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Student Activity Request
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* Indicates required question
Name of Teacher Requesting the Activity
*
Your answer
Teacher's Email Address
*
Your answer
Name of the Activity
*
Your answer
Date of the Activity
*
MM
/
DD
/
YYYY
Times of the Activity
*
Time
:
AM
PM
Purpose of the Activity
*
Your answer
If this activity is an athletic tryout, have you received clearance from the Athletic Director?
Choose
Yes
No
When did you receive clearance from the Athletic Director?
MM
/
DD
/
YYYY
Location of the Event
*
Choose
GYM
Auditorium
Cafeteria
Library
Atrium
Football Field
Classroom
Is this a Club/Advisory Cluster Activity?
*
Choose
Yes
No
Select Grades Expected to Attend
*
6th
7th
8th
9th
10th
11th
12th
Required
How will this activity be funded? (If from a school account has a request been submitted through the finances page?)
*
Your answer
What teachers are expected to assist with this activity?
*
Your answer
Will class coverage be necessary?
*
Choose
Yes
No
If planning or this event requires you to be pulled from your classroom, please provide detailed class coverage below.
Your answer
Will you sale tickets for this event? If so, have you spoken with Ms. Brown about tickets?
*
Choose
Yes
No
If you selected yes, when will you sale tickets and who will be responsible for ticket sales?
*
Choose
Yes
No
Are you requesting this event to be shared in the Parent Newsletter
*
Parent Newsletter Announcement
Choose
Yes
No
Are you requesting this event to be announced during the school day?
*
School Announcements Request
Choose
Yes
No
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