New Submission

Datefield type date
Student Number*field type single line
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Birth Date*field type date

First Namefield type single line
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Middle Namefield type single line
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Last Namefield type single line
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Schoolfield type single line
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Gradefield type single line
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Parent Information

Parent First Name*field type single line
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Parent Last Name*field type single line
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Parent Email*field type email
Parent Phone*field type single line
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First Name*field type single line
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Last Name*field type single line
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Email*field type email
Phone*field type single line
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*field type checkbox
As the parents/legal guardians of the above named student, we acknowledge that the Idaho Falls Community Youth in Action (CYA), the LIV teen center, and Safety Prevention Resource Center (SPARC) are designated as school officials that provide educational services or functions that involve disclosure of education records of students who participate in their programs. We understand that designated officials of these centers will have access to my child’s academic records, including grades, attendance, discipline, and graduation progress. We understand that officials of these organizations will not disclose any information in these records to parties who are not designated as officials of either Bonneville School District or one of these centers.
Parent Signature*field type signature
Datefield type date

School Yearfield type single line
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School Numberfield type single line
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DCIDfield type single line
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Current Userfield type single line
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