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Code of Conduct Acknowledgement Form

Code of Conduct Acknowledgement Form

We ask that each student fill in their name and each parent/guardian in the household sign this form
  • 1

    We have reviewed the Student and Family Handbook for the 2024-25 school year. We have read the handbook and discussed it with our child(ren). We agree to follow the JCDSRI Codes of Conduct (Derech Eretz) for Students and Families as outlined in the Handbook. 

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  • 2

    Student 1:    *     *    
    *          

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  • 3
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  • 4

    Student 2:           
             

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  • 5
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  • 6

    Student 3:           
             

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  • 7

    Parent/Guardian 1:    *     *    
    Date:    Pick a Date *    

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  • 8
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  • 9

    Parent/Guardian 2:           
    Date:    Pick a Date    

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  • 10
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