Teacher Name:
School Name:
School District:
Grade Level:
Mailing Address:
City:
State:
Zip:
Phone:
Email:
Please estimate your attendance as:
Students:
Teachers:
Chaperones*:
Busses:
Estimated Bus Drop-Off:
Estimated Bus Departure:
The women's basketball game starts at 11:00 AM and ends at approximately 1:00 PM. If you need to leave before 1:00 PM, please indicate that departure time above.
(All fields above are required)
*One chaperone for every five students is required. Up to one chaperone for every two students is permitted.
If any of your students have special needs or reacquire special assistance, please indicate below:
