# JJIAB-E3 --DELETED-- VERIFICATION OF PRIVATE SCHOOL STUDENTS - ELIGIBILITY FOR PARTICIPATION IN CAPE ELIZABETH CO-CURRICULAR ACTIVITIES
## REMOVAL FROM POLICY MANUAL: MAY 13, 2025
A separate application must be received for each activity in which participation is desired. This form is used to verify eligibility and to approve/deny participation.
## STUDENT INFORMATION:
Student's Name:
Student's Date of Birth:
Grade in Private School:
Student's Address:
Phone Number:
Parent/Guardian's Name:
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:
## FOR CO-CURRICULAR ACTIVITIES
Written application received \_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Date)
Student's written agreement to comply with behavioral, disciplinary, attendance and other rules applicable to all students in Cape Elizabeth Schools received \_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Date)
Student participation in the desired activity is \_\_\_\_\_\_ approved \_\_\_\_\_\_ not approved.
Decision by\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Name & Title)
Student/parent notified of decision: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Date) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Method)
## Adopted:
- December 13, 2011
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