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NSAA Student and Parent Consent Form: 2023 - 24
To be completed for students participating in any NSAA Activities in the 2023 - 2024 school year at Rock County Public Schools.
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* Indicates required question
Name of Student:
*
Your answer
Student's Date of Birth:
*
MM
/
DD
/
YYYY
Student's Place of Birth:
*
Your answer
The undersigned(s) are the student and parent(s), guardian(s), or person(s) in charge of the above named Student and are collectively referred to as "Parent"
Electronic Signature of Student:
*
Your answer
Date:
*
MM
/
DD
/
YYYY
Electronic Signature of Parent/Guardian:
*
Your answer
Date:
*
MM
/
DD
/
YYYY
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