Custodial Placement Form Early Release Children Of Divorced Parent
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Transcript of Custodial Placement Form Early Release Children Of Divorced Parent
C. Schmidt – March 11, 2008 Reference Policy 5111
Custodial Placement - Enrolling Parent Form
Please return this form to the school whether applicable or not. If not applicable – please check this circle with an X - N/A
_________________________________________________________________________________________ _____________ Parent Signature Date
Is there any Court Order dealing with the custody or visitation of the following child (ren)? Yes No List the other party to the action affecting the child (ren) listed below: _____________________________________________________________________________________ Name Telephone # _____________________________________________________________________________________ Address City State Please check one:
I have full custody and primary physical placement of the children listed on this form (attach Court Order). I have joint custody and primary physical placement of the children listed on this form as described in most recent
Court Order of custody and placement (attach Court Order). I have joint custody and shared physical placement of the children listed on this form as described in most recent Court
Order of custody and placement (attach Court Order). I do not have either of the above arrangements. Please see the most recent Court Order of custody and placement for
details (attach Court Order). Does the most recent Court Order curtail or restrict the rights and privileges of the other parent to be kept advised of the child(ren)'s school progress and school activities or participation? Yes (attach Court Order) No
Does the most recent Court Order definitely prohibit the school to release the child (ren) to the other parent? Yes (attach Court Order) No ____________________________________________________________________________ Name of Enrolling Parent/Guardian Date _____________________________________________________________________________________ Address City State Telephone # List full name(s) of child (ren) affected by Court Order and the school attending: _____________________________________________________________________________________ First full name Middle name Last name School ______________________________________________________________________________________________________ First full name Middle name Last name School ______________________________________________________________________________________________________ First full name Middle name Last name School ______________________________________________________________________________________________________ First full name Middle name Last name School ______________________________________________________________________________________________________ First full name Middle name Last name School