Fall Pink Social Sign-up & Ticket Purchase

Get ready to party in pink! 💖 Join us on Friday, September 26 at CMS for the Pink Social, hosted by the PTG. There’ll be pizza, dessert, games, and a DJ—everything you need for an unforgettable night with friends!

Rock your best pink outfit and come celebrate with your classmates!

Starts directly afterschool - ends at 4:30pm

🎟️ Tickets are $10
💗 Suggested $5 donation to support Kicks for Cancer

Need a scholarship ticket? Contact Principal Cameron

Let’s make it a night to remember—all for a great cause!

You will not be able to check-out without checking the 3 boxes acknowledging you read the statements and information around Pick-up expectations, FAQs and Dietary Information Availability.

Item Description Price Qty

Fall Social Ticket $10.00

Kicks for Cancer Donation
Donation of your choosing to Support Kicks for Cancer. Suggested Donation $5. You can delete the 5 and put 0 for no donation or add another amount. $

Parent/Guardian Name

Parent Name

Parent completing the form

Emergency Contact Name of Parent/ Guardian

Parent Name-Event Day Contact Name

Enter Emergency Contact Name of Parent/ Guardian

Emergency Contact Number of Parent/ Guardian

Parent Name-Event Day Contact Number

Enter Emergency Contact Number of Parent/ Guardian

Confirm Pick-up

Pick-up Confirmation

I have read statement below

Please check above acknowledging this statement: I understand there will be a ride waiting at 4:30pm to pick up my student or they will take the 4:35pm late bus, click here for late bus routes.

Because students sometimes make plans at our late afternoon and evening events without informing their parents or guardians, we do NOT let students walk home early. Exceptions can be made by emailing Mr. Cameron at jcameron@concordps.org *

FAQ

FAQ Acknowledgement

I have read the FAQs below

Please check above acknowledging you have read these 3 FAQ items below about our socials: *

✓ Students may self carry their phones, but they should NOT ever be out and in use.

✓ Dress is casual, and students should come ready to be active and to play!

✓ Parents do NOT have to walk in OR walk out with their child.

Dietary Information

My child needs a Gluten free option My child needs an Egg free option My child needs a Dairy free option My child requires adult assistance choosing appropriate foods for their food allergies and/or food sensitivities/ intolerances. None of the above

Please make a selection above which also acknowledges you've read the following information.

The ingredients/dietary information for the pizza, desserts as well as gluten-free and dairy-free options can be provided by request. Gluten-free & Dairy-free pizza will be provided by Commella's and allergy free cupcakes from Twist Burlington.

If you have any questions or need to see ingredient lists, please contact either CMS nurse:

Lynn Lucier llucier@concordps.org
Meg Jensen mjensen@concordps.org

Parent volunteers and/or school staff will review Safe Food Handling and Avoiding Cross Contact with Food Allergies.

Medical Information

My child has an Insect Allergy and may need an Epinephrine Auto Injector My child has a Food Allergy and may need an Epinephrine Auto Injector My child has a Latex Allergy and may need an Epinephrine Auto Injector My child has Asthma and may need an inhaler My child has a Seizure Disorder My child has Type 1 Diabetes My child has NONE of the above

Please make a selection above which also acknowledges you've read the following information.

Medical Information: The school nurse is not present during this event. Parents/Guardians are responsible for providing emergency medication for after school hours. Students must self carry their Epinephrine Autoinjectors and/ or Inhalers. 911 will be called in the event of an emergency.