Parent Permission Form
Junior Statesmen of America
The Lewisville High School chapter of J.S.A. is an excellent way to achieve high standards of citizenship, improve understanding of democratic processes, develop responsibility in the individual, and promote involvement in the community.
Location of meetings:
____________Room 2565________________________
Meeting schedule:
____________Tuesdays 4-5 pm_______________________
Sponsors name:
____________Mr. D. Ryan_______________________________
Student name:
_______________________________________________________
Mailing Address:
_______________________________________________________
Email Address:(please print Carefully)_______________________________________________________
Phone Number:
_______________________________________________________
Parent/Guardian Signature (signature grants permission for your son/daughter to participate in J.S.A):
__required(X)_____________________________________________
Dues are $5. -- ($3 of annual dues goes to the national J.S.A organization.)
For more information on J.S.A go to www.jsa.org
For a printable version click here.
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