Free community service form 28Free community service form 28
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Shorewood High School

Student Name

2019-2020 Community

Graduation Year

Service Verification &

Graduation Hours

Consent Form

NHS Hours*

1. Student Information & Parent/ Guardian Consent
Student Name
Student k12 Email
Parent Name
Parent/ Guardian Informed Consent must be completed prior to service
Being fully informed and aware of the risks associated with this activity, I hereby give my permission for my student,
to participate in this activity. I release the Shoreline School District and assume any risk inherent in this activity. In addition, I waive the right of
recovery or to bring legal action against the Shoreline School District for any injury, death, property damage, or other consequences arising out
of participation or during the period of activity. NOTE: The district does not require or endorse the actual physical activity the student
undergoes to prepare for this project.
Parent/ Legal Guardian
Signature
Parent/ Legal Guardian signature reflects knowledge and approval