Scholarship Agreement
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Email *
Parent/Guardian Name *
Student Name *
I, the parent/guardian of my child, do hear by promise each quarter to either electronically approve or come into the school to sign a check within 7 days of it being available, I understand that failure to do so will result in my child not being allowed to attend school and access to grades will be denied until payment is made. It is my responsibility to inform Synergy Magnet K-12 if there are any issues that prevent me from being able to comply with the above terms so other arrangements can be made. *
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Parent/Guardian Initials *
Parent/Guardian Name *
Date *
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If there is more than one child, please add names below
Child Name
Child Name
Child Name
Child Name
Child Name
Child Name
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