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Parent Agreement Form
(One per child)
*
Indicates required field
Parent/Guardian Name
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First
Last
(Person completing form)
Child Name
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First
Last
Child Class
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Select One
3A Mon/Wed AM
3B Tue/Thur AM
4A Mon/Wed/Fri AM
4B Tues/Thur/Fri AM
4C Mon/Tues/Wed/Thur AM
5A Mon-Fri AM
5B Mon-Fri AM
Kindergarten (Full Day)
Chapel
I hereby give permission for my child(ren) to walk upstairs to the Fairlawn Lutheran Sanctuary or Chapel on assigned chapel days or for other activities like concerts or assemblies that may occur during the school year; parents will be notified of these occasional activities.
Parent Signature - Chapel
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Date - Chapel
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Impromptu Walks
I hereby give permission for my child(ren) to go on impromptu walks on the property of Fairlawn Lutheran Church and nearby destinations including the Fairlawn branch library, the Akron/Summit County Bookmobile, and St. Edwards Retirement Facility. Children are supervised and accompanied at all times on walks; parents will be notified prior to the walks.
Parent Signature - Walks
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Date - Walks
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Photography/Videography
Photo/Video Permission
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I give permission
I do not give permission
for my child(ren) to be photographed/videotaped in the program, program functions, or field trips and for the photographs/videos to be displayed in-house or on church or school social media [no names or personal information will be attached to my child(ren)'s photos/video]. I understand that school staff, professional photographers/videographers, news media or other parents may take the photographs/videos. I understand that I will be notified if any photos/videos are to be used for publicity purposes outside the school ministry and that I have the right to refuse permission.
Parent Initials - Photo Video
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Online Learning
Online Learning Permission
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My child will participate
My child will not participate
If state or federal officials implement a Stay at Home Order, Fairlawn Lutheran School will implement online learning. By participating in online learning, parents agree to continue to pay full tuition. By not participating in online learning, parents will be required to pay a $50 place holder fee per month in place of monthly tuition. If parents choose to withdraw from Fairlawn Lutheran School, we can not guarantee your child(ren)’s place in the classroom upon return.
Parent Initials - Online Learn
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I received the School Parent Handbook and have read and agree with the policies and procedures of Fairlawn Lutheran School.
Handbook Received
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Yes
No
I am aware I will be informed of information specific to my child(ren) via e-mail and Brightwheel.
Information
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Yes
No
I know I must call the school office to report my child(ren)’s absence from school each time there will be an absence.
Absence
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Yes
No
I agree it is the responsibility of both the school staff and the parent(s) to keep an open line of communication during the school year, and I understand that I am to contact my child’s teacher first with any questions or concerns.
Communication
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Yes
No
I have and will continue to provide the school with all written information that is required and
requested and will update the information as needed.
Update
*
Yes
No
I acknowledge that, in the care of children, accidents can occur even if reasonable care and supervision is provided. I agree that Fairlawn Lutheran School is not responsible for costs or damages of any kind resulting from such accidents and that Fairlawn Lutheran School is liable for damages only if they result from gross negligence or willful malfeasance.
Parent Initials - Accidents
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If emergency transport is required for any reason to an emergency care facility while attending Fairlawn Lutheran School, parents are responsible for any cost incurred.
Parent Initials - Transport
*
My typed name below will be considered my official signature.
Parent Signature
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Date
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