8th Grader Application
First Name:   Last Name:  Male/Female
Address:
City:  State:  Zip:
Phone Number with area code: Email:
Name of your present school:
Other languages Spoken: Subjects' of interest:
Other Interests:
Parent/Guardian Name: Parent/Guardian cell:
Any relevant medical information (allergies, etc.) that we should be aware of:
Emergency Contact Name:
Emergency Contact Phone: Relationship:

Please read carefully below.
St. Francis Preparatory is hereby given permission to give normal first aid to my child. I understand St. Francis Preparatory is not held liable for the bestowal of such health care. I hereby release St. Francis Preparatory School and all its employees from liabliity and harm arising to my child during this visit to the school . In the event that parent/ guardian and emergency contact can not be contacted, I hereby give my permission for any necessary emergency treatment that is administered for the welfare of my child.

Agree:

I give my child permission to participate in Buddy Day. I insure that they are a present eighth grader. She/he will be dressed for school and conduct themselves in a respectful manner during their visit. I understand they are to sign in with Ms. Lisa Schaefer in N-104 at 8:10AM and obtain a visitors pass. When their day concludes at 2:00 they will return their passes and
exit through the main entrance on Francis Lewis Blvd.

Agree:




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