Parent/Student Signature

  • PROBLEMS AND COMMUNICATION

     

    1. Students or parents of the student are asked to notify his/her instructor of any existing medical conditions, problems or disabilities that the student may have.

     

    2. If you have any questions or concerns, please contact your instructor personally on a
    professional basis.

     

    ****As a parent or guardian of___________________________________________I hereby
    certify that I have carefully read and understood all guidelines of the Schertz-Cibolo-Universal
    City Physical Education Program.
     
    ****As a student of Byron Steele High School, I hereby certify that I have carefully read and understood all guidelines of the SCUCISD Physical Education Program. 
     
     

    DATE___________________________SIGNED______________________________________
    (Student Signature)

     
     
    DATE___________________________SIGNED______________________________________

    (Parent Signature)

     
    HOME PHONE________________________________

     

     
    WORK PHONE________________________________

     

     
    MEDICAL PROBLEMS OF THE STUDENT
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________
    Instructor: Darcy Jackson