Student/Guardian Release Form

Student/Guardian Release Form - NS KR

Students & Parents
I've already done this form...
Students Name*

First NameLast Name
Grade*
Please read the Handbook before signing the document.

Student Handbook
We have read, understand and will abide by the procedures of the Student Handbook & Code of Conduct. The signature page of the handbook does not have to be returned in lieu of this initial.*

Yes
We have read, understand and will abide by the Drug, Alcohol and Tobacco Policy.*

Yes
We have read, understand and will abide by the Student Cell Phone Procedure.*

Yes
We have read, understand and will abide by the Student Dress Code.*

Yes
We have read, understand and will abide by the Swink School District Internet Policy and Student Electronic Device Policies.*

Yes
We understand that field trips within 30 miles will not require an individual signed permission slip. I, the parent/guardian, give permission for my child to attend these short events which could include bus transportation or walking. Parents/guardians will be notified via text messaging.*

YesNo
Emergency Contact Information - Document
I understand the Emergency Contact Information procedure.*

Yes
I give permission for the school to release and use pictures of my child, with first and last name captioned, for publication about events/awards that occur at the school. Locations may include, but not be limited to: Swink School yearbook, Swink School website, Swink School newspaper, Swink School social media, Swink Town Flyer, and local newspapers.*

YesNo
Swink School District Open Campus Procedure - Document
I understand that Swink School District is not responsible for student during high school open campus and release them from liability during these periods. See back page for excerpt from student handbook.*

Yes
I give permission for Swink School (office & administration) to contact my secondary student via text messaging about events and activities.*

Yes
Student Cell Phone #*

Area CodePhone Number
Date

MonthDayYear
Date
Parent/Guardian*

First NameLast Name
Parent/Guardian/ Signature*

Clear
Students Signature*

Clear
Should be Empty:

Student/Guardian Release Form - NS KR