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Enrollment Form for Acton Academy Pittsburgh

Emergency Contacts:
If parents cannot be contacted, indicate responsible adults to contact in case of an emergency. These people are also available to pick up your child/children from school if you are unable to do so.
Permissions
I grant permission for the caregiver program to provide or arrange for medical treatment and/or transportation to an evacuation site and/or medical facility for my child, identified above, during an emergency or disaster. I also grant permission for my child to be released to any of the emergency contacts I have designated if I am unable to pick them up in an emergency.
Photo Release Form
During the school year, we take photographs of school activities involving students to share the school's work and updates. By which incidentally, some photographs may capture your child's participation, directly or indirectly. These photos may be used for school projects and/or published through our website, social media pages, news bulletins, billboards, and ads. With this form, we seek for your consent in allowing us to publish photos which may involve your child(ren).
Field Trip Permission Form
During the school year, we take photographs of school activities involving students to share the school's work and updates. By which incidentally, some photographs may capture your child's participation, directly or indirectly. These photos may be used for school projects and/or published through our website, social media pages, news bulletins, billboards, and ads. With this form, we seek for your consent in allowing us to publish photos which may involve your child(ren).
Emergency Contact
In the event of an emergency (injury, illness, unforeseen incident), I wish the following person to be notified in case I cannot be contacted:
Field Trip Permission Approval
As the parent/guardian of the above-named student, I have read the field trip itinerary and I understand that there are risks of physical injury associated with participation in these activities. I authorize qualified emergency medical professionals to examine and in the event of injury or serious illness, administer emergency care to the above-named student. I understand every effort will be made to contact me to explain the nature of the problem prior to any involved treatment. In the event it becomes necessary for the school staff-in-charge to obtain emergency care for my student, neither he/she nor the school assumes financial liability for expenses incurred because of the accident, injury, illness and/or unforeseen circumstances. These activities are an extension of the school education program and student conduct is to be in accordance with the school’s published rules and regulations.
Records Release Form
Acton Academy Pittsburgh requests records for:
Important Action
Please forward a copy of the above student’s transcripts, including all test records, reports, current grades, attendance, and any other pertinent documents for the past one year to admin@actonpittsburgh.com
Technology Policy
Please forward a copy of the above student’s transcripts, including all test records, reports, current grades, attendance, and any other pertinent documents for the past one year to admin@actonpittsburgh.com