Parmalee Climbing Wall Parent/Guardian Consent Form 23/24

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You will need to fill this form out for EACH of your children. Completion of this form constitutes an electronic signature. Electronic signatures are considered legally binding and enforceable in accordance with Jeffco Board Policy EHBA and the Colorado Uniform Electronic Transaction Act.

Student's Last Name *

Student's First Name *

Student's Grade *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Parent or Guardian's Full Name *

I, the above noted parent/guardian, hereby certify that my student has permission to participate in Climbing Wall activities at Parmalee Elementary. I understand these activities involve some risk of injury, and have stressed with my child the importance of following the rules when using the climbing wall.

I GIVE permission for my student to use the climbing wall at Parmalee Elementary, YES - button won't work

I DO NOT give permission for my student to use the climbing wall at Parmalee Elementary

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