Extracurricular Activities Agreement Form 2022-2023
Dear Parents and Guardians,

If your student would like to join a club or is considering joining a club this year, you must complete this online Extracurricular Activity Agreement form. The form below needs to be read and filled out by the parents and/or guardians with their student.

This form will need to be completed once each academic year for each ABRHS student in your family who will be taking part in extracurricular clubs and activities.  If your student is unsure about joining a club, you can still fill out this form in case they decide to join a club or activity later in the year. Please submit a separate form for each high school student in your family.  

Thank you,
Melissa Dempsey
ABRHS Student Programs Coordinator
mdempsey@abschools.org
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ACTON-BOXBOROUGH REGIONAL SCHOOLSEXTRACURRICULAR AGREEMENT - Senior HighTo be Used For Any School-Sponsored Activity *
STUDENTS

I have read the ACTON-BOXBOROUGH REGIONAL SCHOOLS' EXTRA-CURRICULAR AGREEMENT - SENIOR HIGH SCHOOL - and I understand its provisions, terms and consequences for my failure to comply with them.  By signing my name below I indicate that I agree to be bound by the provisions, terms and consequences of the ACTON-BOXBOROUGH REGIONAL SCHOOLS EXTRA-CURRICULAR AGREEMENT - SENIOR HIGH SCHOOL.

Student First Name *
Student Last Name *
Year of Graduation *
Date *
MM
/
DD
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YYYY
Student Signature *
PARENTS/GUARDIANS
I have read the ACTON-BOXBOROUGH REGIONAL SCHOOLS EXTRA-CURRICULAR AGREEMENT - SENIOR HIGH SCHOOL- and I understand its provisions, terms and consequences for my child's failure to comply with them.  By signing my name below I indicate that I agree to be bound by the provisions, terms and consequences of the ACTON-BOXBOROUGH REGIONAL SCHOOLS EXTRA-CURRICULAR AGREEMENT - SENIOR HIGH SCHOOL.                                        


I further certify that I am legal guardian of the above-named student and that I am a legal resident of the Town of:                                                       *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Date *
MM
/
DD
/
YYYY
Parent Guardian Signature *
Please list the clubs and activities your student is interested in.  If your student hasn't decided yet you may leave this blank.
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