PARENT INITIAL. I certify that the information reported and on any other document or writing in connection with this application is true, correct and complete to the best of my/our knowledge. I authorize release and exchange of information between the Georgia Student Finance Authority, educational institutions, and educational state agencies, and agree that such information exchanged may include financial, enrollment, academic status, identification, legal residency, and location information necessary to assure proper administration of this program. I understand that any willfully false statements made for the purpose of enabling the student to establish eligibility for, or to wrongfully receive, state student aid funds, may be subject to fine or imprisonment, or both, herein may result in prosecution for violation of Georgia Laws 1978, pp. 1249, 1310, which states that false swearing shall be punished by a fine of not more than $1,000 or imprisonment for not less than one or more than five years or both. I also understand that any refund of fees, paid resulting from withdrawal from a postsecondary institution, will be returned to the Georgia Student Finance Authority. Further, I authorize the postsecondary institution, to forward a transcript of grades to the high school or home study, at the end of the term (s) named. PARENT/GUARDIAN: _ Parent/Guardian Name (PRINTED) Date Parent/Guardian Signature
PARENT INITIAL. In the event that your child is sick or will not be attending the Club for the day, we must be notified by 1:30p.m. on regular school days and by 11:30a.m. on Minimum Day/Short Thursday. If you fail to notify the Club (3) times within the year, your child will be removed from the program. Parent Initial:
PARENT INITIAL. To maintain use of an Athens City School District mobile technology device, students must comply with the rules and expectations identified in the Student/Parent Power Up Handbook and the Athens City School District’s Internet Safety and Acceptable Use Policy (Board Policy GBC), as the same exist now or are later amended. Any failure to comply with these rules and expectations may suspend or terminate the student’s qualification for use of a device and its accessories. Each student and parent/guardian is asked to read this handbook carefully. The parent/guardian and the student should initial next to each statement that follows, and sign at the bottom of this document. I understand that the legal title to the device belongs to the Athens City School District and shall at all times remain as such. I understand and agree to abide by the rules and regulations of the District Internet Safety and Acceptable Use Policy and guidelines outlined in the Power Up Handbook. Failure to abide may result in disciplinary action and suspension or loss of privileges to use the device. I understand that by taking possession of the device, I agree to assume full financial responsibility for the safety, security, care, and proper use of the device, including its accessories. I understand that I must report all device damages, theft or loss within the timely manner stated in the Parent/Student Power Up Handbook. I understand that the device and its accessories should remain in a secure, supervised area as a reasonable precaution against damage, theft or loss. I understand that, unless instructed otherwise by a teacher, all students must have their device with them, fully charged, each day for class. I understand that if, in the opinion of the building administrator, it is felt that the student did not exercise proper care and/or take appropriate precautions, and this behavior resulted in damage to the laptop, the cost of the repair will be the responsibility of the student/parent/guardian. I understand that the user assumes responsibility for information assessed on the device and ACSD personnel shall monitor all files, communications, and online activities of individuals who access the device. I understand that a student failing to return the device and/or its accessories at the end of the year or before his or her departure from ACSD, may be subject to criminal prosecution or civil liability. I understand that the Athens City School District is not responsible for inappropria...
PARENT INITIAL. In the event a child withdraws from the center, families must provide a 2-week written notice to the Center Director. Families must pay for the last 2 full weeks of tuition, as no security deposit is required upon enrollment. Any unpaid monies would be forwarded to a collection agency. I, (Parent/Guardian), agree to these terms herein. Parent Name: Date: Parent Signature: Center Director Name: Date: Center Director Signature: Hope Grows at Lost Knife Location 0 Xxxx Xxxxx xx Xxxxxxx XXXX. Location 2 Hope Grows at Xxxxxxxxx Road Location 3 0000 Xxxx Xxxxx Xxxx 20111 Century BLVD- A. 19757 Xxxxxxxxx Road Gaithersburg, MD 20886 Germantown, MD 20874 Germantown, MD 20876
