CPI LEGO CLUB

Come enjoy time with fellow LEGO builders and create works of art!

Who: Any 5th or 6th grader

Why: Fun

interested in LEGO building

When: Every other Thursday

beginning September 24th
2:30-3:45

How: Return the completed

permission slip to the office by

September 18.

Where: CPI

------------------------------------------------------------------------I give my permission for my child to participate in CPIs Lego Club.

___________________________________________________________________
Parent Signature/Contact Number
Student name: __________________________________________________ Grade: _______
Homeroom Teacher: __________________________________________________________
Emergency Contact Name/Phone Number: _______________________________________
Please indicate any medical concerns thay may need to be addressed:
_____________________________________________________________________________
_____________________________________________________________________________
If your child is interested in purchasing a Lego Club T-Shirt, the cost is $10.00. T-Shirts are
OPTIONAL. Please make checks payable to CPI and indicate your childs size!
Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL Adult XXL