Native Passages Summer Program 2021 Permission Slip

  • Permission slip

    MOORE Public Schools, “Indian Education Summer Program”
    MPS Administration Building

    June 9-11, 2021
    9:00 A.M. – 3:00 P.M.


    Please complete, sign and return permission slip to: or to MPS Indian Education, 1500 SE 4, Moore OK 73069, 405-735-4301. 

    Please note: program is limited to 40 students.  Student enrollment is NOT complete until signed permission slip is returned.  Students, please plan to attend all days.


    Student ________________________________________________________

    School_____________________________________________ Grade (2021-2022) ________________

    Address ____________________________________________________________________________

    Parent/Guardian Name(s)______________________________________________________________

    Contact’s Email(s)____________________________________________________________________

    Phone(s) ___________________________________________________________________________


    ________ I will pick up my child from Administrative Service Center at 3:00 p.m.

    ________ My child will walk home from Administrative Service Center

    My child has the following limitations or restrictions (please list): _____________________________________

    _______________________________ has permission to participate in all activities associated with the Cultural Enrichment Program, “Native Passages”, including transportation to field trips, June 9-11, 2021. I understand that students will participate in indoor & outdoor activities and crafts and should wear sturdy, comfortable clothing and shoes.  Items of value should not be brought to the Summer Program.  I agree to accept full responsibility for any event of health, accident, or failure to conform to rules established by the teacher in charge involving my student. MPS staff and employees will be free of any obligations for my child after 3:00 p.m. The group will meet each day at MPS Administration Building.




    Parent/Guardian Signature