Student Activity Request
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Name of Teacher Requesting the Activity *
Teacher's Email Address *
Name of the Activity *
Date of the Activity *
MM
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DD
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YYYY
Times of the Activity *
Time
:
Purpose of the Activity *
If this activity is an athletic tryout, have you received clearance from the Athletic Director?
When did you receive clearance from the Athletic Director?
MM
/
DD
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YYYY
Location of the Event *
Is this a Club/Advisory Cluster Activity? *
Select Grades Expected to Attend *
Required
How will this activity be funded? (If from a school account has a request been submitted through the finances page?) *
What teachers are expected to assist with this activity? *
Will class coverage be necessary? *
If planning or this event requires you to be pulled from your classroom, please provide detailed class coverage below.
Will you sale tickets for this event? If so, have you spoken with Ms. Brown about tickets?  *
If you selected yes, when will you sale tickets and who will be responsible for ticket sales? *
Are you requesting this event to be shared in the Parent Newsletter  *
Are you requesting this event to be announced during the school day? *
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