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6th Grade Irish Dancing/McNamara's Band | Mercy Rehab

Dear Parent or Legal Guardian,

Your son/daughter is eligible to participate in a school-sponsored activity requiring transportation to a location away from the school building. This activity will take place under the guidance and supervision of employees from Holy Infant School. A brief description of the activity follows:

Name of Event: Irish Dancing/McNamara's Band Field Trip

Location: Mercy Rehab | 14561 N Outer 40 Rd, Chesterfield, MO 63017

Designated Supervisors(s) of Activity: Mr. Meesey & Teachers

Date: Tuesday, March 4th, 2025

Departing at 10:30 am

Return to Holy Infant: Noon

Method of Transportation: Parent's Cars (space for 36 students)

**Parents who aren't driving are welcome to meet us at the event.**

Student Last Name*

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Student First Name*

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Parent/Guardian First Name*

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Parent/Guardian Last Name*

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Parent/Guardian Email Address*

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Parent/Guardian Phone Number*

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Emergency Contact Name*

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Emergency Contact Email*

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Emergency Contact Phone Number*

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Important medical information that we should know

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I am the Parent or Legal Guardian of the student named and give permission to participate in this field trip.*

Signature Required

I am able to drive & I have attended the "Protecting God’s Children/Prevent and Protect" Seminar

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YES

How many students are you able to transport

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If you are able to drive, please submit a picture of your Driver's License & Insurance Card

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Choose a file or drag it here.

Confirmation Email

Confirmation Email *

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