BURNABY NORTH ADMIN TEAM REQUEST FORM Name of Club:

BURNABY NORTH
ADMIN TEAM REQUEST FORM
If students wish to have permission to form a Club in the school please submit this completed form to Mrs. Scaccia in Room 115 by
Monday @ lunch so that it may be presented to the Admin Team, which usually meets on Wednesday mornings at 8:00 a.m. in
Room 219.
Name of Club:______________________________________________________________________________
Students involved:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Sponsor Teacher(s):
_______________________________________________________________________________________________
Teacher has agreed to provide supervision at all meetings
Meeting Time & Location:
_______________________________________________________________________________________________
Purpose of Club/Description of Activities:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
BURNABY NORTH
ADMIN TEAM REQUEST FORM
If students wish to have permission to form a Club in the school please submit this completed form to Mrs. Scaccia in Room 115 by
Monday @ lunch so that it may be presented to the Admin Team, which usually meets on Wednesday mornings at 8:00 a.m. in
Room 219.
Name of Club:______________________________________________________________________________
Students involved:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Sponsor Teacher(s):
_______________________________________________________________________________________________
Teacher has agreed to provide supervision at all meetings
Meeting Time & Location:
_______________________________________________________________________________________________
Purpose of Club/Description of Activities:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________