Parental Consent Form

This page covers the Riverside Preparatory Academy Parental Consent Form.

Please use the form below to submit your contract online. If you have issues submitting online, or if you would prefer to print out this form and fill it out by hand, please click here to download the PDF.

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Riverside Preparatory Academy Parental Consent Form

Student First and Last Name *

Check One: *ApprovalDenial

Parent or Guardian's Name #1 *This is the primary parent or guardian signing.

Parent or Guardian #1 Signature *

Parent or Guardian #1 Signature Date *

Month

Day

Year

Parent or Guardian's Name #2 *This is a secondary parent or guardian signing. If not applicable, just put "N/A".

Parent or Guardian #2 Signature *

If not applicable, just write "N/A".

Parent or Guardian #2 Signature Date *

Month

Day

Year

Student Name *

Student Signature *

Student Signature Date *

Month

Day

Year

Email Address *This is the email address of the primary parent or guardian signing that will be used for contact and communications for this student and this form.