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Parent Agreement Form

Compass Parent Agreement Form

The parent agreement form is to be completed by the student’s parents or legal guardians. If the student resides with parents in separate households, the form is to be completed by the parent/guardian with legal custody. In cases of split custody, both parents are required to complete the form.

PLEASE NOTE: this form does NOT save automatically. If you close out of your window, all content in the form will be lost. We recommend that you type your answers on a separate document then copy and paste them into this form.

1. Student's name:

2. Legal Name (First):

3. Middle Name:

4. Last Name:

5. Nickname:

6. Address:

7. City/Town:

8. State:

9. Zip Code:

10. Phone Number

11. Email Address:

12. Applicant resides with:

Mother
Father
Both
Other

13. If "other" please explain:

14. Why do you support your child's participation in the Compass program?

15. What is your understanding of the Compass program?