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Student Tutor Registration
This form authorizes said student stated below to participate in after-school tutoring at Windsor Charter Academy MS/HS.

This form authorizes said Elementary student stated below to walk to and from the Windsor Charter Academy Elementary School to the Windsor Charter Academy Middle High School on a regular basis for the after school tutoring program. This form must be completed in its entirety and is good for the 2018-19 school year.

A parent/guardian signature is required for the student to continually participate in walking from and to said schools. By filling out and typing your name below you are acknowledging this is an electronic signature and that you are said student's parent/guardian.

Email address *
Please indicate if your child has health concerns and/or medications that need to be addressed during this event/activity. The health office will be contacting you to develop a plan for your child's health care needs. If your child has no known health needs at this time, it will be necessary to contact the health office if changes occur after registration. Please check all that apply. *
Required
Student's Last Name *
Your answer
Student's First Name *
Your answer
Parents Last Name *
Your answer
Parents First Name *
Your answer
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