EmailMeForm
Handbook Signature Page
This form must be filled out and submitted in order for your CCA application to be complete.
I have read the 2020-21 CCA Handbook including the Code of Conduct and Discipline policy and agree to abide by all of CCA's rules.
*
Yes
No
Parent Name
(serves as
electronic signature)
*
First
Last
Student Name
(serves as
electronic signature)
*
First
Last
Student Name
(serves as
electronic signature)
First
Last
Student Name
(serves as
electronic signature)
First
Last
Student Name
(serves as
electronic signature)
First
Last
Date
*
MM
/
DD
/
YYYY
In accordance with CCA guidelines, I acknowledge that I am more than 10 minutes late picking up my child, I will be charged by CCA.
Yes
No
Parent Name
(serves as
electronic signature)
*
First
Last
Date
*
MM
/
DD
/
YYYY
Hidden Field