Parking Contract Form (Page 3 of 3) in pdf

Board o f E ducation F orm

9.23aF

Findlay C ity S chool D istrict

FINDLAY C ITY S CHOOL C ODE O F C ONDUCT A ND E XPECTATIONS

INFORMED C ONSENT A GREEMENT

AS A S TUDENT:

I u nderstand a nd a gree t hat p articipation i n e xtra-‐curricular a ctivities a nd/or p ermission t o d rive t o s chool a nd

park o n c ampus a t F indlay C ity S chools a s o utlined i n t he o verview o f t he p olicy i s a p rivilege t hat m ay b e

withdrawn f or v iolations o f t he C ode o f C onduct a nd E xpectations.

I h ave k nowledge, u nderstanding, a nd a greement o f t he C ode o f C onduct a nd t horoughly u nderstand t he

consequences t hat I w ill f ace i f I d o n ot h onor m y c ommitment t o t he C ode o f C onduct.

I u nderstand a nd r ealize t hat t here i s r isk o f i njury i n p articipating i n a ctivities.

I u nderstand t hat w hen I p articipate i n a ny e xtra-‐curricular p rogram, a nd/or i f I o wn a p arking p ermit, I w ill b e

subjected t o u rine d rug t esting; a nd i f I r efuse, I w ill n ot b e a llowed t o p ractice o r p articipate. I h ave

knowledge, u nderstanding, a nd a greement t hat a r efusal t o a t est w ill b e h andled a s a p ositive t est.

I u nderstand a s a p articipant i n e xtra-‐curricular a ctivities / p arking p rivileges t he C ode o f C onduct i s i n e ffect

year-‐round w hile e nrolled w ithin t he F indlay C ity S chools.

___________________________________________

__________________

Student N ame ( please p rint)

Grade

___________________________________________

__________________

Student S ignature

Date

AS A P ARENT/GUARDIAN/CUSTODIAN:

I h ave k nowledge, u nderstanding a nd a greement w ith t he C ode o f C onduct a nd u nderstand t he

responsibilities o f m y s on/ d aughter/ p articipant i n a ny e xtra-‐curricular p rogram, a nd o wning a p arking p ermit

in t he F indlay C ity S chools.

I h ave k nowledge, u nderstanding a nd a greement t hat t here i s a n a ssumed r isk o f i njury i nvolved f or m y s on/

daughter/ p articipant i n a ctivities.

I h ave k nowledge, u nderstanding a nd a greement t hat m y s on/daughter/participant i n a ny e xtra-‐curricular

activity o r p ossessing a p arking p ermit m ay b e s ubjected t o u rine d rug t esting a nd i f t hey r efuse, w ill n ot b e

allowed t o p ractice o r p articipate. I u nderstand t hat a r efusal t o t est w ill b e h andled a s a p ositive t est.

______________________________________________

_________________

Parent/Guardian/Custodian S ignature

Date

______________________________________________

_______________

______________

Parent/Guardian/Custodian N ame ( print)

H ome P hone

W ork P hone

*A C OMPLETE C OPY O F T HE F INDLAY C ITY S CHOOL C HEMICAL H EALTH P OLICY 9 .23 C AN B E F OUND A T:

Revised 8 /5/2011

Reviewed 6 /18/2012

Reviewed 8 /4/2014

Parking Contract Form Page 3

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