Locker Agreement Form
I understand that having a locker is a privilege and I must do my part to use and treat my locker appropriately. I will follow the rules below so I do not lose my locker privileges.
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Last Name *
First Name *
Grade Level *
I will NOT give out my locker combination as this may put me at risk for items being stolen. *
I will not move any other student into my locker. *
Food and drink kept in lockers must be in a sealed container to prevent any possibility of leaking. *
I will not bring anything valuable to school and leave it in my locker. If I do, it will be at my own risk. *
I will treat my locker with respect by not kicking it, slamming the door, over-filling it, etc. *
Students are responsible for the cleanliness and organization of their lockers.  Damage to the locker will be charged accordingly to the cost of repair and/or replacement if it cannot be repaired. *
Parent Digital Signature:  By agreeing below, you acknowledge and accept the above requirements for your student to have a locker at FMS. *
Parent Name (Digital Signature) *
Date *
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DD
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YYYY
Parent Email Address *
Student Digital Signature:  By agreeing below, you acknowledge and accept the above requirements to be able to have a locker at FMS. *
Student Name (Digital Signature) *
Date *
MM
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DD
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YYYY
Student Digital Signature:  By agreeing below, you acknowledge and accept the above Student behavior requirements FMS/FMSA. (Full student name and date)
 *
Parent Digital Signature:  By agreeing below, you acknowledge and accept the above Student behavior requirements at FMS/FMSA. (Full parent name and date)
 *
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