Education Kickoff Packet

EDUCATION KICKOFF PACKET

Student Name:    Preferred Name:

STUDENT INFORMATION

DOB:    Student ID:    Grade / Program:

PARENT / GUARDIAN INFORMATION (if applicable)

EMERGENCY CONTACTS

MEDICAL & HEALTH INFORMATION

ENROLLMENT & PAYMENT

Program Start Date:    Program Schedule / Days:

  Full payment due prior to start date      Installment plan (refer to billing agreement)     Partial scholarship / financial aid

Tuition Agreement: I acknowledge and accept financial responsibility for tuition and fees assessed for the program named above. I understand that late payment may result in suspension of program participation and that the institution's published cancellation and refund policies apply. I authorize the institution to charge the billing card or invoice the responsible party as indicated on enrollment records.

CONSENTS, AUTHORIZATIONS & POLICIES

Media Release: I grant the institution the right to photograph, record, and use images and recordings of the student for educational, promotional, and archival purposes. I understand that such use may include printed materials and internal displays. I waive any right to inspect or approve finished images or copies that may be used.

  I consent to the Media Release

Field Trip / Transportation Consent: I authorize the student to participate in authorized off-site activities and to be transported by institution-approved vehicles or third-party carriers for routine program activities. Prior notification will be provided for non-emergency off-site activities whenever feasible.

  I grant general consent for routine field trips and transportation

Medical Authorization: In the event of an emergency, I authorize the institution to obtain necessary medical treatment for the student, including stabilization and transport to a medical facility. I agree to be responsible for all costs incurred for emergency treatment and transportation.

  I authorize emergency medical care as described above

Technology & Acceptable Use: I agree that the student will comply with the institution's acceptable use policies for technology and network resources. The institution is not responsible for personal device loss or damage and reserves the right to limit access for policy violations.

  I agree to the Technology & Acceptable Use terms

Privacy and Release of Educational Records: The institution will maintain student records in accordance with applicable law. I authorize the release of routine educational information and emergency contact details to third parties when necessary for program administration and student safety. Requests for special restrictions on information must be made in writing and will be considered in accordance with institutional policy.

  I acknowledge the privacy statement above

ACKNOWLEDGMENT OF ACADEMIC & BEHAVIORAL POLICIES

I acknowledge that I have received, read, and understand the institution's academic and behavioral policies, including standards of conduct, attendance requirements, and procedures for disciplinary action. I understand that failure to comply with these policies may result in corrective action up to and including dismissal from the program.

CERTIFICATION

Certification: I certify that the information provided in this packet is true, complete, and accurate to the best of my knowledge. I understand that knowingly providing false information may result in withdrawal of enrollment or other administrative action. I further agree to notify the institution promptly of any changes to the information provided herein.

Sign Now