Green Packet - Student + Parent/Guardian to Sign

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Please take a minute to read the form. Click Next or use the Circles to navigate!

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Please type your Initials for Student Contract Page 1.

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Please take a minute to read the form. Click Next or use the Circles to navigate!

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Please type your Initials for Student Contract Page 2.

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Please take a minute to read the form. Click Next or use the Circles to navigate!

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Please type your Initials for Student Contract Page 3.

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Please type student's Full Name for Student Contract Page 3.

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Please take a minute to read the form. Click Next or use the Circles to navigate!

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Student Contact - Student Signature

Clear

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Date

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Student Contract - Parent/Guardian Signature

Clear

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Date

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Parent/Guardian Phone Number

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Parent/Guardian Email

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Please take a minute to read the form. Click Next or use the Circles to navigate!

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Please take a minute to read the form. Click Next or use the Circles to navigate!

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Online Learning Contract - Student Signature:

Clear

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Date

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Online Learning Contract - Parent Signature:

Clear

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Date:

Date

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Click Next or use the Circles to navigate!Leave the following sections blank if you do not want to opt-out...

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Opt-Out of Military/Higher Education Recruitment - Student's NameSkip and leave blank if you do not want to opt-out.

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Opt-Out of Military/Higher Education Recruitment - Parent/Guardian Full NameSkip and leave blank if you do not want to opt-out.

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Opt-Out of Military/Higher Education Recruitment - Parent/Guardian SignatureSkip and leave blank if you do not want to opt-out.

Clear

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I am requesting my child's information NOT be sent to...Skip and leave blank if you do not want to opt-out.

Military Recruiters

Institutions of Higher Education

Both

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Click Next or use the Circles to navigate!Leave the following sections blank if you do not want to opt-out...

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Opt-Out of Military/Higher Education Recruitment - Student's NameSkip and leave blank if you do not want to opt-out.

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I am requesting my information NOT be sent to...Skip and leave blank if you do not want to opt-out.

Military Recruiters

Institutions of Higher Education

Both

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Opt-Out of Military/Higher Education Recruitment - Student SignatureSkip and leave blank if you do not want to opt-out.

Clear

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DateSkip and leave blank if you do not want to opt-out.

Date

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The JCCA's Client Rights and Responsibilities and Grievance Process has also been emailed to you*

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Parent or Student Full Name (Over the Age of 14)

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Student Signature (Over the Age of 14)

Clear

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Date

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Parent/Guardian Signature

Clear

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Date

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You've arrived at the Final Portion!

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Language Form - Parent/Guardian Full Name

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Language Form - Student Full Name