2009-2010 Lunch Supervision Registration Form

École LeMarchant St. Thomas School

Dear Parent/Guardian:

Starting in September, all students may remain at school over the lunch period.  In order for us to plan appropriately, we need to know if your child will be participating regularly in the lunch supervision program.

Please complete the following for each child in your family.  Place an X in the box on the day/days your child will be remaining at the school over the lunch period.

PLEASE RETURN THIS FORM TO YOUR CHILD’S TEACHER BY THURSDAY, JUNE 18^TH.

1.      Child’s  Name: ____________________ (first)_____________________(last)

Grade:____________________________Eng:____ French Imm._______

Allergies/Medical Info_________________________________________

2.      Child’s  Name: ____________________(first)  ____________________(last)

Grade: ___________________________ Eng:_____ French Imm._____

Allergies/Medical Info_________________________________________

3.      Child’s  Name: ____________________(first) ____________________(last)

Grade____________________________ Eng. ____ French Immersion_____

Allergies/Medical Info_________________________________________

4.      Child’s  Name: ____________________(first) ____________________(last)

Grade: ___________________________Eng:_______ French Imm.____

Allergies/Medical Info_________________________________________

Parent/Guardian 1____________________________________Work Phone___________

                                                                                                     Cell Phone____________

                                                                                                      Home Phone__________

Parent/Guardian 2____________________________________ Work Phone__________                                                                                                           Cell Phone____________

                                                                                                      Home Phone__________

Alternate Emergency Contact____________________________Work  Phone_________                                                                                                                             Cell Phone___________

                                                                                                        Home Phone_________