JJIAB-E3 (FORM) - VERIFICATION OF PRIVATE SCHOOL STUDENTS - ELIGIBILITY FOR PARTICIPATION IN CAPE ELIZABETH CO-CURRICULAR ACTIVITIES
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'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:
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)
- December 13, 2011