STUDENT & PARENT ACKNOWLEDGEMENT FORM

Required

Student Graderequired

(i.e. 10)

STUDENT/ACTIVITY HANDBOOKrequired

The student and parent/guardian have seen the Student/Activity Handbook. We understand and will abide by the rules and regulations contained in it.

PARENT PERMISSION FOR COUNSELING SERVICES required

My child has my permission to meet with the Guidance Counselor.

My child does not have my permission to meet with the Guidance Counselor.

PARENT PERMISSION FOR FIELD TRIP SERVICESrequired

My child has my permission to leave the district to participate in a school-directed field trip under the direction of a staff member.

My child does not have my permission to leave the district to participate in a school-directed field trip under the direction of a staff member.

PRIVACY RIGHTS STATEMENT required

I do not object to the release of “Directory Information”

I do object to the release of the following items:

Please list if needed.

USE OF COMPUTERS AND NETWORKS required

The student and parent/guardian have read the Computer Agreement. We understand and will abide by the rules and regulations contained in it.

Student Namerequired

First Name

Last Name

Parent/Guardian Namerequired

First Name

Last Name

Daterequired

Must contain a date in M/D/YYYY format

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