BRUNSON Parent Signature Sheet
Please read each of the following items carefully. Mark YES or NO for each of the following items that concern your child. Type your name as your electronic signature. This signature and that of your child will cover the items listed.
Sign in to Google to save your progress. Learn more
Student's First and Last Name *
Student Grade *
Student Handbook: Our signatures below show only that we received a copy and we have been told we can assess online.                                                       *
School- Parent- Student Compact: I have received a copy of the Teamwork Compact, and I take responsibility for my child. *
Traffic Control: My signature shows that I have understand the traffic control guidelines. *
Field Trips: I give permission for my child to take usual school trips, such as music events, class trips, etc. (without being notified every time). *
Internet Policy: My child has permission to use the internet at school and will follow internet  policy guidelines for appropriate use. *
Library Books: My child may check out a book from the Library and is responsible for paying for it should it be damaged or lost. *
Video & Cameras: My child may be photographed or videotaped as a part of the normal school day or in preparation for a report, presentation, etc. My child's photograph or video may be displayed on the district's website, including any page on the sit or in other district publications without further notice. I also know that cameras are used in the school, on campus, and on the buses for the safety of my child. *
School Pictures: My child may have a picture taken for the yearbook. *
School Bus: We understand that all school rules of conduct apply to the school buses and bus stops. Suspension or loss of bus privileges may be imposed for violations. *
Medicaid Release Form: Is your child  covered by Medicaid? If YES, you must obtain and complete the form from the office. *
Please type your name and today's date as your electronic signature. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Warren School District. Report Abuse