International School of Tanganyika

Parental Consent Form

Student: ALBERT
Last Name KISOLE

Date of Birth 12/08/1996____

First Name

Day/Month/Year

Parent/Guardian Names: Werna Freigang________________________________________

Agreement:
I understand that my son/daughter will be taking part in the Twiga Running Club and that my child will be
running on roads outside the campus. I acknowledge the need for my child to behave responsibly, run on the
right-hand side of the road, run with a buddy, follow instructions from the teachers, and not run with ear
phones.

Parent/Guardian: W.F ___________________________

08/_________________
Signature
Please return to Ms. Loschi in room B3b by Monday, August 31st.

Date: __26 /