2017-18 SAN PASQUAL HIGH SCHOOL SIGNATURE PAGE

Student Last Name______First Name______MI______

Date of Birth: ______Student ID: ______Grade ______Parent Email address: ______

Instructions: Please print your student’s information in the fields. After reading and reviewing with your student all of the documents provided online associated with the following signatures, sign and date this form and turn in during registration.

Printed copies of all information are available in the Counseling Office and the Family Engagement Center.

The law requires each parent or guardian to sign and return this form to the school. Signature on the notice is an acknowledgement by the parent or guardian that he or she has been informed of his or her rights and does not indicate that consent to participate in any particular program or activity has been given or withheld.

I have read the Annual Notification to Parents/Guardians regarding my rights relating to activities which might affect my child.

Signature of Parent/Guardian (Required by California Education Code 48982) Date

Our signatures indicate that we have read, understand and will follow the district policies and procedures as read in the Annual Notification to Parents/Guardians.

•Homeless Information (McKinney Vento)

•Uniform Complaint Procedures Parent: ______

•Discrimination and Harassment Policy

•Weapons and Dangerous Objects

•Internet Safety Parent: ______Student: ______

I have read and discussed with my student the SPHS Student Handbook on the school’s website.

Parent: ______Student: ______

Grade 9-12 students participating in athletics and parents/guardians of student athletes: My signature indicates that I have read and understand the information in this form, found online in the Annual Notification to Parents/Guardians.

•Concussion and Head Injuries Information Sheet Parent: ______Student: ______

My signature indicates that I have read and understand the information in these forms, found online in the Annual Notification to Parents/Guardians. Parent: ______

I have checked the box(es) and attached those forms that apply to my child.

Authorization for Medication Administration (Physician’s Signature required)

Pesticide Notification Form

My signature indicates that I have read these optional forms found online in the Annual Notification to Parents/Guardians.

Parent: ______

I understand that the signed Parental Options form found online in the Annual Notification to Parents/Guardians is required if I DO NOT

wish my student to participate in the following activities: Parent: ______

Sexual Education & HIV  Harmful to Animals  Physical Examination

My signature indicates that I DO NOT wish information about my student released without prior written authorization and I have checked the box(es) and attached the Release Form for Directory Information found online in the Annual Notification to Parents/Guardians.

Military Recruiters Parent: ______

Student Directory Information Parent: ______

Student Publicity and Media Information Parent: ______

PLEASE SIGN AND RETURN THIS FORM TO SPHS

Rev 3/22/17