Request for ADAP Certificate
Parent/Guardian/Students:
You may request a copy of your Alcohol, Drug Awareness Program (ADAP) Certificate using this form; it will be available for pick up on Tuesdays and Thursdays after 1pm. If you would like your form emailed, please indicate it below. Please note that we only have access to  ADAP Certificates for students who took their health class at Eastside.
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Student Legal Name *
Student Date of Birth *
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/
DD
/
YYYY
How would you like the ADAP Certificate Delivered *
Email *
Address *
Phone number *
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