Please request transfer records to be sent to Leadership Preparatory Charter School.
School Year: 2020-2021
Leadership Preparatory Charter School
4190 Elliston Road
Memphis, TN 38111
Phone: (901) 512-4495
In accordance with the Family Educational Rights and Privacy Act dated June 17, 1976, parental permission is no longer required when records are requested by authorized school personnel.
Your child’s learning depends upon good health. Please complete this form with information you are comfortable sharing. Health conditions currently affecting your child are of greatest significance.
Your child’s health and education are extremely important to us. The above information will be used to facilitate your child’s learning. Informing and educating staff about the needs of your child will help promote his/her well-being. Confidentiality will be maintained and the information will be shared with those responsible for the sole purpose of meeting the care and custody of the child’s medical needs.
The purpose of this document is to enable parents and guardians to authorize the provision of the emergency treatment for children who become ill or injured while under school authority, when parents or guardians cannot be reached.
In the event reasonable attempts to contact me (parent/guardian) have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by the above-named doctor, or, in the event the designated preferred practitioner is not available, by any licensed physician or dentist, and (2) the transfer of the child to any hospital reasonable accessible. This authorization does not cover major surgery.
I do NOT give permission for emergency medical treatment to my child. In the event of illness or injury requiring emergency treatment, I would like forthe school authorities to take the following actions:
Dear Parent/ Guardian,
On occasion, representatives from the media wish photograph, videotape, and/or interview students in connection with school programs or events. Educating the public is one of our objectives, and the entire community benefits from knowing about the needs and abilities of our students and about the programs we offer to children and families. In order to release student photos, video footage, comments, and/or post on our social media page or website, we need written permission. To give your consent, please complete the form below.
give permission for my child to be photographed, videotaped, and/or interviewed by representatives from the media for the purpose of publicizing educational programs. I authorize Leadership Preparatory Charter School or anyone authorized by the Leadership Preparatory Board of Directors the use and reproduction of any and all photographs/videotapes taken of my child, without compensation to me/my child. All of the photographs/video recordings shall be the property, solely and completely, of Leadership Preparatory Charter School. I waive any right to inspect or approve the finished photographs/videotapes, sound track, script, or printed manner that may be used in conjunction with them.
As a Leadership Prep Scholar, I pledge to:
As a Leadership Family, we pledge to:
By signing this form, you are agreeing to enroll at Leadership Prep, abide by the pledges above to the best of your ability, and agree to all items found in our Student Handbook, which will be provided to you at the start of the new school year.