Student Name *

First Name

Last Name

Parent's Name

First Name

Last Name

I promise to be a person of character and good role model for all students of the Academy. I am grateful for the opportunity to "give back" to my school. I recognize that I need to remain committed and fulfill the job requirements to the best of my ability. I understand that my participation in the program is contingent upon the status of my class work and approval of administration, teachers, and parents. I also understand that the honor of being a member of the program may be revoked at any time should my behavior or grades warrant it. I also acknowledge that participation is a privilege and I promise to treat it as such.

I agree

I as the parent agree and understand the requirements of this program.