2019 Freshman Agenda Program - Permission/Registration Form
(Orientation Program for Rising 9th Graders)
Student's Last Name *
Student's First Name *
Street Address *
City *
State *
Zip Code *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Phone Number *
Parent/Guardian E-mail Address *
Student's Allergies/Medical Conditions/Medications (if applicable)
I grant permission for my son/daughter to receive medical or hospital care if needed. *
I agree to hold harmless Lawrence High School and Lawrence Township Board of Education, its employees and agents, against any claims or liability arising from personal injury or property damage incurred by my son/daughter. *
Parent/Guardian Electronic Signature (By clicking YES below you certify that information provided above was correct at the time form was completed.) *
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