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Welcome to the West Valley High School 2024-2025 School Year Registration for Eagle Vision!


 

 

 

MM/DD/YY​​
Genderrequired
Ethnicity: check all that apply
American Indian/Alaskan Native:required
Asian:required
Native Hawaiian or Pacific Islanderrequired
Black/African Americanrequired
Hispanic/Latinorequired
White:required

General Information:

May Project SHARE photograph/record/use photos of my student, and use such images, at no compensation, for promotional, educational purposes; in unlimited print; on educational websites promoted by or for Project SHARE & partners?required
Does the student take any medications?required
Does the student have any allergies?required
Do you authorize your student to watch PG-13 rated movies at Project SHARE on special occasions?required
Will the student be required to take medication during after school hours?required

In case of emergencies, *First Contact*

Custodial parent/guardians will be notified first in an emergency or for a discipline issue.  This individual has pick up authority by default.  Please list an alternate choice if custodial parent/guardian cannot be reached.

Custodian/Guardian (1):

Custodian/Guardian (2) if applicable:
 

Medical Information:

Do you hereby authorize the staff of Project SHARE (Cub Connection) to secure and sign for emergency medical care for my child at my expense, when necessaryrequired

If documentation is required to be on file to prohibit certain individuals from picking up the child(ren) your are registering it must be updated each year by the parent. An option at the end of the questionnaire is available for uploading.

If you prefer, please email to ProjectShareInfo@shastacoe.org. Please include the child's name and site within the body of the email.

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