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Basketball Field Trip

Student Name(Required)
Additional Student Name
Parent/Guardian Name(Required)

Field Trip Consent

Please provide consent or deny consent for each planned field trip. A Yes or No response is required for every field trip. “Yes” indicates consent while “No” will result in a denial of consent and your student will not be able to participate in the activity.
PINS MECHANICAL COMPANY | APRIL 16, 4:30 pm-6:30pm(Required)
1124 Main St. Cincinnati Ohio, 45202| Pickup: 4 pm Drop Off: by 7pm
Digital Signature of Consenting Guardian or Student (if over 18)(Required)
By filling out your name as the parent, guardian, or consenting student (if over 18) below, you are signing in agreement with Back2Back’s ability to take your child on extracurricular activities. This digital signature serves as an additional form of consent along with the choices above.
Date of Submission(Required)
This field is for validation purposes and should be left unchanged.