FFA PALS

Student's Name

Student's Current Grade Level

3rd
4th
5th

Parent/Guardian's Name(s)

Emergency Contact Number

Parent Email

Please provide any notes about your child including allergies or other information we may need to know.

My child may participate in the monthly FFA PALS program at Longbranch on the 2nd Tuesday of each month (expect where otherwise noted. By clicking "I Agree" below, I agree that my child will stay after school on the listed dates and that I will pick my child up at 4:30pm. Should my child's involvement with the club change, I am to notify the office about pickup/transportation information.

I concent to the about statement.

I Agree

Signature (Type Your Name Below for Approval)