Text Box:   BILOXI JUNIOR HIGH Title I - After School Tutoring Program Permission Form  

 

 

 

 

 

 

 

 

 

 

Student's Name (First & Last): ______________________________  

 

Grade: ______    Classroom Teacher: ____________________

 

Tutoring for (check one): Math _______      Language _______

 

Please note: 

Language is only offered on Mondays and Thursdays.

Math is only offered on Tuesdays and Fridays. 

****Tutoring for 6th & 7th grade English is pending the hiring of teachers****

Text Box:   My child has permission to stay after school on (circle one & date):   Language à        Monday, _______________         Thursday, _______________                                                                                           (Month and Date)                                                                          (Month and Date)   Math à               Tuesday, _______________         Friday, __________________                                                                                           (Month and Date)                                                                           (Month and Date)    

 

 

 

 

 

 


 

____________________________________   ______________

  (Parent’s Signature)                             (Date)  

 

Choose One:

______  My child may walk home after school.

 

______  I will pick up my child by 5:00 in front of BJHS.

 

______  My child will ride the late bus home @ 5:00.

                                            

              ** Bus Stop ___________________________________

                                       (Corner of 2 Streets- Example: Iris/Greater)