Permission Slip Template

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Permission Slip
Registration in
I give permission for my child/ward __________________________ in grade _____
to participate with his/her class and register with . In doing so, I
understand my child/ward will be assigned an individual User ID and Password that will
enable use of both in school and at home.
In compliance with COPPA (Children's Online Privacy Protection Act) I hereby provide my
valid email address as the contact point for where all communication,
updates and information pertaining to my child/ward’s account will be sent.
Name (Parent/Guardian): ____________________
Email Address: ____________________________
______________________________
Signature
_______________________________
Date

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