Arete Fall Festival Middle School Dance Permission

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Tickets: $10, and include pizza, drinks and snacks Location: Arete Charter Academy MPR Time: 6:00pm-7:30pm. There will be dancing, fall festival activities and a game table! (Permission slip and payment in exact cash or check to PRSD, must be turned in by Thursday, October 26th.) I understand that this is an Arete school function and that my responsible behavior is required in order to participate. All Arete rules apply. Students who are disruptive and do not follow the rules will be sent home and may have possible additional consequences.

Electronic Signature Agreement

This Electronic Signature Agreement applies to every section included in this form.

Email *

Record my email address with my response

Electronic Signature Agreement: By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a keypad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide Arete Charter Academy (hereafter referred to as "Arete") or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Arete. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement.*

I Accept

Student's First Name:

Student's Last Name:

Parent/Guardian Name + Phone Number:

Parent/Guardian #2 Name + Phone Number:

Emergency Contact Name + Phone Number:

Please Check Here if Instructions for Special Medical Treatment and/or Over-the-Counter Medication for the Student Are On File in the School.*

My student has special medication or treatment and all instructions have been given to Arete.

No Special Medication or Treatment are needed for my student

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My student has my permission to participate

Yes

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I will be picking up my child from the dance.

Yes

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If you answered no to the above question, my child is going home with...

Parent/Guardian E-Signature:

I Accept

I do not want my student participating in the above activity.

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Date:

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