Family Admin Form

FAMILY ADMINISTRATIVE FORM

2024-2025 School Year
PARENT CONTACT INFORMATION 1*

First NameLast Name
PARENT CONTACT INFORMATION 2*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
STUDENTS ENROLLED AT HLS BEAUFORT*

First NameLast Name
STUDENT 2

First NameLast Name
STUDENT 3

First NameLast Name
STUDENT 4

First NameLast Name
STUDENT 5

First NameLast Name
ENTERING GRADES FOR THE 2023-2024 SCHOOL YEAR
FAMILY ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PLEASE LIST ADULT AUTHORIZED TO PICK UP CHILD/REN FROM SCHOOL:*

First NameLast Name
PHONE NUMBER
Please enter a valid phone number.Format: (000) 000-0000.
PICK UP AUTHORIZATION #2
PICK UP AUTHORIZATION #2

First NameLast Name
PHONE NUMBER #2
Format: (000) 000-0000.
LOCAL EMERGENCY CONTACT, NAME AND NUMBER*
GENERAL RELEASE: I agree to hold harmless and release HLS Beaufort from liability for any loss, injury, damage, or claim arising out of my child’s attendance at HLS Beaufort. I understand that HLS Beaufort operates as a small community in a shared space without extensive security and medical procedures. This release form shall continue after my student’s enrollment at HLS Beaufort. Dropping off your student at HLS Beaufort constitutes acceptance of this release form. This form must be signed by each guardian. *

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MEDICAL PERMISSION: HLS Beaufort does not have a school nurse on staff. By signing this form you are giving permission for HLS Beaufort to provide medical care and make medical decisions with the understanding that HLS Staff are not trained medical professionals and may make mistakes. You release HLS Beaufort from all liability for negligence or error in such actions under the provisions of the Good Samaritan Law. In the event of an emergency, HLS Beaufort may release your child to a medical professional. HLS Beaufort is not an allergen free school. It is the responsibility of the parent and child to be capable of avoiding allergens and treating allergens. Due to the number of students and allergies, HLS Beaufort does not regulate student contact with possible allergens. Recess and other school sponsored activities may contain risk of physical injury. You agree that your child may participate in these activities and you release and hold harmless HLS Beaufort from any and all liability for loss, injury, damage, or claims arising out of your child’s participation. *

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TylenolMotrinCough DropsHydrocortisone CreamAntacidAsthma InhalerEpi PenPrescribed medication as directed by student's doctorHLS Beaufort may not give my child any form of medicineOther
Additional Comments Concerning Medicine
PHOTO AND VIDEO RELEASE: HLS Beaufort classrooms and events may be recorded or photographed for use on our website, catalog, social media, instructional or promotional videos, etc. I give permission for HLS Beaufort to use my child’s photograph or photographic image in the ways listed above. I hereby waive any right that I may have to inspect or approve the finished product in which a photographic of video image may be used, including the advertising copy or other matter that may be used in connection therewith. *
UNIFORM AGREEMENT: All Students and Families at HLS Beaufort agree to abide by our full uniform guidelines as terms of enrollment. If a student or family refuses to abide by the full uniform requirements, HLS Beaufort has the ability to terminate enrollment. Uniform requirements can be updated or changed up until four weeks before school if HLS Beaufort deems necessary. All families will be notified of any uniform changes made before then. Uniform policies may be found on our website. *

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STUDENT HANDBOOK: I have read over the 2024-2025 Student Handbook and understand the school, social, and cultural policies and procedures. *

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FAMILY ADMINISTRATIVE FORM