•   If you are attending this trip, please complete this and return to Mrs. Luckiewicz, 11/12 Nurse by September 30, 2019.  Mr. Giberson, Senior Trip Class Advisor will not accept your payment unless this form in completed and returned.  If things change after that date, please complete the 'Parent Medical Update Statement' form listed below and return it to Mrs. Luckiewicz. Thank-you!
     
     
     
     
     
    Parent Medical Update Statement Form-  please complete this if anything has changed since you handed in the above senior trip health form.