NOTIFICATION OF G.O.A.L. ACTIVITY

NORTH ALLEGHENY INTERMEDIATE HIGH SCHOOL

Student’s Name_______________________  Student #________________________

Date Issued _________                     Return to GOAL by  ______________

As part of the student’s Gifted Individualized Education Program (GIEP), he/she will be participating in the following activity:

Activity:    _________________________________________

Location: __________________________________________

Date:       __________________________________________

Departure: ________________________________________

Approximate Return: ________________________________

You will be missing your regular lunch.  Therefore: Bring money for fast food or bag lunch.

I Agree that my child may participate in this event: ___________________________

                                                                                   (Parent / Guardian signature)

Emergency contact and phone # during event:________________________________

                                                                        (name)                           (phone number)

G.O.A.L. Teacher: _________________________________