2021-22 Luce Elementary School Student/Family Handbook and Permissions Signature Page
2021-22 Canton Public Schools Student/Family Handbook and Permissions Signature Page

Please ☑ each section and electronically sign this form as receipt and agreement as stated below.  Please complete this form by September 30, 2021.

You can access the 2021/2022 Luce Handbook and Appendix here:

https://docs.google.com/document/d/1uA8PGFm1On9A_1kxyWeNKsiB6NUhPjFHoeH2fGMo7-A/edit?usp=sharing
Sign in to Google to save your progress. Learn more
Email *
Student Last Name *
Student First Name *
Student Grade *
Classroom Teacher Name *
#1.  I have read my school’s Student/Family Handbook, which incorporates the Canton Public Schools Student/Family Handbook Appendix (including the very important Policy Prohibiting and Addressing Bullying) and reviewed both with my child, as appropriate.  I understand that the Student/Family Handbooks and included District Appendix set the expectations for a successful school experience for students and families. *
Required
#2.  I have read the Student Responsible Use Policy Guidelines (RUP) and reviewed it with my child, as appropriate. *
Required
#3.  I have read the Family Education Privacy Act (FERPA) Student Records Regulation. *
Required
#4.  I have read the Protection of Pupil Rights Amendment (PPRA) *
Required
#5.  Please select one option for Media Release Permission.                                                                             YES, my student’s work, name, and/or photos/video/audio may appear in newsletters, on local cable television, in local newspapers, such as the Canton Citizen and the Canton Journal, and on the Canton Public Schools' website, individual school websites, external websites, and other forms of social media (e.g., Twitter) during the 2021-2022 school year.                                                                  NO, my student’s work, name, and/or photos/video/audio may not appear in newsletters, on local cable television, in local newspapers, such as the Canton Citizen and the Canton Journal, and on the Canton Public Schools' website, individual school websites, external websites, and other forms of social media (e.g., Twitter) during the 2021-2022 school year. *
Parent/Guardian Electronic Signature; by electronically signing here, you and your child agree to the statements above. *
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Canton Public Schools. Report Abuse
Google Forms