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Parent/Student Handbook Agreement Form
Parent/Student Handbook Agreement Form
* Indicates required question
Child(ren)s Name(s)
*
Your answer
Childrens DOB (Please list first name and Date of Birth for each child)
*
Your answer
Grade of each child in the fall (please list name and grade)
*
Your answer
Parent(s) Name(s)
*
Your answer
Email
*
Your answer
Address
*
Your answer
Mailing address; if different from above
Your answer
Phone number
*
Your answer
Mother's place of work and phone number
*
Your answer
Father's place of work and phone number
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Name #2
*
Your answer
Emergency Contact Phone Number
*
Your answer
Emergency Contact Phone Number #2
*
Your answer
List of persons that can pick up your child (First and Last Name and Phone number)
*
Your answer
*I have read, and discussed, the Guidelines for Participation with my son/daughter.
*
Yes, and I agree
Required
*I have read, and discussed, the Guidelines for Participation with my parent/guardian.
*
Yes, and I agree
Required
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