Student and Parent Contract

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I have read through and understand the BCD Code of Conduct and will do my best to support our learning environment. I understand that failure to put forth effort in following any of the conduct written in the BCD Code of Conduct may result in consequences to be determined at the time of the incident. By filling out this form, my parents and I are giving our electronic signatures.

Email *

Student's First & Last Name *

Class Enrollment *

Check which class level you are in.

1st Hour Beginning Dance

3rd Hour Beginning Dance

Intermediate Dance

Advanced Dance

Required

Student Cell # *

Home Phone *

Parent/Guardian First and Last Names *

Parent/Guardian Cell Phone *

Parent/Guardian Email Address *

Does Mrs. G. have permission to give ibuprofen or tylenol if your child needs it? Parents should check off this box, their answer is their electronic signature. *

Yes

A copy of your responses will be emailed to the address you provided.

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