Salem Lutheran School
3rd Grade Reading Club
Permission Slip
I _________________________________ give my child _____________________
(your name) (child’s name)
permission to participate in the Salem Lutheran School 3rd Grade Reading Club.
Please initial below:
_____ I understand that I am releasing my child to the care of Katie Madriles and
Rebecca Mauzey on the scheduled Reading Club Fridays (dates will be told
ahead of time)
_____ I understand that my child will be reading Charlotte’s Web.
_____ I understand that I am responsible for picking up my child from Salem
Lutheran School at 4:00 PM at Big Circle on Reading Club Fridays.
My phone number is: ______________________________________
_____ I give permission to Katie Madriles and Rebecca Mauzey to call me or take
my child to school age care if I am not at Big Circle at 4:00 PM.
Food allergies my child has: _______________________
(snacks will be provided, so if there is an allergy, Katie &
Rebecca need to know)