Packanack PTO Enrichment Classes
DEADLINE TO SIGN UP IS FRIDAY MAY 5, 2017
Child's LAST Name
Child's FIRST Name
Child's Grade & Teacher
Your child must be signed out, unless you notify us otherwise. Please list any others, besides parent, who have your permission to pick up your child. If your child is Returning to Aftercare, please indicate so.
Emergency / Cell #:
Waiver - By typing my name below, I confirm I have read the below and grant permission for my child to participate in the PTO Enrichment Program.
I (type name below) parent or authorized guardian of the above child, hereby grant permission for my child to participate in the PTO Enrichment Program at Packanack Elementary School. I understand that Packanack Elementary School and the Packanack PTO assumes no responsibility or liability for injuries/illness of my child. I further understand that I hold Packanack Elementary School and the Packanack PTO, its officers, agents, employees and volunteers harmless from any and all liability or claims which may arise out of my child's participation in the PTO Enrichment Program.
I want to enroll my child for the following class:
Please click all classes you wish to enroll in
Lacrosse: grades 3-5 on Mondays
Kickball: grades 3-5 on Wednesday
Intro to Spanish: grades K- 3 on Mondays
Music, Drama & Movement: grades K-1 on Thursdays
I will send payment into school in an envelope marked: PTO ENRICHMENT
We DO NOT need separate checks per class / child
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