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REITZ MEMORIAL HIGH SCHOOL

HANDBOOK SIGNATURE ACKNOWLEDGMENT

The Student/Parent Handbook has been updated for the 2021-2022 school year.  The updated handbook can be found on our website, www.reitzmemorial.org, under Parents, Forms and Documents.  It is encouraged that you review this as a family.  All students and parents are required to sign off on their acknowledgment of the policies and procedures stated in the handbook.

Throughout the document, the term "minor" refers to ALL Reitz Memorial students. The following form must be completed by parents for all students, even if over 18 years of age. Please select the number of students for which you are completing the Student/Parent Handbook Signature Page:
Minor(s)
1 Minor2 Minors3 Minors4 Minors5 MinorsMore Minors6 Minors7 Minors8 Minors9 Minors10 Minors
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First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Class Year
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Class Year
Second Participant's Signature*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Class Year
Third Participant's Signature*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Class Year
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Class Year
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Class Year
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Class Year
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Class Year
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Class Year
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Class Year
Tenth Participant's Signature*
Parent or Guardian Email Address

Email*

Confirm Email*
Parent or Guardian Name

First Name*

Last Name*
Parent or Guardian Date of Birth*
Parent or Guardian Class Year
Parent or Guardian Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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