New Date: Due to the snow the book club has been rescheduled to Wednesday, March 3 at 7 PM. 
RPC Book Club

How to Raise a Drug-Free Kid

Wednesday, March 3, 2010

Ridgefield Public Library's Dayton Room

7:00 - 8:30 PM

 

To Register for the RPC Book Club please complete the registration form below. For questions please call 203 438-9557. The program is open to all parents and is free though there is a suggested donation of $10 at the door to help support the RPC programs. Pre-registration is appreciated (but not required).

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Registration Form For RPC Book Club "How to Raise a Drug -Free Kid" Wednesday, March 3, at the Ridgefield Public Library, 7:00-8:30 PM Name: Email address: Phone number: Number of adults attending: Ages of your children (this will help us to plan the discussion): How did you hear about the program?

Kids Who Lead Succeed Registration Form

 

Student Name: ______________________________ 

 

Grade ___________  ERMS  SRMS

Home Phone: _______________________________ 

 

Parent Cell Phone: ___________________________

Email: _____________________________________

 

Food Allergy: ________________________________

 

I give permission for my child to participate in the Kids Who Lead Succeed Conference on Friday, March 12, 2010.  In case of an emergency, I can be reached at ___________________.  It is my responsibility to pick up my child promptly at 7:30 at ERMS.
Parent Signature: __________________________________________________________
Please print  and complete this form and return forms and checks ($15 per student, made payable to Ridgefield Prevention Council) to Lisa Perry at ERMS Guidance Office or Kelly Zurzola at SRMS Main Office no later than March 9th.  In order to insure that each child has all the materials and dinner, we cannot accept late registrations. No drop offs at the door.

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