Permission slip for Helena Tech Stuff ‘09

Student Name: _____________________ School: ________________


Grade attending in 2009-2010 school year: _________



Teacher attending conference with: ___________________


Dates: June 22-June 25, 2009

Times: Monday 1:00-4:00
Tuesday 9:00-4:00
Wednesday 9:00-4:00
Thursday 9:00-1:30
Locations: Helena Middle School—1025 North Rodney
Front Street Learning Center—815 Front Street
Activities: Lunch provided Tuesday, Wednesday, and Thursday.
Students will be walking between the two sites.
Some sessions will include walking field trips.

Your child will be attending sessions at both locations. You

will be informed of their drop-off and pick-up locations prior to
the start of the conference.

Please list any special medical and/or dietary needs your child
has that we should be aware of. ___________________________

____________________________________________________________
____________________________________________________________
____________________________________________________________


Parent Name:

_______________________

Parent Signature:
_______________________


Please list contact information for at
authorized to pick up your child:
Name: ______________________ Phone
Name: ______________________ Phone
Name: ______________________ Phone
least two people that are
number(s): _____________

number(s): _____________
number(s): _____________