Future Academy

“Home of the Steele-Heads”

P.O. Box 7271 · Greensboro, NC  27407

    Cell: (336) 989-1203   

http://www.futureacademyinc.bravehost.com

coachkdfa@yahoo.com

I, the undersigned parent or guardian of ___________________________________ (full name), hereby state that I have read and received a copy of the Future Academy Behavior Management Policy and that the program’s Executive Director has discussed with me the program’s discipline and behavior management policy.

Student’s Signature: ____________________________________     Date: ___________________

Parent or Guardian’s Signature: ___________________________      Date: ___________________

Executive Director’s Signature: ___________________________       Date: ___________________