* Green Packet - Student + Parent/Guardian to Sign

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Please take a minute to read the form. Click Next or use the Circles to navigate!
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Please type your Initials for Student Contract Page 1.* This field is required.
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Please type your Initials for Student Contract Page 2.* This field is required.
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Please take a minute to read the form. Click Next or use the Circles to navigate!
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Please type your Initials for Student Contract Page 3.* This field is required.
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Please type student's Full Name for Student Contract Page 3.* This field is required.
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Please take a minute to read the form. Click Next or use the Circles to navigate!
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Student Contract - Student Signature* This field is required.
Clear
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Date* This field is required.
Date
Year
Month
Day
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Student Contract - Parent/Guardian Signature* This field is required.
Clear
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Date* This field is required.
Date
Year
Month
Day
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Parent/Guardian Phone Number
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Parent/Guardian Email
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Please take a minute to read the form. Click Next or use the Circles to navigate!
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Please take a minute to read the form. Click Next or use the Circles to navigate!
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Online Learning Contract - Student Signature:* This field is required.
Clear
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Online Learning Contract - Date* This field is required.
Date
Year
Month
Day
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Online Learning Contract - Parent Signature:* This field is required.
Clear
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Online Learning Contract - Date:* This field is required.
Date
Month
Day
Year
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Click Next or use the Circles to navigate!Leave the following sections blank if you do not want to opt-out...
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*Only necessary if you DO NOT WANT your child's information shared with Military/Higher Education - Student's NameOpt-Out of Military/Higher Education Correspondence
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*Only necessary if you DO NOT WANT your child's information shared with Military/Higher Education - Parent/Guardian Full NameSkip and leave blank if you do not want to opt-out.
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Only necessary if you DO NOT WANT your child's information shared with Military/Higher Education - Parent/Guardian SignatureSkip and leave blank if you do not want to opt-out.
Clear
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*Only necessary if you DO NOT WANT your child's information shared with Military/Higher Education - I am requesting my child's information NOT be sent to...Skip and leave blank if you do not want to opt-out.
Military Recruiters
Institutions of Higher Education
Both
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Image Field
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Image FieldThe JCCA's Client Rights and Responsibilities and Grievance Process has also been emailed to you*
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Parent or Student Full Name (Over the Age of 14)* This field is required.
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Student Signature (Over the Age of 14)
Clear
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Date* This field is required.
Date
Month
Day
Year
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Parent/Guardian Signature* This field is required.
Clear
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Date* This field is required.
Date
Year
Month
Day
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You've arrived at the Final Portion!
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In what language would you like to receive written information from the school?* This field is required.
English
Arabic
Bengali
Haitian Creole
Chinese
Russian
Korean
Spanish
Urdu
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In what language would you prefer to communicate orally with school staff?* This field is required.
English
Arabic
Bengali
Cantonese
Mandarin
Haitian Creole
Korean
Russian
Spanish
Urdu
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Language Form - Parent/Guardian Full Name* This field is required.
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Language Form - Student Full Name* This field is required.
Should be Empty: