Upper Dauphin Area Middle School- Work Session Program

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Please complete and submit this form no later than 11AM on the day you want your child to stay for Work Session. A separate form must be completed for each day you want your student to stay for Work Session. Work Session is only held on Tuesdays and Thursdays.

Student Name *

Grade *

The areas or projects the student needs assistance with are: *

My child will attend Work Session on *

YYYY

My child will use the following means of transportation: *

School transportation. (Leaves the middle school at 4:15PM. The time the child arrives home may vary depending on the number of students on the bus and the route taken by the driver.)

Parent pick up. (Parent must arrive by 4:15PM in the middle school parking lot)

Parent: Please type your name to verify you have completed this form *

Parent: Please provide a phone number where we can reach you during the day. *

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