Epstein Files Search

EFTA01709707Set 10

2003-05-0773p17,894w

CHILD (fast Erg mktila Coda.) SCHOOL ATTENDING STUDENT NO. (optional) GRADE DATE OFBIRDI ( PARENT/GUARDIAN SIGNATURE Iiiiitikirg laKSWE I verify that the information given is true and accurate to the best ... SCHOOL ATTENDING (64) STUDENT NO. fopeone0 (85) GRACE (86) DATE OF BIRTH INFORMATION VERIFICATION PARENT/GUARDIAN CONSENT verify that the Information given is true I understand and agree that all educational ... aooroonate code number or letter in the corresoondino boxes. Student Discipline Referral EFTA01709720 Parent/Guardian of Date: El School: Phone: ROYAL PALM BEACH, FL 33411 RE: GRADE: 12 Dear Parent/Guardian: regret

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709707.pdf

EFTA01709788Set 10

67p22,078w

GoOf (Oa (OTIO 0A11 103) SAC COOT ! I EN EO1 08/19/98 O88C (64/ PARENT/GUARDIAN LANGUAGE 155) GRAD) (DEL IGO CALENDAR Ibl/ TUCKER 110. EN US O8 O1 an) REASSI13110 ... Other (see attached) O Deficiencies due to non-attendance (refer to Attendance Specialst) Parent/Guardian CommItment/Contribution SIGMA! ant 0. r'AlteNT IGWNQAN [Alt Check all that apply. ❑ Monitor Attendance / Tardies ... ooet 'fp c_of,‘(04{ Circe( PK • Parking Lot RE • Restroom 982 - Parent/Guardian a'Acied 09145 curd 40e \ ()Gel ( RT - Returning Home 993 • Student TO - Field Trip/Activity 984 • Substitute Teacher

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709788.pdf

EFTA01709902Set 10

71p27,741w

PEWMUM PERCEMILE NMEWILE WKWUM MKOMM MEd Dear Parent/Guardian: This spring,.. was given the Compreh Tests of Basic Skills/Fourth Edition (CTB . This report explains test results. When compared with students across ... PMCOTRE mao MIKEWILE POCOMLE PEACOMLE mmamu Dear Parent/Guardian: This spring,S. was given the Compreh • Tests of Basic Skills/Fourth Edition (CTB This report explains test results. When compared with students ... FMCMTILE IMEMMLE PMCVMU IMCMIRE MMEMILE MAIM Dear Parent/Guardian: This spring,11. was given the ComprehmalysTests of Basic Skills/Fourth Edition (CTB This report explains IIIIIII test results. When compared with students

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709902.pdf

EFTA01710036Set 10

2005-12-1635p13,401w

treatment records or other medical records created by health care personnel at TURE OF PARENT/GUARDIAN DATE fog the hoot will be shared with school officials who have a legitimate educational ... Aida WO SO-DO. ATTENDING STUDENT 113. (optarisO GRADE DATE OF OATH RIO S PARENT/GUARDIAN SIGNATURE cs3):04,0 (SODOM ICI. DECO. ca WRY CO OT DOMDAN MI GALre

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710036.pdf

EFTA01727087Set 10

2005-12-1637p13,398w

treatment records or other medical records created by health care personnel at TURE OF PARENT/GUARDIAN DATE fog the hoot will be shared with school officials who have a legitimate educational ... mkkAt WO SCI4DO1 ATTENDING STUCENT NO. (own) GRADE DATE OF BAIR OR/3 SE PARENT/GUARDIAN SIGNATURE csi) sal HD (AMCOR ICI Og oat mama) enemy DATE DA ORire

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01727087.pdf

EFTA01710352Set 10

98p39,048w

Information Meetings SIGNATLPE OF PEIS0 1697 (REV. 9/11/20021 ORIGINAL - Cumulative Folder COPY Teacher COPY • Parent/Guardian EFTA01710362 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW/RETURNING STUDENTS REGISTRATION BACK DI STUDENT (CHECKOK

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710352.pdf

EFTA01709975Set 10

2000-05-3159p26,898w

PINES MIDDLE Phone: 792-2500 WEST PALM BEA H 33412 RE: GRADE: 07 Dear Parent/Guardian: I regret to inform you that on 11/01/2000 your son/daughter was notified that a suspension ... custody when the student is suspended and is not in the presence of the parent/guardian. Your son/daughter will be in violation of this suspension if he/she is on any public ... AltemaliveSchool Placement' . 4 MA- Mediation By An Adult .13 O6- Off School Grounds 982 - Parent/Guardian O AV - Days field In Abeyance' )r ---O13 - Out Of Solr0O: Suspension' .0 PO - Playground/Track

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709975.pdf

EFTA01221250Set 9

4p217w

Date of bin Name of parents or guardians: &l ei ren ce &rMb erten Parent/guardian phone home phone: Cell phone: Email address School: Grade: ) a O1 Major area of scholastic ... interest: Club or school o anization membershi Community service wor Application Attachments EFTA01221250 Parent/Guardian Consent Form Clarence, O41-1113trksan parent/guardian do hereby give my consent for to apply tnarne ... essay: "Why I want to go to Rwanda to do Community Service work" 2 — Parent/Guardian permission slip 3 — Two letters of reference (teacher, pastor, principal, advisor, neighbor, community leader

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221250.pdf

EFTA01710219Set 10

2001-07-0197p30,081w

STUDENT NO. WOW (92)GRSOE (93)DATE OF BIRTH FOR OFFICE USE ONLY PARENT/GUARDIAN SIGNATURE (M)SCHN1 DEISROENT Na (96)CCG (5?)aTRY CD (93) EMIG DATE ... CHILD gas rus4 marl* nano SCHOOL ATTENDING STUDENT10. (0P9orta0 GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE '''''' ''' dan i ' • • • ••• ...,....... I verify that the information given Psysot4 sk**: is true and accurate ... CHILD rust middle. IMO SCHOC4. ATTENDING STUDENT NO. (optional) GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE IFARV,:figigEWSAten verify that the information given is true and accurate to the best

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710219.pdf

EFTA01221834Set 9

2009-05-056p1,056w

Phone: Email Address: Date of Birth: Name of Parent or Guardian: Alana St Louis Parent/Guardian phone home phone: Email Address: Cell ohon : = School: Gifft Hill School Grade:12th Major area ... essay: "Why I want to go to Rwanda to do Community Service work" 2 — Parent/Guardian permission slip 3 — Two letters of reference (teacher, pastor, principal, advisor, neighbor, community leader ... Financial information form Parent/Guardian Consent Form EFTA01221834 I Alana St Louis (mother)_ parent/guardian do hereby give my consent (please print or type) for Zenobia Jade Howe_ to apply (name

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221834.pdf

EFTA00794310Set 9

2019-01-045p1,412w

Piney Woods School to admit as a student (social security number: ), the undersigned parent/guardian hereby authorizes The Piney Woods School and its agent and employees to secure for the above ... AGREE that a photographic copy of this Authorization will be valid as the original. Parent/Guardian: Insurance Carrier: Address: Address: City/State/Zip: City/State/Zip: Home #: Policy/Medicaid: Work #: Claim Service #: Cell #: WITNESS our signatures ... this the day of , 20 Signature of Parent/Guardian Signature of Student Subscribed and sworn before me this day of , 20 in County and the State of Notary Public (SEAL

https://www.justice.gov/epstein/files/DataSet%209/EFTA00794310.pdf

EFTA01709600Set 10

2003-05-09100p26,354w

CHILD (Ent middle. HAD SCHOOL ATTENDING STUDENT NO (c9bons0 GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE FOR OFFICE USE ONLY (53) SOT NO (54) STUDENT NO (5$) OCR 51) ENTRY

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709600.pdf

EFTA01221256Set 9

2p715w

Petersburg. FL. 33710 Phone: (727) 384-5500 Fax: (727) 347-5160 Web: www.farragut.org Dear Parent/Guardian: This is a release and waiver for the field trips Admiral Farragut Academy provides throughout ... Admiral Farragut Academy granting my child permission to participate in the Field Trips, I (parent/guardian) give permission for my minor child, (student name), to participate in the Field Trips ... Witness Whereof, I have executed this Field Trip Waiver on , 20 . Signature of Parent/Guardian Name of Student Date Cell Phone Number Home Phone Number 357469.5 EFTA01221257

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221256.pdf

EFTA00266728Set 9

2008-05-0715p2,839w

NOTICE TO A PARENT/GUARDIAN OF FAMILY CONFERENCE UNDERTAKIN4 Young Offenders Act, 1993. CONFIDENTIAL File Number To laeoneline MCDIARMID Details of the Youth Name • Details of the Offences 1 05/07/08 - 06/07/08 ... BEING LAID BEFORE THE YOUTH COURT cc0224 11/4/2009 2.54pm EFTA00266729 NOTICE TO A PARENT/GUARDIAN OF FAMILY CONFERENCE UNDERTAKE Young Offenders Act, 1993. CONFIDENTIAL File Number To Jacqueline MCDIARMID Details ... fteceriN‘c, FolDifvc.4 - CREErri c-, DEBT" 440224 6/4/2009 2:64pn EFTA00266731 NOTICE TO A PARENT/GUARDIAN OF FAMILY CONFERENCE UNDERTAKIN Young Offenders Act, 1993. CONFIDENTIAL File Number To Jacqueline MCDIAFtMID Details

https://www.justice.gov/epstein/files/DataSet%209/EFTA00266728.pdf

EFTA01247938Set 9

1p192w

title) and your drivers license to a notary public along with the letter below. PARENT/GUARDIAN: Please accompany the resident owner to obtain the signature of a notary public ... letter below. Parent/Guardian must provide a drivers license. It is the responsibility of the parent/guardian to nod& the school in the event of any change in address/residency. This signed

https://www.justice.gov/epstein/files/DataSet%209/EFTA01247938.pdf

EFTA01221823Set 9

6p1,226w

phone: Cell phone: 2. Email address Date of birth: Name of parents or guardians Parent/guardian phone home Email addres. School: lie 43 t Grade: jOkt Major area of scholastic interest ... through jobs, their own fund raising events. church groups or parental/family support only. EFTA01221827 Parent/Guardian Consent Form parent/guardian do hereby give my consent to apply (name of applicant) to participate

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221823.pdf

EFTA01221126Set 9

4p1,092w

JUNIOR RESERVE OFFICERS TRAINING CORPS (NJROTC) STANDARD RELEASE FORM Date: 1, being the legal parent/guardian of a member of the Naval Junior Reserve Officers Training Corps, in consideration ... participation sports physical examination Part A — TO BE COMPLETED BY THE CADET AND PARENT/GUARDIAN Directions: Please answer Yes or No to the following questions: (Do not leave any questions blank ... Have you ever been diagnosed with Sickle Cell Trait? Cadet Signature Date Parent/Guardian Signature Date Part B - If any of the answers to the questions above were YES, request that

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221126.pdf

EFTA00522224Set 9

2017-10-084p994w

pure barre 1237 Second Ave New York, NY 10065 CLIENT INTAKE Participant and/or Parent/Guardian Name: Karyna Shuliak Date of Birth: Email: Phone: Street Address: 301 E 66th Street City ... injunctive relief, actual and punitive damages as well as attorney fees. Client or Parent/Guardian Signature: Policies and Procedures Cancellation/No Show Policy: I understand that I am required to cancel ... State: Address: City: Postal Code: 10065 Email: Phone: Legal Signature of Adult Participant or Parent/Guardian if a minor participant(s): EFTA00522226 Date and rime Signed: 10/08/2017 at 10:24 System

https://www.justice.gov/epstein/files/DataSet%209/EFTA00522224.pdf

EFTA01221364Set 9

2008-11-1713p2,117w

birth: Name of parents or guardians' Es+an Pambet-4011 , I-Civic/A CO4145 Parent/guardian. phone home phone: Email address: School: Grade: Li- Major area of scholastic interest: Hobbies: Application ... Attachments EFTA01221364 11/17/2008 11:49 CHARLOTTE AMALIE HS PAGE 03/08 Parent/Guardian Consent Form I a-€ apt freit\i 441. pain nt/guardian do hereby give my consent for to apply (name ... fien et/ Year .1ti'peter/ ra M 4) C b de /ate,- - 714M e Parent/guardian phone home pho Email address School: Grade: Major area of scholastic interest: Club or school

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221364.pdf

EFTA01221429Set 9

2008-12-146p1,586w

phone: Email address: Date of bath: Name of parents or guardians: eNse -oPn Sea3 Parent/guardian phone home phone Cell phon Email address: c too : Grade: \ z a s Major area ... through jobs, their own fund raising events, church groups or purental/family support only. EFTA01221431 Parent/Guardian Consent Form I parent/guardian do hereby give my consent for to apply to participate

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221429.pdf