Seeds To Supper Youth Program

ABOUT STS

APPLICATION

PERMISSION
LETTER

PERMISSION LETTER

for
Sixth Street Community Center
Seeds To Supper Program
638 East 6th Street
New York, NY 10009

Parent/Guardian Name: ________________________________________________

Address: __________________________________________________ Apt. ______

_________________________________________________ Zip____________

Telephone: (day) ___________________________ (eve) ______________________

I, __________________________________ , hereby give permission for my son/daughter, ____________________________ , to enroll and participate in the Sixth Street Community Center Seeds To Supper Program beginning July 8, 2003 and ending August 14, 2003. As part of this I give permission to my son/daughter to travel with Seeds To Supper Program staff to Catalpa Ridge Farm and High Point State Park in Sussex County, New Jersey and other locations related to Program activities.

Sincerely,

_______________________________________     _________________

Signature

Date