You`re Invited to Attend at Barbers Hill South

FORMULARIO DE PERMISO
DE ESTUDIANTE
You’re Invited to Attend
¡El formulario debe ser completado para que su hijo asista club!
Autorizo a:
(Nombre y apellido de su niño o niña)
para asistir al evento de Beach Club.
Grado:
Edad:
Fecha de nac: ___/___/___
qNiño qNiña
Firma del padre/madre:
Nombre del padre/madre:
Dirección:
#de Apto:
Ciudad:
Código Postal:
Teléfono de su casa:
Celular:
Teléfono de su trabajo:
Otro teléfono:
Favor de proveer el número del teléfono dónde podemos hablar con USTED
durante el tiempo del club KBC.
E-mail:
Necesidades médicas:
Alergias:
¿Le gustaría ser voluntario(a) en el Club de su hijo/hija?
qSí
qNo
¿Asiste usted a una iglesia?
qSí
qNo
¿Qué iglesia?
¿Quién recogerá a su hijo o hija cuando terminen las actividades del club?
Teléfono:
Teléfono:
Teléfono:
O…
Mi niño/niña tiene permiso de caminar a casa:
qSí
qNo
Mi niño/niña tiene permiso de usar su bicicleta:
qSí
qNo
Mi niño/a asiste al programa diario después de la escuela:
qSí
qNo
Talla de camiseta:
Talla Juvenil: qPeq qMed qGrande qXG
Talla Adulto:
qPeq qMed qGrande qXG qXXG
De vez en cuando tomamos fotografías o video para promocionar la diversiónque los ninos
tienen en Kid’s Beach Club®.
Una copia de la política de privacidad KBC está disponible bajo petición.
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at Barbers Hill South
“Where KiDs can HANG OUT and find TREASURE!”
Games, Prizes and Much More...FUN!
WHO:
WHEN:
WHERE:
TIME:
3rd – 5th Graders
Mondays - Starts Sept. 12th
Cafeteria
3:45 – 5:00
Contact Information:
Club Leader: Mary Curry
Phone: (832) 499-3249
ATTENTION PARENTS/LEGAL GUARDIANS!
Permission Form must be
COMPLETED, SIGNED & RETURNED BEFORE
children may attend.
THIS ORGANIZATION AND ITS ACTIVITIES ARE NOT RELATED TO OR
SPONSORED BY THE BARBERS HILL INDEPENDENT SCHOOL DISTRICT
STUDENT PERMISSION FORM
Parent/Legal Guardian,
Beach Club is a FREE Bible club led by dedicated Christian volunteers and
meets in your child’s school for one hour one day a week.
Each week trained volunteers:
present a BIBLE LESSON
SING worship songs
TEACH character-building principles from scripture
PLAY fun games
serve SNACKS
give away cool PRIZES
I give permission for:
(Child’s first and last name)
to attend their school’s Beach Club.
Child’s Grade:
Age:
Birthdate:
/
/
qMale
qFemale
Parent(s)/Legal Guardian(s) Signature:
Printed Names:
Address:
Apt. #
If you are interested in serving children as a club volunteer please check the
YES box on the STUDENT PERMISSION FORM. Please complete one form
for each of your children. Parents and legal guardians are always welcome
to attend Beach Club!
Beach Club is a fun pre-teen centered program affliliated with the ministry of
KiDs Beach Club® a non-denominational faith-based organization. We wish to
thank you for allowing us the privilege of serving you, your school and your
child! You are welcome to learn about us by going online at
www.kidsbeachclub.org.
Beach Club is a privilege for kids to attend. Appropriate behavior is expected
in order to continue to attend Beach Club.
KiDs Beach Club® wishes to Thank You!
This is not a school-sponsored activity.
www.KiDsBeachClub.org
817-510-5885
Form must be completed in order for your
child to attend club!
City:
Home Phone:
Work Phone:
Name:
Name:
Zip:
Cell Phone:
Alt. Phone:
Phone:
Phone:
Please list phone numbers where YOU can be reached during club time!
Email:
Medical Needs:
Food Allergies:
Would you be willing to volunteer in your child’s club?
Do you attend church:
What Church?
qYes
qYes
qNo
qNo
Please let us know who will pick up your child at the conclusion of Beach Club:
Phone:
Phone:
Phone:
OR…
My child has permission to walk home:
qYes
My child has permission to ride their bike home: qYes
My child attends the after-school program:
qYes
T-Shirt: Youth size: qS qM qL qXL
qNo
qNo
qNo
Adult: qS qM qL qXL qXXL
From time to time we may take photographs/video to capture the
fun kids have in Beach Club.
A copy of the KBC privacy policy is available upon request.
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