JJIAB -E1 (FORM )- PRIVATE SCHOOL STUDENTS - APPLICATION FOR PARTICIPATION IN CAPE ELIZABETH CO-CURRICULAR ACTIVITIES
The parent (or student if 18 years of age or older) must submit a separate application for each activity in which participation is desired.
Student's Date of Birth:
Grade in Private School:
Private School Name:
Private School Address:
Private School Phone Number:
Private School Principal/Head's Name:
Student is applying for participation in the following activity: ___________________________
VERIFICATION OF ELIGIBILITY
Parent Signature (or student, if 18 or older)_______________________ Date _____________
STUDENT PARTICIPATION AGREEMENT
I agree to comply with all Cape Elizabeth School Department policies, administrative procedures, and behavioral, disciplinary, attendance, and other rules that apply to the Cape Elizabeth students participating in the co-curricular activity that is the subject of this application.
Student Signature________________________________ Date_________________
- December 13, 2011