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SL]FFIELD ACADEMY - Suffield Academy
SL]FFIELD ACADEMY - Suffield Academy SL]FFIELD ACADEMY - Suffield Academy
FORM rs DUE JULY l5,20ll SUFFIELDACADEMY DEBIT CARD FORM S ffi eld, C onnect icu t 0607 I Please detach this sheet and fill in all information, Mail the completed form and your deposit by July 15,Z}II,in order to activate your child's Debit Card Account. Student's Name Class of Spending Restrictions Pleøse check the appropriate boxes: Cash Bank tr Unrestricted Use (maximum $50 per day) Athletics Unrestricted Student Activities Unrestricted Academic lJnrestricted Health Center Unrestricted Maintenance Unrestricted tr V/eekly Allowance Amount (Note: Cash Bank allowance that is not drawn carries over and accumulates from week to week.) tr No Cash Withdrawal Allowed Extraordinary Cash Restricted to parent/guardian confirmation for each request. Bookstore tr Unrestricted Use tr MonthlyLimit Snack Bar tr Only Cash/Check/Credit Card Purchases Allowed tr Unrestricted Use tr Weekly Limit tr Only CashiCheck Purchases Allowed Amount Enclosed (checks payable to Suffield Academy) Please provide address of person(s) responsible for Student Debit Card Account. Monthly Debit Card Account statements will be sent to this address: Name(s) Phone Street E-mail City State Zip Code Country I/we understand that the maintenance of a balance in this account is my/our responsibility and that Suffield Academy will not, without my/our request, advance funds to cover a lransaction unless there is a sufficient balance in the account. Signature(s): Date: 5.20.11 Please do not staple forms
SUFFIELD ACEOEVTY Photo & Press Release Form 20rL-20t2 I. Permission for Use of Name and Photographs The Marketing and Communications Office at Suffield Academy is responsible for overall marketing of the school, which includes press about Suffield students. Toward that end, names and photographs of Suffield students are used on the school's website, in the Academy's alumni magazine, other school publications as needed, in regional and national magazines and newspapers, and in other forms of media, such as social media websites. In addition the school creates certain administrative publications that include student names, addresses and parents' names. As parent or legal guardian of (Student's nme) I give permission to Suffield Academy to use the names, information and photographs of the aforementioned student for school advertising, marketing initiatives, administrative publications and other similar purposes that are intended to promote Suffield Academy, Signature Date II. Press Release Information Please list the complete name and address of all of your local newspapers so we may share the good news about your child's honor roll achievements, athletic awards, and Commencement. Name of student Year of graduation Newspaper Name City State/Country Newspaper Name City State/Country Newspaper Name City State/Country Check here if you do not want your child's name released to local papers. 5.31.11
- Page 1 and 2: SL]FFIELD ACADEMY Suffield, Connecc
- Page 3 and 4: 9. 10. 11. l2 *Student Health Insur
- Page 5 and 6: SUFFIELD Ac¿.nnn,ry Suffeld,CT 060
- Page 7 and 8: FORM rs DUD BY JULY 15,2011 Sunnrnr
- Page 9 and 10: FoRM ¡s DUE BY JULY 15,2011 SUfT.I
- Page 11 and 12: IMPORTANT INFORMATION ABOUT INFLIJE
- Page 13 and 14: FoRM rs DUE JuLy ts,2ltl SUfflnf,l
- Page 15: EXPENSE C¡.InconIns 1. CASH BANK:
- Page 19 and 20: SUFFIELDACADEMY GENERAL INFORMATION
- Page 21 and 22: The UPS Store Students Name Shippin
SU<strong>FFIELD</strong> ACEOEVTY<br />
Photo & Press Release Form<br />
20rL-20t2<br />
I. Permission for Use of Name and Photographs<br />
The Marketing and Communications Office at <strong>Suffield</strong> <strong>Academy</strong> is responsible for overall marketing of the<br />
school, which includes press about <strong>Suffield</strong> students. Toward that end, names and photographs of <strong>Suffield</strong><br />
students are used on the school's website, in the <strong>Academy</strong>'s alumni magazine, other school publications as<br />
needed, in regional and national magazines and newspapers, and in other forms of media, such as social<br />
media websites. In addition the school creates certain administrative publications that include student names,<br />
addresses and parents' names.<br />
As parent or legal guardian of<br />
(Student's nme)<br />
I give permission to<br />
<strong>Suffield</strong> <strong>Academy</strong> to use the names, information and photographs of the aforementioned student for school<br />
advertising, marketing initiatives, administrative publications and other similar purposes that are intended to<br />
promote <strong>Suffield</strong> <strong>Academy</strong>,<br />
Signature<br />
Date<br />
II. Press Release Information<br />
Please list the complete name and address of all of your local newspapers so we may share the good news<br />
about your child's honor roll achievements, athletic awards, and Commencement.<br />
Name of student<br />
Year of graduation<br />
Newspaper Name<br />
City<br />
State/Country<br />
Newspaper Name<br />
City<br />
State/Country<br />
Newspaper Name<br />
City<br />
State/Country<br />
Check here if you do not want your child's name released to local papers.<br />
5.31.11
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