PARENT/GUARDIAN and STUDENT
RECEIPT OF STUDENT HANDBOOK

Both parent/guardian and student signature is
required.

This form, as well as the Student Emergency Information Form, and the Emergency Evacuation Form, must be submitted in order for the student to receive their Time Tracker.

By our signatures below, I/we indicate that we have received and read the 2005-2006 Liberty High School Handbook. 

________________________________ __________
Student Signature    Date


______________________________________
Student Name (print)


______________________________________ _____________
Parent/Guardian Signature   Date


______________________________________
Parent/Guardian Name (print)

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