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Long Term Independent Study Agreement (Shaffer)

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Master Agreement for the Atwater Elementary School District 2022-2023
Long Term Independent Study Request / Solicitud de Estudio Independiente de Largo Plazo

Student Grade Level:*
Grado:
Answer Required

I acknowledge reviewing, understanding, and being bound by the Atwater Elementary School District terms of Agreement and hereby agree to all the provisions set forth. Terms of Agreement
       Reconozco haber revisado, comprendido y obligado(a) por los términos del Acuerdo del Distrito Escolar Primario de Atwater y acepto todas las disposiciones establecidas. ❐ Términos del acuerdo

I attest all of the information entered is accurate.
       Testifico que toda la información ingresada es precisa.

By typing my name below, I understand and agree that this form of electronic signature has the same legal force and affect as a manual signature.
       Al escribir mi nombre, entiendo y acepto que esta forma de firma electrónica tiene la misma fuerza legal y efecto que una firma manual.

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