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Senior Privilege Agreement
Student Information
Student
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Student Email
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Student Acknowledgment
STUDENT ACKNOWLEDGMENT:
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By entering your name below, you understand that privileges may be revoked at any time based on the needs of the school, student academics and behavior, safety concerns, and weather conditions. (Please enter student name in box below)
Student Electronic Signature
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Parent Acknowledgment
Parents
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Parent 1 Email
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Parent 2 Email (optional)
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PARENT ACKNOWLEDGMENT:
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By checking this box and upon submission of this form, we, the “Parents” of the Long Trail School “Student” listed on this form acknowledge and agree to allow her/him/them to take advantage of their Senior Privileges as long as they remain in good behavioral and academic standing. I/We understand that privileges may be revoked at any time based on the needs of the school, student academics and behavior, safety concerns, and weather conditions. (Please enter parent name in box below)
Parent Electronic Signature
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