(Required for a student in grade six or higher)
Name of Student: _______________________________ Date: ________
Name of Student: _______________________________ Date: ________
Name of Student: _______________________________ Date: ________
My signature indicates that I have read the ICS-UJB student handbook
and do agree to support the policies and practices of
_____________________________________ Date:
________
(Signature of Student)
_____________________________________ Date:
________
(Signature of Student)
_____________________________________ Date:
________
(Signature of Student)
**Please sign and
return this statement of agreement to school with the school application. Failure to return this form will result in
your child not being able to attend ICS-UJB.
Thank you for your cooperation.