ࡱ > D G C bjbj44 4 V V : : : : : N N N N 4 N E z q q q $ q : q q q q q : : q : : q ?F% . 0 E , ! v ! ! : q q q q q q q + v q q q E q q q q ! q q q q q q q q q : VALLEY STREAM CHRISTIAN ACADEMY AFTER SCHOOL CLUB CLUB NAME: Junior Choir-Boys/Girls-3TH-5TH Grade TEACHER: Mr. Dunn TIME: 3:00pm- 4:00pm DATES: Fridays, starting Jan. 25, 2019 COST:$75.00(please submit cash or separate check to VSCA for each club) Please return the bottom portion with your money no later than: DATE: Wednesday, January 16, 2019 ................................................................................................................................................ VSCA After-School Club Permission Slip I request permission for my child____________________________ to participate in Valley Stream Christian Academys Club Name: Jr. Choir- Boys/Girls 3rd-5th Grade 2nd Semester (Friday, Jan. 25, 2019-June 7, 2019) I will be responsible to arrange transportation home for my child. If my child is not picked up immediately after club dismissal time, I agree to pay $25.00 late pick-up fee. I understand that my child may be removed from the club at the Clubs Advisors discretion after multiple late pick-ups or if he/she exhibits poor behavior during club activities. ________ ___________________ Date Parent Signature " 3 4 5 > ? @ L M U V X Y ξygUCU1 #h