I __________________ (student) and ______________(parent/guardian) have read and understand these policies for this district and school. We both agree with these policies. We realize that the purpose of these policies is to create a safe, ethical, respectful, productive and distraction free learning environment. Furthermore, we have read and understand the classroom rules and consequences set forth by the teacher.
By signing below, both of us commit to following and supporting these policies, rules and consequences.
________________________ on this _______________ of 2016
Parent/Guardian
________________________ on this _______________ of 2016
Student
________________________ __________________
Parent's/Guardian's Signature Date
________________________ __________________
Student's Signature Date