Student/Parent Acknowledgement and Permission Form Tetzlaff Accelerated Learning Academy – 2016-2017 Please return this form on Registration Day – August 23, 2016 Please carefully read the following information/forms and acknowledge your understanding by initialing in the columns to the right, both student and parent/guardian. The following information/forms are available on our school’s website at
https://tms-abcusd-ca.schoolloop.com/
and/or the Student and Parent/Guardian Handbook (SPG Handbook) from the district. (Hard copies of all forms are available in our school office for review.) Student & Parent Initials
(Enclosed) Letter, Calendar of Events, Registration Day Information, & PTA Letter
Information/Form from website/District Handbook
1 2 3 4 5 6 7 8 9 10 11 12 13
TB Requirements (website) Dress Code/Cell Phone/Textbook Guidelines (website) Physical Education/Dance Guidelines (website) Student Acceptable Use Policy (website) Recommended Student School Supply Lists (website) Student Drop-Off & Pick-Up Guidelines (website) Nutrition Services Information (website & SPG Handbook) Acknowledgement of Receipt (website & SPG Handbook) Code of Conduct (website & SPG Handbook) Parent Permission to Tape/Photograph Students (website & SPG Handbook) Textbook and Library Materials (website & SPG Handbook) Type 2 Diabetes Health Risks (website SPG Handbook) Voluntary Participation for Student Accident/Health Insurance (website & SPG Handbook)
indicating that you have read and understand (agree with) the information contained in each form. Parent Student Initial Initial
After reading the following, If any applies to your child, please complete the applicable form(s) contained in the District Handbook and return on Registration Day along with this form: A Comprehensive Sexual Health Ed. And HIV/AIDS (website & SPG Handbook) B Medical Statement to Request Special Meals (website & SPG Handbook) C Migrant Education Program (website & SPG Handbook) D Nutrition Services Guidelines – Permission to Release Student Information (website & SPG) E Parent Notification of Pesticides (website & SPG Handbook) F Parent Request for Individual Pesticide Application (website & SPG Handbook)
Print Student Name
Student Signature
Grade
Print Parent/Guardian Name
Parent/Guardian Signature
Mr. Song Principal
Parent Phone # (best number)
Parent e-mail address (frequently used)
Please return this form on Registration DAY - August 23, 2016
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Health Insurance Company Policy Number. Page 1 of 1. Parent-Permission-Form-Fillable.pdf. Parent-Permission-Form-Fillable.pdf. Open. Extract. Open with.
The District shall make no distinction between absences for UIL activities and absences for other extracurricular activities approved by the Board. A student shall be allowed in a school year a maximum of ten extracurricular absences not related to p
______ List of family members or friends that might pick her up: Please list any medical condition we should be aware of such as asthma, allergies ... ADDRESS: ...
Chaperones are asked to pay the $40 fee. _____ I cannot chaperone but would like to stay for a meal. _____ Friday supper $8.50. _____ Saturday lunch $7.00. _____ My child needs a ride with another member. Salem Youth Symphony. 503-485-2244. PO Box 11
the general or specific supervision and on the advice of any physician, dentist, or surgeon; licensed to practice in. the State of Arizona or any other state. The undersigned understand(s) and agrees that any medical, dental, or. hospital expense inc
the Pack 208 website and Facebook page for our scouts and families, as well as to interest ... (You can use your existing non-Gmail account to create a Google.
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Mar 4, 2017 - Page 1 of 1. PSAT 8/9 Test Informational/Permission Form - Google Docs.pdf. PSAT 8/9 Test Informational/Permission Form - Google Docs.pdf.
Field Trip Permission & Parental Consent Form 2017-2018.pdf. Field Trip Permission & Parental Consent Form 2017-2018.pdf. Open. Extract. Open with. Sign In.
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RELEASE, HOLD HARMLESS AND INDEMNIFY St. Joan of Arc Church & School, the Division of Youth. & Young Adult Ministry, the Roman Catholic Archbishop of Baltimore and his successors, a Corporation Sole, and all. their affiliate organizations, and respec
CITY STATE ZIP STREET ADDRESS. LOCAL PHONE HOME PHONE CITY STATE ZIP. For transient approval, you must be in good Academic Standing (2.0 GPA) at GSU. You are only allowed to be a transientstudent at another institution for one term. FYI - Transient P
