2023 Jan-Feb Intramural Dodgeball Form
Fill out this form completely and legibly & return with $30 payment to PTSA box in the front office by December 14, 2022.
Please make all checks payable to “Robert Frost PTSA”
Please direct all questions to Helen Wing: [email protected]
Mark One
Kindergarten to 2nd grade January 5th to February 13th (No class 1/16) Mondays & Thursdays | 3rd to 5th grade January 3rd to February 10th Tuesdays & Fridays |
Name(s): ________________________________________________________________
Grade(s) & Teacher(s): ______________________________________________________
Emergency Contact (Name): _________________________________________________
Parent Phone & Email: ______________________________________________________
Payment enclosed: Cash ___________ Check___________
I’m interested in chaperone K-2: ______________________
I’m interested in chaperone 3-5: ______________________
I’m interested in a free scholarship: ____________________