CANYONS SCHOOL DISTRICT
AUTHORIZATION FOR
PARTICIPATION IN A STUDENT CLUB
Student Name: __________________________________________________________
Club Name: _____________________________________________________________
School: _________________________________________________________________
I am the custodial parent or legal guardian of the above-named student. I understand that my student wishes to participate in the student club or organization named above at Alta High School. I understand that membership and participation in the club are voluntary. During approved club meetings a supervisor will be present for custodial purposes, to provide supervision and sponsorship, and to ensure compliance with the applicable school policies.
This club has been authorized by Alta High School based on its stated purpose and activities as set forth in the club application and charter. I understand that I may make arrangements to inspect a copy of the application under the charter of this club, which describes the nature purposes, structure, and other information about this club. I am satisfied that by either obtaining information from my student and/or inspecting the club charter, I have sufficient information about this club to make an informed decision authorize my student’s participation in this club. I further understand that my consent may be withdrawn at any time if I notify the school in writing of that withdrawal of consent.
Signature: _____________________________________________________________
Address: _____________________________________________________________
_____________________________________________________________
Telephone: ____________________________________________________________
Date: ________________________________________________________________
AUTHORIZATION FOR
PARTICIPATION IN A STUDENT CLUB
Student Name: __________________________________________________________
Club Name: _____________________________________________________________
School: _________________________________________________________________
I am the custodial parent or legal guardian of the above-named student. I understand that my student wishes to participate in the student club or organization named above at Alta High School. I understand that membership and participation in the club are voluntary. During approved club meetings a supervisor will be present for custodial purposes, to provide supervision and sponsorship, and to ensure compliance with the applicable school policies.
This club has been authorized by Alta High School based on its stated purpose and activities as set forth in the club application and charter. I understand that I may make arrangements to inspect a copy of the application under the charter of this club, which describes the nature purposes, structure, and other information about this club. I am satisfied that by either obtaining information from my student and/or inspecting the club charter, I have sufficient information about this club to make an informed decision authorize my student’s participation in this club. I further understand that my consent may be withdrawn at any time if I notify the school in writing of that withdrawal of consent.
Signature: _____________________________________________________________
Address: _____________________________________________________________
_____________________________________________________________
Telephone: ____________________________________________________________
Date: ________________________________________________________________