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High School Pajama Dance
DATE & TIME: Friday, October 25, 2013 from 7:00 to 10:00 PM

FRCS Cafeteria

I give my son/daughter, __________________________________________ permission to attend the
above-entitled event with students from the Foxborough Regional Charter School. I understand that
disorderly or dangerous behavior will not be tolerated and will result in the expulsion of the event. I
understand that I will be responsible for transporting my son or daughter from the above event if an
expulsion due to behavior occurs.
I will not hold the Foxborough Regional Charter School or its staff liable for any injury that may occur
at this event.
Parent/ Guardian Name (please print)
Home Telephone Number
Cellular Telephone Number
Name of FRCS student who has invited your child to this event.
I have thoroughly read this document and agree to its terms and conditions.

Parent/ Guardian Signature
(of guest student)

FRCS Parent/Guardian Signature

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