35
Student #: _______________________________
Response Form
I have received a copy of Gwinnett County Public Schools’ 2021–22 Student/Parent Handbook. e contents of the hand-
book (including information on attendance, discipline, extracurricular activities, responsible use of technology, and all Annual
Notices to parents, including Parent Right to Know, FERPA, PPRA, and COPPA, as well as the district’s use of SchoolMessen-
ger to contact parents) have been reviewed with me by school ocials. I understand my rights and responsibilities as a student
enrolled in Gwinnett County Public Schools and consent to the terms of the Student/Parent Handbook.
________________________________ ____________________________ ______________
Student Name Name of School Date
I acknowledge receipt of the Student/Parent Handbook for my student. I have reviewed the contents of the handbook with my
student and consent to the terms of the Student/Parent Handbook (including information on attendance, discipline, extracur-
ricular activities, responsible use of technology, and all Annual Notices to parents, including Parent Right to Know, FERPA,
PPRA, and COPPA, as well as the district’s use of SchoolMessenger to contact parents). In addition, I have reviewed on the
school’s website (or obtained and read a copy from a school) the listing of extracurricular activities available to my child.
__________________________________________ ______________________
Signature of Parent/Guardian Date
Attendance Protocol Form
By September 1 of each school year or within 30 days of a student’s enrollment in the school, the parent, guardian, or other person
having control or charge of each student shall sign a statement indicating receipt of such written statement of possible consequences and
penalties. In addition, students age 10 or older by September 1 shall sign a statement indicating receipt of such written statement of
possible consequences for non-compliance to the school system’s policy. After two reasonable attempts by the school to secure such signa-
ture or signatures, the school shall be considered to be in compliance if it sends a copy of the statement via Certied Mail-return receipt
requested or First-Class Mail to the parent, guardian, or other person who has charge or control of a child or children.
I understand the Compulsory Education Law (O.C.G.A. 20-2-690.1) states that every parent, guardian, or other person who
has control of any child between the ages of 6 and 16 must enroll and send their child to school. Failure to do so is punishable
by a ne, community service, or a combination of the penalties.
I also understand that Gwinnett County Public Schools has an attendance protocol in place and that schools will inform
parents and students of attendance expectations and the consequences for excessive unexcused absences, including notice to
parents of their student’s excessive absences. A pattern of absences could put a student at risk of not achieving grade level/
course AKS. Under state law, a student with more than ten (10) unexcused absences is considered truant.
__________________________________________ ______________________
Student Signature Date
__________________________________________ ______________________
Signature of Parent/Guardian or Student 18 Years or Older Date
Extracurricular Activities
I have reviewed the school’s web site and I am aware of the extracurricular activities available to my child. (If internet access
is not available, parents should ask for a copy of this list from the school.) Of the activities/clubs listed on the website, I do not
want my child to participate in the following:
_____________________________________ ____________________________________
_____________________________________ ___________________________________
_____________________________________ ____________________________________
__________________________________________ ______________________
S
ignature of Parent/Guardian Date
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
