Unity Parent Sign-off
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Email *
Parent Name (Last Name, First Name) *
#1 Student Name (Last Name, First Name) *
#2 Student Name (Last Name, First Name)
#3 Student Name (Last Name, First Name)
#4 Student Name (Last Name, First Name)
Student Required Use Policy and Internet Safety Policy (RUP) *
I have read and understand the Student Required Use and Internet Safety Policy (RUP), and give my permission for my child(ren) to have access to the described electronic resources.
Student/Parent Handbook *
I reviewed the student/parent handbook with my child(ren) in an effort to promote a better understanding of CUSD #4's rules and expectations.
Release of Health Information *
I give permission to the school to obtain, disclose, and discuss health information with my child(ren)'s physician when needed.  In case of an emergency or illness, I also give permission for my child(ren) listed to receive whatever medical attention is necessary if we, the parents, cannot be reached.
Damage To School-Owned Electronic Devices *
Checking the box below acknowledges that any damages beyond normal wear and tear to the electronic are the responsibility of the student.  Students will be charged accordingly for the repair of the device.
Release of Student Photos
Checking the box below acknowledges that you DO NOT want your child's picture to appear on a school district web page or shared via social media.
Armed Service Personnel (Junior-Senior Parents Only)
I do not want my child(ren)'s directory information released to any armed service personnel.
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