PATCH 21st CCLC would like to invite all students of Roane County School to participate in our fitness program.
Please read and fill out all necessary information, then return to Mr. McCutcheon’s box at the High School , the PATCH office, or the Fitness Center.
Students Name: _____________________________________________________________________________
Home Address________________________________________________________________________ __________________
Age_______ Gender_______ Phone___________________ Grade Level_________
Homeroom Teacher _______________________
Food Allergies____________________________________
PATCH 21st CCLC would like to invite the students of Spencer Middle School to attend the Spring Session of programs. Please fill in the following information completely – FRONT AND BACK - and return this form to your child’s school or homeroom teacher. Most classes are filled in the order that the forms are sent back, so get your form back as soon as possible so that your child will have a better chance of getting the class he/she desires to participate in.
Classes will begin the week of January 28, 2008.
- Your parent/guardian must sign the back of this form for you to attend this
PATCH program. *
