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I have received my copy of the 2022-2023 Wyoming Catholic College Student Handbook. I know that I am responsible for adhering to all of the policies and procedures contained in this Student Handbook and I agree to follow all of the policies and procedures contained in the student code of conduct. I also understand that if I violate the policies and procedures contained in the Student Handbook that I will receive the appropriate consequences.


First Student's Name

First Name*

Middle Name

Last Name*
First Student's Age Acknowledgment*
First Student's Date of Birth*
I certify that I am 18 years of age or older
First Student's Signature*
Second Student's Name

First Name*

Middle Name

Last Name*
Second Student's Date of Birth*
Third Student's Name

First Name*

Middle Name

Last Name*
Third Student's Date of Birth*
Fourth Student's Name

First Name*

Middle Name

Last Name*
Fourth Student's Date of Birth*
Fifth Student's Name

First Name*

Middle Name

Last Name*
Fifth Student's Date of Birth*
Sixth Student's Name

First Name*

Middle Name

Last Name*
Sixth Student's Date of Birth*
Seventh Student's Name

First Name*

Middle Name

Last Name*
Seventh Student's Date of Birth*
Eighth Student's Name

First Name*

Middle Name

Last Name*
Eighth Student's Date of Birth*
Ninth Student's Name

First Name*

Middle Name

Last Name*
Ninth Student's Date of Birth*
Tenth Student's Name

First Name*

Middle Name

Last Name*
Tenth Student's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's 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. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. 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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