JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Parent Consent Form
To be completed by the parent or guardian of all first year students enrolling in Project SaM. Learn more at
http://campdixie.com/summer-camp/leadership-development
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Project SaM Student
*
Your answer
After reading through the Project SaM information, I support my child's desire to participate in the Project SaM program
*
Yes
No
Required
Name of Parent or Guardian
*
Your answer
Address, City, State and Zip of Parent or Guardian (if different than student's home address)
Your answer
Email address of Parent or Guardian
*
Your answer
Mobile phone of Parent or Guardian
*
Your answer
Why do you support your child participating in Project SaM?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
