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Signature Page: 2016-2017 ACCEPT Student & Parent Handbook
Please complete this form (Part 1 and Part 2) with your child by Thursday, September 14th.

Part 1: Signature consent for agreement with the 2016-2017 Student/Parent Handbook Policies
Part 2: Signature consent for agreement with ACCEPT's Technology Acceptable Use Policy

My child and I have read the 2016-2017 Parent and Student Handbook. We understand and agree to all ACCEPT Educational Collaborative’s rules, policies, and Code of Conduct.
My child and I have read and understand the Technology Network and Internet Acceptable Use Policy for ACCEPT Students (Appendix B of the handbook) and agree to adhere to it or face disciplinary action per ACCEPT’s policies.
Parent's Full Name (First and Last)
Student's Full Name (First and Last)
Student's Grade
Classroom Teacher's Name
Please initial the box below. By doing so you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Date Signed
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