Parent Insurance Waiver K - 12
This form needs to be completed ONCE a school year for students coming to Braham Area Schools. If you prefer to submit a paper copy one can be picked up in the either front offices.

Braham Area Schools does not provide any type of health or accident insurance for injuries incurred by your child at school. Please respond to questions below regarding needing additional health or accident insurance. By signing the document below you are NOT in need of additional health insurance.

Please contact Jan Strohkirch for K - 3 at (jstrohkirch@braham.k12.mn.us or 320-396-3316) or Julie Johnson for 4 - 12 at (jjohnson@braham.k12.mn.us or 320-396-3313) with any questions. Thank you.
Email Address *
Student Name *
Grade *
If you feel your primary health insurance is adequate, please sign below.
Clear selection
I would like more health/accident insurance information mailed to me.
Clear selection
Parent/Guardian Signature *
DATE SIGNED AND COMPLETED *
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