Student Policy Documents

STUDENT POLICY DOCUMENTS

Student Information

Student Name:

Date of Birth:

Parent / Guardian Information

Emergency & Health Information

Policy Acknowledgments

Attendance Policy — I acknowledge that regular attendance and punctuality are essential to academic progress. I understand the school's policy for excused and unexcused absences, the documentation required for excused absences, and the consequences for excessive absences that may include academic penalties or referral to appropriate agencies.

I acknowledge and agree to comply with the Attendance Policy.

Code of Conduct — I have received, read, and will adhere to the Student Code of Conduct, including standards for behavior, anti-harassment provisions, dress code, and the school's progressive disciplinary procedures. I acknowledge that violations may result in disciplinary action up to and including suspension or expulsion.

I acknowledge and agree to the Code of Conduct.

Academic Integrity — I understand expectations regarding academic honesty, including prohibitions on cheating, plagiarism, and misrepresentation of work. I understand the procedures for investigation and disciplinary sanctions for violations.

I acknowledge and agree to uphold Academic Integrity standards.

Technology Acceptable Use — I understand the school's acceptable use policy for networks and devices. I accept that access is a privilege subject to monitoring and that misuse may result in restricted access or other disciplinary actions. I accept financial responsibility for intentional damage to issued devices or loss due to negligence.

I acknowledge and agree to the Technology Acceptable Use Policy.

Privacy and Student Records — I acknowledge that the school maintains educational records in accordance with applicable law. I understand parental rights to inspect and request amendment of records and the limited circumstances under which records may be disclosed without consent.

I acknowledge and understand the Privacy and Records policies.

Media and Photography Release — The school may photograph or record students during school activities for educational, promotional, or historical purposes. Unless you affirmatively decline, you grant permission for use of the student's likeness without compensation.

I grant media release permission    I decline media release permission

Field Trips & Transportation Consent — I authorize participation in school-sponsored field trips and consent to whatever transportation the school provides. I understand that individual trip notices may describe additional risks and requirements.

I consent to field trip participation and school transportation.

Health & Emergency Treatment Authorization — If the student requires emergency medical care while under school supervision and reasonable attempts to contact the parent/guardian have been unsuccessful, I authorize school officials to seek and approve emergency medical treatment. I agree that reasonable efforts will be made to contact the emergency contacts listed above.

I authorize emergency medical treatment as described.

Optional Release of Records

Release educational records to the following individuals or agencies (list names and relationship). Specify limits of access if any.

I consent to the release of records as specified above.

Acknowledgment and Certification

By checking the boxes above and signing below, the signer certifies under penalty of perjury that the information provided on this form is true and accurate to the best of their knowledge. The signer further acknowledges receipt of, and agreement to comply with, the school’s policies described herein and any accompanying student handbook. The signer understands that failure to comply with these policies may result in disciplinary action in accordance with school procedures.

Is the student 18 years of age or older?   Yes — if checked, the student may sign on their own behalf; if not checked, the parent/guardian signature is required.

Additional Comments (optional)

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