Please print this page and sign
it after reading the handbook. Signed forms need to be received by
September 15.
Students should return this completed form to Mrs. Aichele, the Middle School
Dorm Director.
Parents should mail this completed form to
Linden Hall, attn: Sally Watkins, 212 East Main Street, Lititz, PA 17543
My signature indicates that I have read, understand, and agree to comply with the contents of this handbook.
Student name (print):
Signature of student:
Date:
Signature of parent/guardian:
Date: