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Student Enrollment: 2 of 4

Emergency Contact

State
Answer required for "State"
I give permission for my child to attend all school field trips.
Answer required for "I give permission for my child to attend all school field trips."
Bingham Academy may use photographs or video for the school yearbook, website, social media, or other publications.
Answer required for "Bingham Academy may use photographs or video for the school yearbook, website, social media, or other publications."
I give permission for administration of over the counter medication to my child: Tylenol, aspirin, etc.
Answer required for "I give permission for administration of over the counter medication to my child: Tylenol, aspirin, etc."
Tell us about any services that your student has received: (Check all that apply)
Answer required for "Tell us about any services that your student has received: (Check all that apply)"

2 of 4 - Be sure that you submit after each page.

Return to the student enrollment page HERE and select the Page 3 button.