BUCK CLUB PERMISSION FORM

Grades K-4 “Buck Club”

I give my permission for _________________________ to participate in the before-school “Buck Club.” The club will be open from 7:00 a.m. to 8:00 a.m.

I understand that each morning my child attends, an adult must walk the student to the library (room 7), sign them in, and pay $1.00. Change will not be provided and parents/guardians may not pay in advance.

Good behavior is expected at all times. If a student does not follow the club/school rules or the pillars of character, they may be excluded from attending the “Buck Club.”

Student Name:

Grade:

Teacher:

Parent/Guardian Name (please print):

Parent/Guardian Signature:

Date:

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