Parent Student handbook

The SIS Parent-Student Handbook is a living document Please click the link below to see the most current version:

SIS Parent-Student Handbook

Other Policies

SIS University Preparation Policy

 

Parent & Student Handbook

Saipan International School (SIS) is committed to providing a positive learning environment that fosters academic, emotional, and social growth for all students.

1. Welcome & Philosophy

1.1 Welcome Message

Dear Parents and Students,

Welcome to Saipan International School! Founded by parents in 1994, SIS has always been dedicated to providing the highest quality education for children on Saipan. Our mission is to help every child reach their full potential—academically, socially, and emotionally.

This handbook is designed to help you understand our philosophy, policies, and procedures. While it cannot cover every possible situation, it will give you the essential guidance needed to navigate school life successfully. Please consider the Headmaster your first point of contact for any questions.

The official SIS calendar is posted on the school website (https://www.saipaninternationalschool.com/) and updated regularly. Parents and students should check the online calendar for the most accurate information on school start and end dates, holidays, grading periods, and major events

Together, as parents, students, and educators, we can create an environment of trust, respect, and growth. We look forward to partnering with you to make this year a meaningful and successful one.

1.2 Mission & Philosophy

The mission of SIS is to help each child reach his or her full potential by providing a positive environment that fosters academic, emotional, and social growth. We believe this environment is best achieved when students, parents, and school staff share the values of trust, respect, and acceptance.

SIS is committed to maintaining high academic standards while recognizing a variety of learning styles and individual needs. We encourage creativity, problem-solving, and critical thinking, while also supporting the personal growth and self-confidence of each student.

Small class sizes, averaging 18 students, allow teachers to meet diverse needs in a secular, non-discriminatory environment. Students learn in a multicultural setting, with peers from around the world, building respect and appreciation for all people.

Non-Discrimination Statement

“Saipan International School admits students of any race, color, religion, national or ethnic origin, and grants them all the rights, privileges, programs, and activities generally accorded or made available to students at the school. SIS does not discriminate in administration of its educational policies, admissions policies, financial aid programs, or any other school-administered programs.”

1.3 School History

Saipan International School began in the early 1990s when a group of parents sought to create a school that provided strong academic, social, and emotional development for their children. On September 18, 1994, SIS opened with 45 students in preschool through grade six.

Enrollment grew quickly, leading to a move to As Lito in 1995 with 114 students. Over the years, the campus expanded to include new classroom buildings, a science lab, media center, and a dedicated high school wing. Today, SIS serves approximately 270 students from K3 through twelfth grade.

1.4 Schoolwide Learning Outcomes (SLOs)

SIS has adopted the 4Cs of 21st Century Learning as our Schoolwide Learning Outcomes (SLOs). These outcomes prepare students for success in higher education and beyond:

• Communication – Express ideas clearly in writing, speech, and digital media; listen and interpret effectively.
• Critical Thinking – Analyze, evaluate, and solve problems creatively and responsibly.
• Collaboration – Work respectfully with diverse teams, showing flexibility and accountability.
• Creativity – Generate, refine, and apply original ideas; embrace innovation and learn from mistakes.

1.5 School Virtues

At SIS, we emphasize seven key virtues that guide student character development:

• Respect – Show dignity and courtesy to self and others.
• Initiative – Set and pursue challenging goals with confidence.
• Perseverance – Stay committed to tasks and overcome obstacles.
• Compassion – Empathize with and care for others.
• Integrity – Be honest and responsible in all actions.
• Responsibility – Meet obligations on time and with accountability.
• Leadership – Inspire and support others while modeling positive behavior.

2. Student Expectations

2.1 Rights & Responsibilities

At SIS, students and parents share the responsibility of fostering a respectful and productive school environment. The following rights and responsibilities outline expectations for all members of our community.

STUDENTS HAVE THE RESPONSIBILITY TO:
• Challenge themselves academically and give their best effort.
• Participate actively in classes and school activities.
• Respect others, themselves, and all property.
• Arrive to school on time and prepared for class.
• Help maintain the cleanliness of the school grounds.

STUDENTS HAVE THE RIGHT TO:
• Learn and grow in a safe, supportive environment.
• Be respected by peers, staff, and parents.
• Take pride in their accomplishments.

PARENTS HAVE THE RESPONSIBILITY TO:
• Support their child’s education and school involvement.
• Communicate with teachers and attend conferences.
• Ensure their child follows school rules and attends regularly.
• Provide a supportive study environment at home.
• Treat staff, students, and other parents with respect.

2.2 Academic Integrity

Academic honesty is a cornerstone of SIS. Students must submit their own work, acknowledge the ideas of others, and avoid any form of academic malpractice.

MALPRACTICE INCLUDES:
• Plagiarism – presenting another’s work or ideas as one’s own.
• Collusion – allowing others to copy or use one’s work.
• Self-plagiarism – submitting the same work for multiple assignments.
• Cheating or bringing unauthorized materials into assessments.

CONSEQUENCES:
• 1st Offense – Detention, ungraded work resubmitted, parents notified, possible removal from Honor Rolls.
• 2nd Offense – In-school suspension, leadership roles removed, ineligible for Honors Diploma, possible impact on graduation and university reports.
• 3rd Offense – Expulsion, course grade of F, universities notified.


Our philosophy is that students can learn from mistakes. Consequences are progressive and reflect the seriousness of repeated malpractice.

2.3 English Use Policy

SIS requires students to use English as the primary language during school hours to promote fluency and inclusion. This helps students succeed academically and fosters friendships across cultures.

GUIDELINES:
• English is to be spoken in classrooms and during school functions.
• Exceptions may be made for translation or helping peers with language learning.
• During non-academic times, students may speak in their mother tongue as long as it does not exclude others.
• Staff may require English use if language barriers exclude peers or hinder community spirit.

2.4 Attendance & Tardiness

Regular attendance is essential for learning. Students must attend at least 90% of classes per course to earn credit.

ATTENDANCE RULES:

• 20 absences in a full-year course or 10 in a half-year course may result in loss of credit.
• All absences (excused or unexcused) count toward totals.
• Missing more than 30 minutes of class = absent for that class.
• Students absent may not participate in extracurriculars that day.

MAKE-UP WORK:
• Students must arrange with teachers to complete missed work immediately upon return.
• Long-term assignments should be submitted before travel.
• Final exams cannot be taken early; absentees receive an incomplete until exams are completed. If final exams are not made up within the first 30 days of the new term, the final exam will be calculated as a 0 and final grades will be input.

TARDINESS:
• Students arriving after 8:00am must check in at the office.
• 3–4 tardies = warning | 5–9 = detention | 10+ = additional consequences, possible course credit loss.

2.5 Reporting Absences:

  • Parents must notify the office by phone or email before 7:30 a.m. if a student will be absent.

  • If no contact is made, the absence will be considered unexcused until verified.

  • Parents should provide the reason for absence (illness, medical, family emergency, travel).

Returning After Absence:

  • Students must check in with the office upon return.

  • A doctor’s note may be required for absences of three or more days due to illness.

Early Dismissal/Appointments:

  • Parents must inform the office if a student needs to leave school during the day.

  • Students must be signed out by a parent/guardian or approved adult.

2.6 Dress Code

Students are expected to present themselves neatly and avoid distracting or inappropriate attire. Parents are asked to support these expectations.

GUIDELINES:
• No hats indoors; encouraged outdoors for sun protection.
• Clothing must cover undergarments.
• Sleeveless shirts and tank tops are allowed if modest.
• Shorts are permitted if buttocks are fully covered.
• No see-through clothing or offensive slogans/images.

Violations may result in students being required to change clothing and repeated issues may carry disciplinary consequences.

2.7 Closed Campus & Transportation

SIS is a closed campus. Students in PreK–12 must remain on campus during school hours unless excused by administration.

VISITORS:
• Parents, alumni, and approved guests are welcome.
• Student visitors require prior written approval from the Headmaster.

TRANSPORTATION:
• Bicycles are permitted with helmets; no riding on campus.
• Student drivers must submit license, registration, insurance, and parental permission.
• A Student Driver badge must be displayed in vehicles.

Drop-Off and Pick-Up Procedures:

  • The school gate opens at 7:15 a.m. Students may not enter classrooms until 7:30 a.m.

  • In the afternoon, dismissal begins at 2:45 p.m.

  • Parents should not line up outside the gate before 2:15 p.m., as this creates traffic hazards.

  • Please follow the directions of the supervisor on duty to ensure safety for all students and families.

2.8 Harassment & Anti-Bullying Policy

Harassment, bullying, and intimidation are strictly prohibited. Every student and staff member deserves a safe environment.

Harassment includes physical aggression, verbal abuse, inappropriate body language, sexual overtures, or cyberbullying. SIS will take action if off-campus behavior negatively impacts the school environment.

Students should report concerns to a teacher, counselor, or the office. Disciplinary action may include suspension or expulsion.

2.9 Technology & Acceptable Use

Technology is a valuable learning tool, but it must be used responsibly.

• Devices may be used before/after school but not during class unless permitted.
• Inappropriate use (harassment, academic dishonesty, accessing restricted content) may result in loss of privileges or suspension.
• School computers and networks may be monitored at any time.

Digital Citizenship & Social Media Guidelines:

  • Students are expected to use technology responsibly and respectfully at all times, both in and out of school.

  • Inappropriate use of technology, including harassment, academic dishonesty, or accessing restricted content, may result in disciplinary action.

  • Students should not post photos, videos, or other content from school activities on social media without permission from those involved.

  • Cyberbullying, threats, or behavior that damages the school’s reputation, even off-campus, may lead to disciplinary action.

2.10 Consequences & Discipline System

SIS uses a progressive discipline system designed to help students learn from mistakes while maintaining a safe, respectful environment.

MINOR OFFENSES (e.g., disrespect, refusal to participate, minor disruptions):
• Consequences: time-out, loss of privileges, detention, parent notification, referral to office through our digital incident report.

MAJOR OFFENSES (e.g., theft, harassment, fighting, drug/alcohol use, vandalism, repeated dishonesty):
• Consequences: suspension, social probation, expulsion, possible referral to law enforcement.

Detention: may exclude students from extracurriculars until served.
Suspension: in-school or out-of-school, with required makeup work at reduced credit.
Expulsion: permanent removal from SIS after due process and possible appeal.

3. Academic Programs

3.1 Curriculum Overview

SIS provides a complete program from early childhood through grade 12, combining academic rigor with social and emotional growth.

  • Elementary (K3–Grade 5): Strong foundation in reading, writing, math, science, and social studies. Students also take Art, Music, PE, and Mandarin.

  • Middle School (Grades 6–8): Departmentalized classes with subject specialists. Curriculum prepares students for high school, with core subjects, language, arts, and PE.

  • High School (Grades 9–12): University-prep program with Pre-Advanced Placed (Pre-AP), Advanced Placement (AP) courses, electives, leadership, service, and arts opportunities.

3.2 Diploma Options & Requirements

SIS offers three diploma tracks plus additional distinctions.

Standard SIS Diploma (20 credits minimum):

  • 4 English

  • 3 Math

  • 3 Science

  • 4 Social Science

  • 3 Modern Language

  • 1 Fine Arts

  • 2 PE/Health

Honors Diploma:

  • Meets all Standard Diploma requirements

  • Minimum GPA: 3.25

  • At least 5 AP courses including:

    • 1 AP English

    • 1 AP Math/Science

    • 1 AP Social Science

    • 2 additional APs

ESL Diploma:

  • For students with significant English needs

  • Modified credit requirements in Math, Science, and Social Science (total: 20 credits) 

Additional Distinctions:

3.3 Advanced Placement (AP) & University Prep Policy

SIS is a university preparatory school. Our goal is to prepare students for competitive universities by balancing rigor with well-being.

AP Program Guidelines:

  • Highly competitive applicants to highly selective universities typically take 6–8 AP courses during high school.

  • SIS offers 14 AP courses across subjects.

  • Students may not self-study or register independently for AP exams offered at SIS.

  • Additional AP exams (e.g., Computer Science) may be approved with counselor consent and a fee.

University Preparation:

  • Academic planning begins in Grade 9 with the college counselor.

  • Students are encouraged to pursue rigor with balance and purpose, not pressure.

  • External academies or heavy test-prep programs are discouraged because they can reduce engagement with SIS teachers and weaken recommendations.

College Counseling & Common App Report
As part of the university application process, SIS counselors complete the Common Application Counselor’s Report. Students are rated on the rigor of their course selection as follows:

·       Most Demanding: AP Capstone Diploma recipient or candidate

·       Very Demanding: Meets or will meet the Honors Diploma requirements

·       Demanding: Will complete at least 3 AP courses

·       Somewhat Demanding: Meets the requirements for any SIS diploma

➡️ Note for Parents and Students: This rating does not reflect GPA, grades, or class rank. It is solely a measure of the level of challenge a student has chosen in their academic program. Universities use it to understand how rigorously a student has engaged with SIS’s curriculum relative to what is available.

3.4 Assessment, Reporting & Recognition

Assessment & Grading:

  • Homework: approx. 10 minutes per grade level per night.

  • Report Cards: Issued twice a year.

  • Progress Reports: Shared mid-semester.

  • AP courses are weighted up to a 5.0 GPA if the AP exam score is 3 or higher.

Parent/Teacher Conferences:

  • Held twice yearly, with more available by request.

Recognition & Awards:

  • Headmaster’s List: GPA 3.75+

  • Honor Roll: GPA 3.25–3.74

  • Awards for leadership, service, excellence, and character.

Records & Transcripts:

  • All requests for student records, report cards, or transcripts must go through the school office.

  • Seniors should work closely with the school counselor for university applications, recommendations, and transcript requests.

3.5 Extracurricular Programs

SIS values learning beyond the classroom. Students can join:

  • Athletics: Basketball, Cross Country, Soccer, Track and Field, Volleyball, and more.

  • Clubs: Environmental Sustainability, Model UN, National Honor Society, Student Council, and others.

  • Arts: Drama, Music, Visual Arts, with annual showcases and performances.

Eligibility:

  • Students must remain in good academic and behavioral standing.

  • Consistent attendance and participation are required.

  • Students who drop out of a sports team after the team rosters have been submitted will be excluded from athletic participation for the following two seasons.

  • Students may be removed from sports’ teams and extracurricular activities as a consequence of inappropriate behavior. 

4. Admissions & Finances

4.1 Enrollment Process

SIS admits students who demonstrate readiness for academic success and positive contributions to our community.

Steps to Enroll:

  1. Submit an application with all required forms and records at https://saipan.cloud.opensis.com/appl/apply_online_step1.php

  2. Attend a family interview with the Headmaster (when requested).

  3. Students may be asked to take placement or readiness tests.

  4. Acceptance is confirmed in writing by the school.

Re-enrollment:

  • Families must complete re-enrollment forms and pay the deposit by the deadline each spring.

  • Late re-enrollment may result in loss of priority placement.

4.2 Evaluation Period

All new students are admitted on a nine-week evaluation period.

  • Teachers will monitor progress in academics, behavior, and social adjustment.

  • Parents will be informed of concerns early.

  • At the end of the evaluation, continued enrollment will be confirmed or reviewed.

4.3 Financial Obligations

Tuition and fees allow SIS to provide high-quality programs and facilities.

Tuition:

  • Set annually by the Board of Directors.

  • Payment options: annual, semester, or monthly.

  • A late fee is applied if payments are missed.

Additional Costs:

Refunds:

Delinquent Accounts:

  • Students may not attend classes, receive report cards, or register for the next year until accounts are cleared.

4.4 Scholarships & Financial Aid

(See: https://www.saipaninternationalschool.com/merit-scholarship)

SIS is committed to making education accessible when possible.

  • Limited financial aid is available based on need.

  • Families must submit an application with supporting documents.

  • Aid must be reapplied for each year.

  • Recipients are expected to maintain good academic standing and positive behavior.

  • Scholarships and financial aid come with a service requirement for parents.

Scholarships:

  • SIS occasionally offers the Karen King Scholarship for Excellence (announced separately).

  • Recipients are expected to represent SIS with integrity and excellence.

5. Parent–School Partnership

5.1 Communication & Conferences

Strong communication between home and school helps students succeed.

School-to-Home Communication:

  • Weekly updates are emailed to parents.

  • Report cards are issued each semester.

  • Progress reports are sent mid-semester.

  • Important notices are shared through email, the school website, and official social media.

Parent-to-School Communication:

  • Parents are encouraged to contact teachers directly with academic or classroom concerns.

  • The counselor and Headmaster are available for broader concerns.

  • Appointments are recommended for in-depth conversations.

Conferences:

  • Scheduled twice each year for all students.

  • Additional conferences can be arranged at parent or teacher request.

5.2 Health & Safety (Medication, Illness, Emergencies)

Medication at School:

  • Prescription medication must be stored and administered by the office.

  • Parents must provide written instructions.

  • Students may not carry medication unless approved (e.g., inhalers, EpiPens).

Illness Policy:

  • Students with fever (100°F/38°C or higher), vomiting, or contagious illness must stay home.

  • Students should be fever-free for 24 hours (without medication) before returning.

  • Parents must notify the office if a child has a serious illness.

Accidents/Emergencies:

  • The office provides first aid and will contact parents immediately if a child needs further care.

  • In serious cases, emergency services will be called.

5.3 Inclement Weather & Emergency Procedures

Student safety is the top priority.

Weather-Related Closures:

  • SIS follows government advisories for typhoons or other severe weather.

  • Parents will be notified by email, text, and social media.

  • If school closes during the day, parents must pick up students promptly.

Emergency Drills:

  • Fire, earthquake, lockdown, and typhoon drills are practiced regularly.

  • Students are expected to follow teacher instructions quickly and calmly.

Campus Security:

  • Visitors must check in at the office.

  • Students may only be picked up by parents or approved adults listed on the emergency form.

5.4 Child Protection Statement: Child Protection & Safety
SIS is committed to providing a safe environment for every student.

  • All regular staff and volunteers are required to present a current police clearance before working with students.

  • All SIS employees are mandatory reporters, meaning they are legally and ethically obligated to report any suspicion or disclosure of child abuse, neglect, or endangerment to the proper authorities.

  • The safety and well-being of our students take priority over all other concerns.

6. Policies & Enforcement

6.1 Disclosure Policy

SIS values transparency and honesty in all school matters.

  • Families must disclose accurate information on applications, health forms, and financial documents.

  • Failure to disclose important information (academic, medical, or behavioral) may result in withdrawal of admission or dismissal.

  • Students are expected to be truthful in all academic and disciplinary matters.

6.2 Search & Seizure Policy

To maintain a safe and respectful learning environment:

  • Lockers, desks, and school property are subject to inspection at any time.

  • Personal belongings may be searched if there is reasonable suspicion of prohibited items.

  • Illegal or dangerous items will be reported to authorities.

6.3 Discipline & Appeals

SIS uses a progressive discipline system (outlined in Section 2.9). Consequences are designed to help students learn from mistakes while keeping the community safe.

Appeals:

  • Parents may appeal disciplinary decisions in writing to the Headmaster.

  • Serious cases (expulsion) may be reviewed by a disciplinary committee formed by the Board of Directors, if requested.

  • The Committee’s decision is final.

6.4 Final Authority

  • The Headmaster has the authority to interpret and enforce all school rules.

  • The school reserves the right to revise policies during the school year; families will be notified of any changes.

7. Graduation & Promotions

At Saipan International School, we honor important academic milestones with formal ceremonies that celebrate tradition, achievement, and community. High school graduation is our most formal academic rite, while Kindergarten and Grade 8 promotions mark meaningful transitions with ceremonies suited to their stage of learning.

7.1 The Tradition of Commencement

At Saipan International School, commencement is more than a graduation—it is a formal academic ceremony with roots in the medieval universities of Europe.

  • Origins: In the 12th and 13th centuries, “commencement” marked the moment when students, having completed their studies, officially entered the scholarly community.

  • Regalia: Academic gowns, caps, and hoods originated as functional garments in cold halls but evolved into symbols of scholarship. Today, gowns and caps connect SIS graduates to a centuries-long academic tradition.

  • Meaning at SIS: By upholding these customs, SIS affirms its commitment to academic excellence and celebrates the transformation of students into lifelong learners.

7.2 A Guide to Graduating

Before the Ceremony

  • Application to Graduate & Fee: Graduating students must submit the Application to Graduate no later than one week before the ceremony, accompanied by the $200 graduation fee. See: https://www.saipaninternationalschool.com/s/application-for-graduation.pdf

  • Cultural/Personal Attire Requests: Must be approved by the Graduation Committee two weeks before graduation (see Dress Code).

  • Senior Contributions:

    • Retrospective Video and speeches (Student Council rep, Salutatorians, Valedictorians) are due Monday of graduation week.

  • Flag Lowering Ceremony: Friday at 2:00 p.m. before graduation. This marks the traditional farewell.

  • Graduation Rehearsal: Graduation morning at 9:00 a.m. at the ceremony site (attendance required).

  • Arrival: Arrive at the ceremony site no later than 5:00 p.m. in full approved graduation attire.

  • Ceremony Start: 5:30 p.m.

During the Ceremony

  • Processional: Faculty in earned regalia lead; graduates follow onto stage.

  • Awards: When called, walk to center stage to receive the award.

  • Diplomas: When called by the Counselor, walk to center stage, receive the diploma, shake hands with dignitaries, and return to your seat.

  • Leis: After leaving the stage, each graduate is presented with a lei.

  • Retrospective Presentation: After diplomas, graduates present the class video retrospective.

  • Tassel & Presentation: At the Counselor’s direction, graduates turn tassels from right to left. Graduates are then officially presented and may toss caps.

After the Ceremony

  • Graduates circulate with family, friends, and faculty for photos.

  • Borrowed gowns, sashes and SIS graduation items must be returned before final transcripts can be cleared.

7.3 Graduation Dress Code Policy

Graduation is a formal academic event. All attire must be modest, neat, and respectful.

Acceptable Attire:

  • Collared shirt with necktie or blouse

  • Black dress pants, skirt, or modest-length dress

  • Closed-toe dress shoes or heels

  • Approved traditional or cultural attire (beneath gown)

Unacceptable Attire:

  • Jeans, shorts, leggings, t-shirts, or clothing with large logos/slogans

  • Flip-flops, beach sandals, or athletic shoes

  • Revealing or casual clothing

Graduation Gown & Regalia

  • All graduates wear the official SIS gown and mortarboard cap.

  • Tassels start on the right and are moved to the left after diplomas.

  • No adornment or decoration is permitted on caps during the ceremony.

  • One school-approved sash may be worn (for honors or leadership).

  • Valedictorians and Salutatorians must wear their official sashes.

  • No additional stoles, cords, or jewelry or other adornment may be worn over the SIS regalia during the ceremony but may be worn afterward.

Cultural and Personal Expression

SIS honors cultural and personal identity as the foundation of each student’s journey. Graduates may incorporate cultural garments beneath their gown, provided they:

  • Maintain a formal appearance.

  • Are approved by the Graduation Committee at least two weeks before the ceremony.

Examples: Malo, lava-lava, kimono, hanbok, sari, mu‘umu‘u, or other traditional attire.

7.4 Promotions

In addition to high school graduation, Saipan International School recognizes important milestones in a student’s educational journey through Kindergarten Promotion and Grade 8 Promotion. These ceremonies are less formal than commencement but remain significant, school-wide events that celebrate student growth and achievement.

Kindergarten Promotion

  • Purpose: Marks the completion of early childhood education and the transition to elementary school.

  • Format: Students participate in a short, formal program which may include songs, a class presentation, and the awarding of promotion certificates.

  • Dress Code: Students are expected to wear neat, semi-formal attire. Families are encouraged to avoid overly casual clothing (e.g., t-shirts, jeans, flip-flops).

Grade 8 Promotion

  • Purpose: Marks the completion of primary education and the transition into high school.

  • Format: A semi-formal ceremony with student speeches, recognition of academic achievement, and the awarding of promotion certificates.

  • Dress Code: Students should wear semi-formal attire, similar to requirements for graduation but without academic regalia.

  • Expectations: Participation in rehearsals is required. Students are expected to demonstrate maturity and respect for the occasion.

Shared Expectations

  • Promotions are celebrations of learning, character, and growth.

  • Students must be in good academic and behavioral standing to participate.

  • Families are reminded that while these events are joyful and less formal than high school commencement, they are still formal school events that require respectful attire and behavior.

8. Acknowledgement & Acceptance of Policies

We ask all families to carefully read this Parent & Student Handbook. It contains important information about Saipan International School’s philosophy, expectations, programs, and policies.

By signing below, parents/guardians and students acknowledge the following:

  • We have read and understood the policies outlined in this handbook.

  • We agree to support the mission, values, and expectations of SIS.

  • We understand that the Headmaster and school administration have the authority to interpret and enforce school rules.

  • We recognize that policies may be updated during the school year, and we will be informed of any changes.

Student Name: _______________________________ Grade: ________

Student Signature: ____________________________ Date: ________

Parent/Guardian Name: ________________________

Parent/Guardian Signature: ____________________ Date: ________