Detach this
portion and return with payment to the front office:
My child
______________________________has my permission to participate in chess club
directly after school in Room 47 (Mr. Greto’s room) on Tuesdays from 2/3/2009
through 4/28/2009. My check payable to Chipeta for $15.00 is attached. I
understand that I will need to come to the school’s front entrance to meet my
child after Chess Club.
____________________________________ ____________________
Parent
Signature
Date
Daytime telephone number
_________________________
____________________________________
____________________
Parent
Signature
Date