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One copy of this page to be completed for each student being enrolled

I give permission for my child to take part in all school activities, including sports and school sponsored trips away from the school’s premises. I absolve Charlotte County Christian Academy and Family Worship Center from liability to me or my child because of any injury to my child at school or during any school activity.
I give permission for my child’s photo to be published in print media.
I give permission for my child’s photo to be published on school website and/ or Face Book page.
I give permission for my child’s photo to be published in video media (for such things as school dramas, etc.)

CCCA does not allow students to have cell phones or other electronics on their person or in their backpacks or lockers during the school day. If a parent feels that it is necessary for the student to carry a cell phone, it must be turned into the school office at the beginning of the school day. If a student is leaving the school grounds at lunch time, they may pick their phone up from the office before they leave and return it to the school office after lunch.

Please check one

By signing this form I understand that Charlotte County Christian Academy is not responsible for any injury or harm that may occur off school property during the designated lunchtime.  Charlotte County Christian Academy reserves the right to revoke this privilege if it is being abused (constant tardiness, etc.).

My child will be permitted to leave CCCA grounds during the designated noon hour. This does not mean they are allowed to leave school grounds at other times during the day (breaks, etc.)
My child will be permitted to leave school grounds at noon in a car driven by a teenage driver?
I have discussed this with my child.

Students in Grades 7-12 must sign the following: I recognize that CCCA is a Biblically-based Christian school working in cooperation with parents.  I agree to abide by the rules of the school as set forth in the student handbook. I understand that as a student of CCCA I am to refrain from profane and vulgar language, the use of tobacco, alcohol and illegal drugs, and sexual activity, and that failure to do so could be cause for my dismissal from CCCA. I also agree to respect and support the authority under which I am placed as a student at CCCA.

After Completing this form for Each Child Please go to Record Release Form Here!

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