and contact information. *
Your answer
Number of lunches (Little Caesars Pizza) Lunch includes 2 slices of either Pepperoni or Cheese Pizza, side and snack. $3.50 per lunch
1
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9
10
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12
Cheese Pizza
Pepperoni Pizza
Any other comments and/or questions?
Your answer
A copy of your responses will be emailed to the address you provided.
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