Complete and return in Friday Folder with $10 fee payable to Saint Theresa School

I give permission for my child _____________________________
to participate in the Saint Theresa Track Program. Enclosed is $10.
In case of an emergency, I give permission for my child to receive medical treatment. In case of such an emergency, please contact: _____________________________________________

Parent/Guardian Signature: ___________________________________Date: ____________
Phone:___________________________________________________________________
Email:____________________________________________________________________