STUDENT AND PARENT ACKNOWLEDGEMENT

I HAVE READ AND UNDERSTAND THE CLASSROOM POLICIES AND PROCEDURES STATEMENT FOR THIS COURSE AND UNDERSTAND THE CONSEQUESNCES IF I, THE STUDENT, CHOOSE NOT TO COMPLY WITH THEM.  I ALSO KNOW, THAT IF I HAVE A PROBLEM OR NEED HELP TO BE SUCCESSFUL IN THIS CLASS, I WILL SEE MY TEACHER BEFORE OR AFTER SCHOOL.  AS A PARENT, I ACKNOWLEDGE THE ABOVE AND ALSO UNDERSTAND THAT MY SON OR DAUGHTER NEEDS MY FULL SUPPORT AND GUIDANCE IN SCHOOL ATTENDANCE, COMPLETION OF ASSIGNMENTS, AND MAINTENANCE OF GOOD HEALTH THROUGH NUTRITION, REST, AND EMOTIONAL SUPPORT.

PARENTS, ALSO NOTE THAT THERE MAY BE A TIME WHEN A FILM WILL BE SHOWN IN CLASS.  ALL FILMS SHOWN ARE RELEVANT TO COURSE CONTENT.  YOUR SIGNATURE HERE ACKNOWLEDGES YOUR PERMISSION TO SHOW YOUR CHILD FILMS WITH RATINGS OF “NR”  (PRE 1967), “G” AND/OR  “PG” ONLY.

 

_________________________________              ____________________________________
 Student Signature/Date                                              Parent Signature/Date

 

Parents please provide your e-mail address:            ____________________________________________
                                                            (Please Print Legibly)