I hereby give permission for my son/daughter/ student (name)_______________________ to stay after school with Mr. Goldsmith and other students. Mr. Goldsmith and other Rippowam teachers are allowed to provide to my son/daughter/ student:
- extra help or academic enrichment, snack (food and drink such as a small bag of chips and Hi-C or similar drink), and give extra credit, but only if earned by my son/daughter/ student spending most of their time working on school-related work;
- allow my son/daughter/ student to participate in age-appropriate play, such as playing touch football or frisbee with other Rippowam students, or
- the ability to work on the Rippowam Community Garden, including preparations or clean up in the building, except that my son/daughter/ student will not receive extra credit for this activity;
- allow my student to board and ride the late bus provided by Stamford Public Schools, or to wait at the school for a ride from me or another family member, or to walk home if that is my son/daughter/ student's custom.
Parent/Guardian signature:_______________________ date:______
Parent/Guardian phone (cell): ________________ (home): _____________(work):___________
Alternate emergency contact: (name)_______________________ phone: ________________
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