PERMISSION SLIP

for Vernon E. Wightman Primary School Students

Beginning October 5, __________________________________________ will ride

(child’s name)

Bus 67 on Wednesday afternoons in order to participate in the after-school program at the Centenary United Methodist Church in Bath. Thank you very much.

________________________________________________

Signature of Parent or Guardian

PERMISSION SLIP

for Dana Lyon Middle School Students

Beginning October 5, _________________________________________ will walk

(child’s name)

or be driven to the Centenary United Methodist Church in Bath on Wednesday afternoons in order to participate in the after-school program. Thank you very much.

________________________________________________

Signature of Parent or Guardian