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PARENT/STUDENT NOTIFICATION PAGEParents/guardians and students are requested to read the statement below, check the boxes, sign, and date thefollowing to signify that they have read and understand the rules and policies contained in the Northwestern HighSchool Parent/Student Handbook.❏ I have received and read a copy of the Northwestern Parent/Student Handbook including theschool’s discipline policies and dress code policies. My student and I have discussed andunderstand this document. We agree that he or she will abide by these rules. (page 28 & 37)❏ I verify that I have read the Northwestern policy on student disciplinary actions on eligibilityfor extra-curricular activities and that I will adhere to all requirements so that I may participatein athletic or extra-curricular activities at Northwestern High School. I also understand that thisstatement must be returned to NHS signed by the student and the parent/guardian prior to beingallowed to participate in athletic or extra-curricular activities. (page 33)❏ I give permission for my student’s digital or photographic image to be included in the schoolwebsite, school publications, brochures, and school produced in-house closed circuit televisionprograms. (page 50)❏ I understand that my participation in any violation of the Internet Student Assurances publishedin this handbook will result in disciplinary action and possible loss of access privileges to theInternet. (page 50)❏ I give my permission for my student to conduct independent research on the Internet under thecondition published in this handbook. (page 50)❏ I have read, understand, and will comply with the schools electronic - device policy decribedon page 39.Student’s Full Name Printed _______________________________________ Grade ___________Student’s Signature _______________________________________________ Date ___________Parent/Guardian’s Signature ________________________________________ Date ___________22