Holiday Baking and Fun!

Natural Wonders Holiday Baking and Fun!

Dec 23, 2015 9:00-11:30 $30/day (Baking supplies included.)

*Extend your free time to 1:00 for additional fee of $10.

Need a few more hours to shop, wrap, bake, and decorate? Send your child in to join Mrs. Colucci and Ms. Lisa from our summer program for some Holiday baking. The children will be making reindeer treats, a plate of goodies to bring home, and enjoying holiday games.

This program is open to NW students, alumni and siblings. Space is limited. Pre-registration is required by Dec 17. Holiday Baking Registration

My child will attend:

Date Cost Optional 1:00 Total due Total Paid pick up o Dec 23, 9-11:30 o $30 o $10

Name ______DOB ______

Mother ______Father ______

Cell ______Cell ______

Address: ______Home Phone______

EMERGENCY CONTACTS: The following people are allowed to pick up my child from school. In the event I cannot be reached for an emergency, please contact the people listed below in order until someone is able to pick up my child. (Photo Id is required for pick-up) 1. NAME______PHONE______RELATIONSHIP______2. NAME______PHONE______RELATIONSHIP______CHILD’S DR ______PHONE ______

 MY CHILD HAS NO KNOWN ALLERGIES.  MY CHILD HAS THE FOLLOWING ALLERGIES (ATTACH SEPARATE INFO SHEET IF NEEDED):

X______PARENT/GUARDIAN SIGNATURE DATE IN CASE OF EMERGENCY IF A PARENT/GUARDIAN CANNOT BE REACHED, AND /OR THE NATURE OF THE EMERGENCY WARRANTS, 911 WILL BE CALLED AND THE CHILD WILL BE TREATED BY 911 RESPONDERS AND TRANSPORTED TO THE CLOSEST HOSPITAL BY RESPONDERS.

All information supplied in this form is current and accurate. It is my responsibility to update the director of any changes to the above information. I understand my child will only be released to his/her parents/legal guardians or persons listed above in the event of an emergency.

I have read and understand all the terms and conditions as outlined on this form.

X______PARENT/GUARDIAN SIGNATURE DATE