LEAP is going on a Field Trip!

PLACE: JUMP ON IN—470 Wildwood Ave.,Woburn, MA 01801

DATE: Wednesday, February 14th, 2018

TIME: 1:30 - 4:30

I __________________________, allow my child(ren), __________________________

to attend above field trip with the Lincoln Extended-day Activites Program (LEAP). I

have read the above information and I acknowledge there may be changes or delays in

the schedule. I confirm that the emergency information on file at LEAP is up to date and

accurate at the time of my signing this form.

If needed, the best way to contact me in emergency is: ___________________________

Parent Signature: ____________________________________________ Date:________