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K-6th Grade Parental Permission/Signature Page
2021-2022
I have read the referenced pages and agree to all explanations and rules set forth in them.
One form per student. Please fill out for each K-6th grade student.
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Student Name
Your answer
Student Grade
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
Handbook Acknowledgment (Students and Parents)
*
Accept
Deny
Personally Identifiable Information (Check Only One)
*
You may publish my child's picture or work in any form.
You may not publish my child's picture or work on the internet
You may not publish my child's picture or work in printed material.
You may not publish my child's picture or work on the school TV system.
Acceptable use of Computers or Networks (students and Parents)
*
Accept
Deny
iPad/Chrome Book Loan Agreement (Students and Parents)
*
Accept
Deny
Medication Permission Form-- Needs to be filled out and turned into office-- If needed
Parent/Guardian Electronic Signature (Please type your name if you agree to the terms set out in these documents)
*
Your answer
Student Signature (Please type your name if you agree to the terms set out in these documents)
*
Your answer
Date
*
MM
/
DD
/
YYYY
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