MUSIC IN THE PARKS TRIP PERMISSION FORM

My son/daughter _________________________has my permission to attend the Music in the Parks trip on Friday, May 16, 2008.

I have enclosed a check or money order payable to West Rocks Middle school in the amount of 

____________.  (I understand that the remaining balance is due by April 11, 2008)

Daytime phone number ____________________________

Evening phone number________________________________

 I am available to chaperone.

______________________________            ______________________

                        Name                                                   Phone #

I understand that I am responsible for picking up my child from West Rocks Middle School at

9 p.m. on Friday, May 16.

__________________________________

                                                            Parent or Guardian Signature