St. Stanislaus Tri-Parish School

641 5^th Avenue

Lewiston, ID 83501

(208) 743-4411

Fax (208) 743-9563

Dear Parents,

During the course of the school year, your child will have the opportunity to participate in a number of activities for which parent permission is required. Please circle your reply, sign below, and return this form to school as soon as possible. If you have any questions or concerns, please call the school office.

Yes                  No                   VISION - HEARING SCREENING - this is done by parent

                                                Volunteers with the school nurse. We also offer an in depth

                                                vision screening conducted by Dr. Dan Klemp and Dr.

                                                Brenda Offerdahl. (school parents).

Yes                  No                   GROWING UP CLASSES – 5^th and 6^th grade students                                                      only.

Yes                  No                   SCOLIOSIS  - 6^th grade students will be checked by

                                                school nurse for curvature of spine or scoliosis.

Yes                  No                   FIELD TRIPS - Children are transported by school bus or

                                                private cars with their teachers and parent volunteers.

                                                Youth permission slips will be sent home before each

                                                outing.  Adults wishing to drive must provide valid driver

                                                information, and complete a Diocesean form, available

                                                from the Office Manager.

Yes                  No                   DISPLAY OF STUDENT WORK - Children’s work is

                                                entered in local, state, and national contests and may be

                                                displayed within our local community.

Yes                  No                   WEB SITE - Photographs or samples of school work may

                                                be used on our web site (using first names only).

Yes                  No                   PUBLICITY - Children may be photographed, filmed or

                                                samples of school work may be used in newspaper or

                                                television productions (using first & last names along

                                                with parent’s names).

I give permission for my child to participate in the above listed activities that are applicable. I expect to be informed ahead of time and will not hold the teacher or person in charge, the school or driver on a field trip responsible in case of accident or injury to my child.

____________________________________________               ______________

Student Name                                                                                 Grade

__________________        ________________________________     _______________

Date                                     Parent Signature                                           Phone