Bentworth School District

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Welcome to the Bentworth School District!!                  Title 1 Distinguished Elementary School               Ranked as a U.S. News Best Middle School              Identified as a Schools To Watch Middle School  (3x)            National Blue Ribbon High School                       Ranked as a U.S. News Best High School                Bentworth High School Global Educational Excellence Award            

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PARENT REGISTRATION STATEMENT

Bentworth School District

Parent Registration Statement

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Pennsylvania School Code §13-1304-A states in part “Prior to admission to any school entity, the parent, guardian or other person having control or charge of a student shall, upon registration provide a sworn statement or affirmation stating whether the pupil was previously or is presently suspended or expelled from any public or private school of this Commonwealth or any other state for an action of offense involving a weapon, alcohol or drugs, or for the willful infliction of injury to another person or for any act of violence committed on school property.”

I hereby swear or affirm that my child was_____ was not _____ previously suspended or expelled , or is ______ is not _____ presently suspended or expelled from any public or private school of this Commonwealth or any other state for an act or offense involving weapons, alcohol or drugs, or for the willful infliction of injury to another person or for any act of violence committed on school property. I make this statement subject to the penalties of 24 P.S. §13-1304-A(b) and 18 Pa. C.S.A. §4904, relating to unsworn falsification to authorities, and the facts contained herein are true and correct to the best of my knowledge, information and belief.

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If this student has been or is presently suspended or expelled from another school, please complete the following:

 

Any willful false statement made above shall be a misdemeanor of the third degree.  this form shall be maintained as part of the student's disciplinary record. (24P.S. 13-1317.2)