Sample Permission Form For Elementary Schools
Hey Kids!! Come and join the amazing Torch Club!

What? We play games, make friends, learn character education, hear amazing faith-based stories, sing fun songs, have snacks and just have fun! Students will learn the six pillars of character: trustworthiness, respect, responsibility, fairness, caring, and citizenship. We search for the gold in students and focus on instilling self-worth and identity. 

When? Tuesdays March 29 - May 3  After school till 3:15 

Where? Schreiber School (K-2)

Teacher? Linda Zimmer, Gingrich Myers (tel…..)
	 	 
Parents are welcome to peak in or stay. There is no cost for the nondenominational Torch Club and we stay away from doctrinal differences as we focus on uniting themes such as the love of God.

The United States Constitution requires schools to respect the right of all external organizations to distribute flyers to students at school if the school permits any such organization to distribute flyers. Accordingly, the school cannot discriminate among groups wishing to distribute flyers at school and does not endorse the content of any flyer distributed at school. The school encourages parents to assist their children in making choices appropriate for them. This is not an activity of the school or the School District. The Torch Club is not liable in event of harm or injury to student.
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Torch Club Sign-up! Please return right away!

First Name:________________________________________________	
Last Name:________________________________________________

Age:______________________________________________________
Grade:____________________________________________________

Address:__________________________________________________	City:________________________________Zip:___________________

Phone:____________________________________________________	
Medical Conditions:__________________________________________

Parent Name:______________________________________________ 
Permission to take pictures of class: Yes___ No___

Emergency Contact:_________________________________________ 
Who can pick up my child:_____________________________________

My child will be: Picked up___ Walk home___