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* 1. What is the student's last name?

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* 2. What is the student's first name?

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* 3. What is the student's email address?

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* 4. What is the parent/guardian's email address?

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* 5. What is the student's cell phone number?

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* 6. Who is the student's emergency contact?

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* 7. What is an emergency contact number for the student?

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* 8. I understand that I MUST turn in a hand-signed permission slip to Kaci Sintek (kaci_sintek@dpsk12.org) in order to be able to go on the field trip.  I understand that this permission slip must be given to her by September 18th in order to eligible to go.  I understand that a typed permission slip does NOT meet the requirements; I understand it must be hand-signed by my parent/legal guardian.  I understand that only 13 students will be able to ride the bus on this particular field trip, so the first 13 students to RSVP and get their hand-signed permission slip into Kaci Sintek will be eligible to ride the bus.  All others are welcome to attend but will need to find their own transportation. 

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* 9. I understand that I must be on time to ride the bus, and if I am not, the bus may leave without me.  I understand that lunch is not provided, and that I should bring my own water, snacks, and lunch.  I understand that we will be hiking for a few miles, so I should be prepared with the correct shoes, clothing, sunscreen, backpack to carry lunch, etc.

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