Education Sign Page

Education Sign Page

Student Information

Parent / Guardian Information (if applicable)

Program / Enrollment Details

Emergency Contact & Medical Information

Acknowledgments and Consents

The signer acknowledges and agrees to the following policies, authorizations, and notices. Checking each box indicates explicit acceptance of the listed policy or consent. These acknowledgments form part of the student's enrollment record and are binding upon signature.

I acknowledge receipt of, and agree to comply with, the institution's attendance, punctuality, and academic progress requirements. I understand excessive absences may result in administrative action up to dismissal.

I have read and will abide by the student code of conduct, inclusive of disciplinary procedures. I understand disciplinary sanctions may be imposed for violations and I waive no procedural protections afforded by applicable school policies.

In the event of illness or injury, I authorize school personnel to obtain and consent to emergency medical treatment for the student when reasonable attempts to contact the parent/guardian have been made and are not practicable. I accept financial responsibility for such treatment.

I consent to my child's participation in school-authorized transportation for curricular and extracurricular activities. I acknowledge that the school will employ reasonable safety measures.

I grant permission for the student to be photographed, videotaped, or recorded during school activities and authorize use of such media for educational and promotional purposes, unless I opt out in writing.

I authorize release of educational records and information to permitted third parties for purposes of enrollment, placement, assessment, and program administration, consistent with institutional policies and applicable law.

I understand and accept the institution's fee, refund, and payment policies. Failure to meet payment obligations may result in suspension or withholding of academic records.

Certification

By signing below, the signer certifies that the information provided on this form is true, complete and correct to the best of their knowledge. The signer accepts responsibility for notifying the institution promptly of any changes to contact, medical, or enrollment information. The signer further acknowledges that they have the authority to provide the consents indicated above and that providing false information or withholding material facts may be grounds for disciplinary action or termination of enrollment.

The signer agrees to indemnify and hold harmless the institution, its employees and agents from claims, liabilities, losses, or expenses arising from the signer's failure to disclose relevant information or from the signer's negligent acts, except to the extent caused by the institution's gross negligence or willful misconduct.

Indicate which party will execute the signature below:
Student (18 years of age or older)
Parent / Guardian (if student is a minor)

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