2020-2021 SCHOOL YEAR
Email address *
Parent's Name(s) *
Example: John & Jane Smith
Have the parent(s) and student(s) involved in EMERGE read the handbook and agreed to abide by it? *
The handbook can be found at https://www.emergemt.com/handbook. Please type at least one parent's name and each participating student's name below to indicate your agreement.
Has any family member ever been convicted of, or are currently under investigation for any sexually related crimes? *
Answers are held in strict confidence. If yes, please describe.
Has any family member ever been convicted of or are currently under investigation for any abuse related crimes? *
Answers are held in strict confidence. If yes, please describe.
Has your student(s) taken classes with EMERGE in the past? *
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