2023-2024 West Hills Middle School  Extracurricular Clubs Parent Participation Form
Parents & Guardians: Please put a check mark by the activities that you give your student permission to participate in. All activities and clubs are from 3:00 p.m. to 4:00 p.m.

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Email *
Student Name *
Parent/Guardian Name *
Parent/Guardian Phone Number (in case of an emergency) *
Extracurricular Activities and Clubs with Advisor Names (Please check all that you approve of) *
Required
By checking the following box you agree to the Jordan School District Student Club Participation Policy:

I am the custodial parent or legal guardian of the student named on this form. I understand that my student wishes to participate in the student club or extracurricular activity designated on this form. If a club or extracurricular activity is authorized by the school, that authorization allows the club to use certain school premises and facilities, but does not mean that the club is an organization of the school. I understand that membership and participation in this club or activity are voluntary. I understand that this club or activity is not sponsored by the school and is directed by the students of this club. Each club must have a faculty sponsor or supervisor who must be in attendance at every meeting or activity scheduled on school premises. No faculty sponsor or supervisor shall be in attendance at any meeting scheduled off of school premises or competition unless prior written approval has been obtained from the principal or principal's designee. Students shall cancel any meeting whenever this condition is not met. Approval of club sponsors and supervisors shall be made by the school principal or principal's designee. 

Clubs are authorized by the school based on its stated purposes and activities as set forth in the club application and charter. I understand that I may make arrangements to inspect a copy of the application and charter of this club. I am satisfied that, by either obtaining information from my student or by inspecting the club charter, or both, I have sufficient information about the club to make and informed decision regarding my student's participation in this club. I further understand that my consent may be withdrawn at any time by my notifying the school in writing of that withdrawal of consent. 
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