_________I have enclosed my child's final payment for the 8th grade trip to Canada.

_________ I have already paid you the full amount.

My child's name__________________________________________________________
(Please print)

My Name_______________________________________________

Dear Mr. Grande:
Please make the following changes to my child’s medications; emergency phone numbers; and /or diet. Please be as specific as possible and as clear as possible. Feel free to attach your own note to me.
MEDICATIONS:

EMERGENCY PHONE NUMBERS:

SPECIAL FOOD OR DIET INFORMATION: