PPEERRMMIISSSSIIOONN SSLLIIPP

WWeesstt JJaacckkssoonn MMiiddddllee SScchhooooll 400 Gum Springs Church Road

Jefferson, GA 30549 (706) 654-2775

www.jackson.k12.ga.us/wjm

Place To Visit: Laser Quest in Buford, GA

Dates of Trip: Tuesday, March 24th

Time of Departure: 4:00 p.m. from West Jackson Middle School, students will after school until departure

Time of Return: 6:45 p.m. to West Jackson Middle School

Cost of Trip: $15.00 (This covers the a private party for just WJMS FFA, two games of laser tag, and

pizza). Students may bring money for additional concessions.

Transportation: Bus

Approximate Mileage: 50 miles round trip

Sponsoring Teacher: April Davis

Dress Code: Students should wear school appropriate attire. Tennis shoes are recommended!

If you give permission for your child to participate in this trip, please sign below and complete the

other information as it pertains. Regardless of the precautions taken by sponsors and school

authorities to assure student safety, accidents will occur. Therefore parents are encouraged to assure

that their children are properly insured.

“I also do hereby, on behalf of named student, absolve and release school officials and teacher from

any claims for personal injuries which might be sustained while he/she is present during the trip.”

Students Name: ______________________________________ Student ID: __________

Parent/Guardian Name: (Print) ___________________________________________________

Parent/Guardian Signature: ______________________________________________________

Emergency Contact Phone #: _____________________________________________________

Permission Slips are due to Mrs. Davis, in room 503, by Monday, March 23rd. The first 35 students will be allowed to attend. Space

is limited!

PPAARREENNTT IINNFFOORRMMAATTIIOONN:: KKEEEEPP TTHHIISS SSHHEEEETT!!

WWeesstt JJaacckkssoonn MMiiddddllee SScchhooooll 400 Gum Springs Church Road

Jefferson, GA 30549 (706) 654-2775

www.jackson.k12.ga.us/wjm

Place To Visit: Laser Quest in Buford, GA

Dates of Trip: Tuesday, March 24th

Time of Departure: 4:00 p.m. from West Jackson Middle School, students will after school until departure

Time of Return: 6:45 p.m. to West Jackson Middle School

Cost of Trip: $15.00 (This covers the a private party for just WJMS FFA, two games of laser tag, and

pizza). Students may bring money for additional concessions.

Transportation: Bus

Approximate Mileage: 50 miles round trip

Sponsoring Teacher: April Davis – 706-401-1111

Dress Code: Students should wear school appropriate attire. Tennis shoes are recommended!

PPAARREENNTT IINNFFOORRMMAATTIIOONN:: KKEEEEPP TTHHIISS SSHHEEEETT!!

WWeesstt JJaacckkssoonn MMiiddddllee SScchhooooll 400 Gum Springs Church Road

Jefferson, GA 30549 (706) 654-2775

www.jackson.k12.ga.us/wjm

Place To Visit: Laser Quest in Buford, GA

Dates of Trip: Tuesday, March 24th

Time of Departure: 4:00 p.m. from West Jackson Middle School, students will after school until departure

Time of Return: 6:45 p.m. to West Jackson Middle School

Cost of Trip: $15.00 (This covers the a private party for just WJMS FFA, two games of laser tag, and

pizza). Students may bring money for additional concessions.

Transportation: Bus

Approximate Mileage: 50 miles round trip

Sponsoring Teacher: April Davis – 706-401-1111

Dress Code: Students should wear school appropriate attire. Tennis shoes are recommended!