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PSA Parent Meeting 23-24 Information Form
Thank you for attending the Public Safety Academy Parent Briefing. This information will allow us to serve your student well this year. Thank you for taking the time to share it with us!
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* Indicates required question
Please take a few minutes and tell me about your student:
*
Your answer
What has helped your student be successful in the classroom in the past?
Your answer
What is your student thinking of doing after high school?
*
Your answer
How would you like to be involved with PSA Parents?
*
Leadership
Fundraising
Chaperoning
Community Liason
Attending skill showcases
Other (Please contact)
I am not able to be involved at this time
Required
I understand that my student will be issued a uniform set at the beginning of the year and that this set MUST BE TURNED IN at the end of the school year. There will be a replacement cost if the set is damaged or lost while not in use at the academy.
*
Yes I understand that I am responsible for my student's PSA uniform
Required
I understand that my student will be participating in PSA seminars during school hours. Uniforms will be required for seminars, field trips, and volunteer opportunities. If student has any physical restrictions the school nurse should be notified.
*
Yes I understand that PSA students will be participating in seminars and wearing uniforms.
Required
Parent Name (First name last name)
*
Your answer
Parent - Best number(s) to call/text parent
*
Your answer
Parent - best email address
*
Your answer
Student ID Number
*
Your answer
Student Last Name as listed in PowerSchool
*
Your answer
Student First Name as listed in PowerSchool
*
Your answer
Student Gender as listed in power school (for future field trip paperwork)
Choose
M
F
Student Date of Birth (Month/Day/Year 01/01/2001 format)
*
MM
/
DD
/
YYYY
Student Ethnicity (ONLY for future field trip paperwork)
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Student Address (1234 Street Name Lane, Concord, NC 12345)
*
Your answer
Does student keep medications in the nurse office at school?
*
Choose
NO
YES
Would you like an opportunity to provide additional medical information about your child?
*
Choose
No it's on file with the school nurse
Yes please i would like a phone call
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