This will give my child at least 1 hour of service credit per meeting for Junior National Honor Society.<\/p>\n
_________________________________ (Signature of Parent\/Guardian)<\/strong> __________________________ (Date)<\/strong><\/p>\n IF YOU ARE INTERESTED IN ATTENDING SAC MEETINGS PLEASE INITIAL.<\/p>\n How will your child get home after the meeting? PLEASE INITIAL ONE.<\/p>\n Notes are required from parents for change in transportation.<\/p>\n NOTE:<\/strong><\/p>\n Are there any medical needs we need to be aware of? (Circle one) No Yes<\/p>\n If yes, please complete the \u201cMedical Needs\u201d section:<\/p>\n Medical Needs: (Please indicate if child is allergic to any foods, etc.)<\/p>\n __________________________________________________________________________________<\/p>\n _____ Please initial if you give your permission for Landrum SAC to use your child’s photograph for promotional purposes.<\/p>\nPlease CLEARLY Print Information<\/h2>\n
\n\n
\n Name of Child<\/th>\n ______________________________________<\/td>\n<\/tr>\n \n Date of Birth<\/th>\n ____________________<\/td>\n<\/tr>\n \n Name of Parent\/Guardian<\/th>\n ______________________________________________________________<\/td>\n<\/tr>\n \n Primary Phone Number<\/th>\n _______________________<\/td>\n<\/tr>\n \n Email<\/th>\n __________________________________<\/td>\n<\/tr>\n \n Secondary Phone Number<\/th>\n ______________________________________________________________<\/td>\n<\/tr>\n \n Address<\/th>\n ______________________________________________________________
____________________________________________________________________<\/td>\n<\/tr>\n\n Alternate Contact Name<\/th>\n ______________________________________________________________<\/td>\n<\/tr>\n \n Alternate Contact Phone Number<\/th>\n ______________________________________________________________<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \n
\n