5th Grade | Travis Ranch PTA

No student will be denied the opportunity to participate in 5th Grade Activities due to inability to pay.

OUTDOOR EDUCATION REGISTRATION

My child WILL/WILL NOT be attending 5th Grade Outdoor Science Camp on April 20-22, 2020 at ECOS Institute:*

Yes, my child WILL attend
No, my child WILL NOT attend

*I understand that by selecting this box my child will not attend or participate in the Travis Ranch Outdoor Education Program on April 20-22, 2020. I understand that these days are still considered instructional school days and that my child is expected to report to school.*

TYPE INITIALS

5TH GRADE CELEBRATION REGISTRATION

My child WILL/WILL NOT be attending the 5th Grade Year-End Celebration on Thursday, June 4, 2020 at the Cal State University, Fullerton Student Union:*

Yes, my child WILL attend
No, my child WILL NOT attend

*I understand that by selecting this box my child will not attend or participate in the Travis Ranch 5th Grade Celebration on Thursday, June 4, 2019. I understand that this day is still considered an instructional school day and that my child is expected to report to school.*

TYPE INITIALS

5TH GRADE CLASS T-SHIRT

I give my permission for my child’s name to be printed on the back of the 5th Grade Class T-Shirt:*

Yes
No

*I understand that by selecting this box my child’s name will not appear on the 5th grade class t-shirt.*

TYPE INITIALS

STUDENT SHIRT SELECTION : T-Shirt Size (100% Cotton)*

All 5th grade students, regardless of whether their names appear on the shirts or not, will receive a 5th Grade Class Shirt.

Student’s name as you would like it to read on the 5th Grade Class T-Shirt:*

First Last

PARENT SHIRT SELECTION
5th grade class shirts are available for parents at an additional cost of $12 each. If you would like to purchase an additional shirt, please enter the quantity you are ordering next to the sizes below.

Adult Small:

Price: $12.00

Adult Medium:

Price: $12.00

Adult Large:

Price: $12.00

Adult X-Large:

Price: $12.00

Adult XX-Large:

Price: $12.00

5TH GRADE ACTIVITIES PAYMENT OPTIONS

OUTDOOR EDUCATION

PAYMENT OPTIONS*

PAYMENT IN FULL OPTION ($300)
2 PAYMENTS OPTION - REGULAR RATE OF $300 ($175 DUE NOW, $125 Balance by 1/31)
My child WILL NOT attend Outdoor Science Camp

Payment covers amount being applied toward my child attending Travis Ranch Outdoor Education. I understand that if I choose the payment option, the balance of $125 is due by January 31, 2020.

5TH GRADE CELEBRATION

5th GRADE CELEBRATION*

CONTRIBUTION - $25 (includes student t-shirt)
My child WILL NOT attend 5th Grade Celebration

Total

$0.00

Student Information

Student's Name*

Student's Teacher*

Parent Name*

Parent Email*

Parent Phone Number*

As the parent/guardian of the minor named below, I understand and accept all risk of injury for the below named minor and/or myself for participation in the 5th Grade Outdoor Education and/or Year-End Celebration sponsored by the Travis Ranch PTA. I hold harmless all the representatives and agents of the PTA and PYLUSD.

Parent Signature*

Date*