TJMS Student Parent Handbook Acknowledgment Form

Dear Students and Parents/Guardians:

Each year, our school provides a procedures and policies handbook to students and their parents/guardians. Please read our school handbook carefully. A online copy is also available on our our website for your reference throughout the school year.
Thomas Jefferson Middle School Student/Parent Handbook Acknowledgment Form

Student Section
Student Name*

First NameLast Name
Grade / Homeroom*

Grade LevelHomeroom Teacher
I, the student undersigned, agree with the following statements:*

I have read this Parent/Student Handbook which contains the Rules and Regulations regarding student behavior and other District policies. I understand the content clearly and completely.I agree that I will follow these rules, and I understand that if I violate the rules, I can be disciplined. Discipline may include a loss of privileges, detention, suspension, expulsion, or other consequences.I demonstrate that I understand and agree to abide by the Board Policies, Rules, and Regulations contained in this Handbook.
Date*

MonthDayYear
Date
Student Signature*

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Parent/Guardian Section
Parent/Guardian 1*

First NameLast Name
Parent/Guardian 2

First NameLast Name
Date*

MonthDayYear
Date
Date

MonthDayYear
Date
Parent/Guardian 1 Signature*

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Parent/Guardian 2 Signature

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We, the Parents/Guardians undersigned, agree with the following statements:
- We are the Parents/Guardians of the student described above.
- We have read the Student/Parent Handbook, discussed it with our child, and agree to work with it.
- We understand that our child is responsible for and will abide by the rules and regulations of the Student/Parent Handbook.
Should be Empty:

Thomas Jefferson Middle School Student/Parent Handbook Acknowledgment Form