freshmen retreat permission form 2017 · 9th grade retreat permission slip date: tuesday, november...

9 th GRADE RETREAT PERMISSION SLIP Date: Tuesday, November 7, 2017 Return this permission slip to the 2 nd Floor Office by: Friday, September 15, 2017. Student’s Name: __________________________________________________________ (Please print) The 9 th Grade Retreat is facilitated by a group called Youth Frontiers. The 9 th grade students will be assigned one of the following locations to attend the retreat: Church of St. Michael, Farmington, MN; Glenhaven, Farmington, MN; or Rosemount Community Center, Rosemount, MN. We will depart from Farmington High School at 8:20am and return in time to ride the bus home. Transportation will be provided by FHS. Lunch will also be provided. For more information on the retreat visit: http://www.youthfrontiers.org/respect-retreat/ Parent or Guardian’s permission: I give permission for my son/daughter to attend the 9 th Grade Retreat on Tuesday, November 7 th , 2017. Emergency contact phone number: ________________________________________________________ Does your student require a wheel chair access bus? Yes Please list any allergies: ______________________________________________________________________ Parent/Guardian Name: ______________________________________________________________________ Parent /Guardian Signature: _________________________________________________________________ Payment of $25.00 (payable to FHS - nonrefundable) due with permission slip. (Please contact your student’s counselor if you are in need of a scholarship or would like more information.) Payment Method (to be completed by school): Check # ___________________ Cash: ________________ Scholarship: ______________ Regular lunch includes: a variety of sandwiches, fruit, chips, veggies, cookie/dessert, and drink. Please circle your preference: Regular Lunch Vegetarian Gluten-free Lactose-free Nut-free (Lunches will be modified to meet the above allergy/dietary needs. Please contact Sue Swedin at 651.252.2504 for any other need.)

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9th GRADERETREATPERMISSIONSLIPDate:Tuesday,November7,2017

Returnthispermissionsliptothe2ndFloorOfficeby:

Friday,September15,2017.

Student’sName:__________________________________________________________ (Pleaseprint)The9thGradeRetreatisfacilitatedbyagroupcalledYouthFrontiers.The9thgradestudentswillbeassignedoneofthefollowinglocationstoattendtheretreat:ChurchofSt.Michael,Farmington,MN;Glenhaven,Farmington,MN;orRosemountCommunityCenter,Rosemount,MN.WewilldepartfromFarmingtonHighSchoolat8:20amandreturnintimetoridethebushome.TransportationwillbeprovidedbyFHS.Lunchwillalsobeprovided.Formoreinformationontheretreatvisit:http://www.youthfrontiers.org/respect-retreat/ParentorGuardian’spermission:Igivepermissionformyson/daughtertoattendthe9thGradeRetreatonTuesday,November7th,2017.Emergencycontactphonenumber:________________________________________________________ Doesyourstudentrequireawheelchairaccessbus?YesPleaselistanyallergies:______________________________________________________________________Parent/GuardianName:______________________________________________________________________Parent/GuardianSignature:_________________________________________________________________Paymentof$25.00(payabletoFHS-nonrefundable)duewithpermissionslip.(Pleasecontactyourstudent’scounselorifyouareinneedofascholarshiporwouldlikemoreinformation.)PaymentMethod(tobecompletedbyschool):Check#___________________ Cash:________________Scholarship:______________

Regularlunchincludes:avarietyofsandwiches,fruit,chips,veggies,cookie/dessert,anddrink.Pleasecircleyourpreference: RegularLunch Vegetarian Gluten-free Lactose-free Nut-free (Luncheswillbemodifiedtomeettheaboveallergy/dietaryneeds.PleasecontactSueSwedinat651.252.2504foranyotherneed.)

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