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Finalize Your Child’s Enrollment

We’re thrilled that your child is taking their first steps to join SBX Youth & Family Services! To complete their enrollment, we need a Parent Consent Form filled out by you. This form includes important releases, such as the Release of Liability, to ensure we can provide a safe and empowering experience for your child.

How to Complete Enrollment:

  1. Fill out the form below – It only takes a few minutes.

  2. Submit the form online – Once submitted, we’ll review the information and reach out to you through email and/or phone.

Parent Consent Form

Student's birthday

SCHOOL RECORDS AUTHORIZATION FORM

By checking the box below, I, the parent/guardian of the student named in this form, authorize the school district associated with this application, as well as its teachers and staff, to provide Sigma Beta Xi, Inc. with access to my student’s academic records, including grades, attendance, discipline records, and other school-related information.

I also grant permission for Sigma Beta Xi, Inc. to monitor my student’s progress by observing their classroom activities. I understand that this information will be used solely to track and assess my student’s academic achievement and progress in support of their success.

Social Media Access Authorization

By checking the box below, I, the parent/guardian of the student named in this form, grant permission for Student to access Sigma Beta Xi, Inc.'s social media accounts for official business purposes.

I understand that any inappropriate use of the social media platform may result in revoked posting privileges and possible disciplinary action. I acknowledge and agree to adhere to Sigma Beta Xi, Inc.'s social media guidelines.

Insurance Information

We request your insurance information to ensure that we can provide appropriate support in case of emergencies or medical needs during participation in Sigma Beta Xi, Inc. programs. This information may also be used to access Community Health Worker (CHW) services if needed, offering additional health and wellness support. Your information will remain confidential and will only be used to ensure the safety and well-being of your child and facilitate necessary services.

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