PLANO MIDDLE SCHOOL PHYSICAL EDUCATION

INLINE SKATING PERMISSION SLIP

Dear Parent or Guardian:

Beginning on Monday, January 9, 2012, our Physical Education classes will be participating in an in-house skating program. The skates will be delivered directly to the school. Due to insurance purposes, we will only be allowed to use LIFETIME SPORTS, INC. inline skates.

This skating unit is being implemented because of its emphasis as a “lifetime activity.” Skating provides a variety of benefits, which include balance, coordination, motor skills, and a top rated cardio-respiratory workout. Students may also learn basic skating skills such as starting, stopping, forward skating, backward skating, cornering, and a number of safety tips for being a smart skater.

The fee for this unit per student will be $9.00 for inline skates. During normal P.E. classes, we will be skating for ten (10) days and the fee includes delivery and pickup of the equipment, use of the skates, as well as optional safety equipment for the wrists, elbows, knees, and/or helmet.

Please have your child return the bottom portion of this permission slip with the fee no later than Monday, December 19, 2011. Checks can be made out to Plano Middle School

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In consideration of the permission granted I hereby grant permission for the person named herein to participate in the program described and associated activities provided by the skating company and Plano Middle School. I further release the skating company, Plano Middle School, and Plano School District #88, its agents, employees, and volunteers from all actions, damages, claims, or demands and all liability, which might be incurred during the conduct of this activity.

I further authorize the school officials to take the proper steps to provide medical attention should participant be injured while participating or being transferred to or from any school sponsored activity and I hold said officials at Plano Middle School and Plano District #88 harmless thereof.

I acknowledge the risk and responsibilities involved in this activity. I have read this release and understand all its term and execute it voluntarily and with full knowledge of its significance.

Name of Student Participant:___________________________________

Signature of Parent/Guardian:__________________________________

P.E. Teacher: (Circle one) McGinnis Zuege Class Period: (Circle one) 1 2 4 6 7 8

My child’s shoe size is ____________ Girl [ ] Boy [ ]

Paid: Cash $9.00 Check $9.00 (made out to Plano Middle School)

Please check if...

______I choose for my student not to participate in skating. (An alternate activity of aerobic exercise videotapes/exercise workouts will be provided in lieu of skating.)