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Parent/Student Signature Form
This form is to be completed by the parent/guardian of the student, with the assistance of the student if necessary.

Students-if it is ever determined that you completed this form without the consent/approval of your parent/guardian, you may face disciplinary action.

Student Name (Last, First) *
Student School Email *
Please select the correct class period for your student. *
0 points
Parent/guardian Name *
By checking the box below, you are verifying that you are the parent/guardian of the student listed above, and that you have read and understood all of the policies in Ms. Field's Expectation Sheet for the school year 2016-2017. * *
Required
Thank you!!! Please use the space below to let me know of any questions, concerns, or comments you may have. *
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