Afternoon Activity Exemption Request Form

Required

Student Namerequired
First Name
Last Name
Parent/Guardian Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Activity must take place within the same time frame as the school activity season and must meet requirements similar to those that are required of students involved in Perkiomen School afternoon activities.
Confirmation by Parent/Guardianrequired