Alden B. Dow Home and Studio

Meeting Times: Tuesdays, 3:15-4:45 pm on all dates below.
(Pick-up is at 4:45 pm at the Alden B. Dow Home and Studio circular driveway, 315 Post Street, 989-839-2744)

The Alden B. Dow Home and Studio is happy to present the Young Writers Studio free of charge, and provide bussing to the site and supplies.

Any donations to help with the cost of snacks and supplies are gratefully appreciated.

* indicates required

Student's First Name

Student's Last Name

Parent's Email *

School

Student Grade

Emergency Contact Name

Emergency Contact (phone)

Name of Student's English teacher/teachers

Medical info or concerns for student(s)

Parents/Guardians digital signature of consent

Student will attend

October 4

Student will attend

November 1

Student will attend

December 6

Student will attend

February 7

Student will attend

March 7

Student will attend

April 4

Student will attend

May 2

Parental/Guardian Consent

Student will ride bus and parent will pick up

Parental/Guardian Consent

Parent(s) will drop off and pick up student

Parental/Guardian Consent

Photo of student(s) may be used in marketing materials, on social media and website

Parental/Guardian Consent

Student(s) will be able to contribute snacks or water for the final count of members

Parental/Guardian Consent

Student(s) may receive emergency medical treatment if necessary

Parental/Guardian Consent

Student(s) may attend field trips

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Young Writers Studio (After School Program) The Alden B. Dow Home and Studio 2022-2023 Permission Slip *Masks are required inside the Home and Studio

Young Writers Studio (After School Program)
The Alden B. Dow Home and Studio
2022-2023 Permission Slip
*Masks are required inside the Home and Studio