Woodland Elementary Student Information 2020-2021

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Email *

Student Name: *

What grade are you enrolling your child in? *

1ST

2ND

3RD

4TH

5TH

Required

Date of Birth: *

Address *

Street Address (if different) *

(If it is the same, enter NA.)

Home Phone *

(If no you do not have a home phone, enter NA.)

Cell Phone *

(If you do not have a cell phone, enter NA.)

Do you have internet access at home? *

Yes

Required

Person Student lives with: *

Mother's Name *

(If mother is not involved, enter NA)

Mother's Cell *

(If you do not have a cell phone, enter NA.)

Mother's Employer and Phone Number *

(If not employed, enter NA.)

Father's Name *

(If father is not involved, enter NA.)

Father's Cell *

(If you do not have a cell phone, enter NA.)

Father's Employer and Phone Number *

(If not employed, enter NA.)

Emergency Contact Person (1) and Phone Number *

Emergency Contact Person (2) and Phone Number *

Blanket Field Trip Permission *

I understand the school/teacher(s) will notify me with additional information before the trip(s).

Yes, my student has permission to attend all field trips from Woodland Public Schools.

No, my student does not have permission to attend field trips from Woodland Public Schools.

Required

Consent for Medical Treatment *

I hereby give permission for my child to receive medical treatment as required in the judgement of the attending physician. Notify me and/or the person(s) I have listed as emergency contact(s) as soon as possible. It is understood that consent is given in advance of any emergency, diagnosis, or treatment required while the student is participating in school-related activities; and, that this Medical Release Form authorizes designated school personnel to exercise their best judgement should action be warranted to ensure my child's safety, life, and health.

I DO NOT give permission for my child to receive medical treatment.

Required

If you did not give permission for medical treatment above, describe what should be done in case of an emergency when personal and/or religious beliefs prohibit any emergency medical attention for accident, sickness, or injury. *

(If you gave permission for medical treatment, enter NA.)

I understand these permissions remain in effect for as long as my child is a student at Woodland Public Schools or until such time that a written request for change is given to the principal. *

Yes

Required

EpiPen (epinephrine) Auto-Injector *

(An additional form may be required from the Woodland Elementary Office.)

No, my child DOES NOT require an EpiPen (epinephrine) Auto-Injector.

Yes, my child requires an EpiPen (epinephrine) Auto-Injector. I have provided the required form to Woodland Elementary..

Required

Where is your child's EpiPen (epinephrine) located? *

(If your child does not have one, enter NA.)

Diabetes Medical Management *

(An additional form may be required from the Woodland Elementary Office.)

No, my child DOES NOT require a Diabetes Medical Management Plan.

Yes, my child requires a Diabetes Medical Management Plan. I have provided the required form to Woodland Elementary.

Required

Student Self-Management Asthma *

(An additional form may be required from the Woodland Elementary Office.)

No, my child DOES NOT require a Student Self-Management Asthma Plan.

Yes, my child requires a Student Self-Management Asthma Plan. I have provided the required form to Woodland Elementary.

Required

Where is your child's inhaler located? *

(If your child does not have one, enter NA)

Food Allergy Substitutions *

(An additional form may be required from the Woodland Elementary Office.)

No, my child DOES NOT require a Food Allergy Substitution Plan.

Yes, my child requires a Food Allergy Substitution Plan. I have provided the required form to Woodland Elementary.

Required

Please let us know any other medical information we may need to know about your child. *

(If there is nothing more we need to know, enter NA.)

Release for Publication on the Website *

(This form is required by law. By checking the box, you are signing the form.)

I understand the effort of the Woodland Public School district to maintain a district website for student and parent information on the World Wide Web.The address of the district is: www.woodland.k12.ok.us The website will be used for informational use and also as a learning tool for advanced computer technology students. The district will update information for the elementary, middle and high school use and will use school pictures of events and students. In order to comply with federal and state guidelines for internet site content, the following is a required parental release form for posting student name or information to the district website. School site: Elementary *NOTE Individual elementary student names and pictures will not be posted to the district website. Only group or class photos will be posted in the elementary area. Individual names will not be listed.

Required

Student Handbook *

I agree to read and discuss the Student Handbook with my child. By checking the box, you are signing to indicate you will read and agree that your child will abide by the policies of the Woodland Public Schools. The handbook is available on-line at www.woodland.k12.ok.us or in the office. The Woodland Public School Administration reserves the right to handle any issues at the discretion of the administration.

Required

Directory Information *

Regarding student records, certain information about my child is considered directory information and may be released by the District to a recognized organization that requests it unless I object. Building principals will not release ANY information to non-recognized requisitions. Information is generally released for honors, awards and scholarships. *Please check the appropriate box or boxes for directory information you DO NOT want released.

My child's directory information may be released.

Name

Address

Phone Number

Date and Place of Birth

Participation in Recognized Activities and Sports

Weight and Height of members of Athletic Team

Dates of Attendance

Awards Received

Most Recent Previous School Attended

Student Picture

Required

Internet Access Conduct Agreement (Student) *

Every student of Woodland Public Schools, regardless of age, must read and sign this Agreement I have read, understood and agree to abide by the terms of the School District's Acceptable Use and Internet Safety Policy. Should I commit any violations or in any way misuse my access to the School District's computer network and the Internet, I understand and agree that my access privileges may be revoked and school disciplinary action may be taken against me. I understand I have no expectation of privacy with regard to my use of the School District's technology.

I am under 18 (I understand that when I turn 18, I will have to sign another policy.)

I am 18 or older.

Required

Internet Access Conduct Agreement (Parent) *

As the parent/guardian of the above student, I have read, understood and agree that my child or ward shall comply with the terms of the School District's Acceptable Use and Internet Safety Policy for the student's access to the School District's computer network and the Internet. I understand that access is being provided to the students for educational purposes only. However, I also understand that it is impossible for the school to restrict access to all offensive and controversial materials and understand my child's or ward's responsibility for abiding by the policy. I am, therefore, signing this policy and agree to indemnify and hold harmless the school, the School District and the Data Acquisition Site that provides the opportunity to the School District for computer network and Internet access against all claims, damages, losses, and costs, of whatever kind that may result from my child's or ward's use of his/her access to such networks and/or his/her violation of the policy. Further, I accept full responsibility for supervision of my child's or ward's use of his/her access account if and when such access is not in the school setting. I hereby give my permission for my child or ward to use the building-approved account to access the School District's computer network and the Internet.

I agree to my student's Internet Access Conduct Agreement.

My student is 18 or older.

Required

Internet Access Conduct Agreement (All) *

I understand the Internet Access Conduct Agreement is required by law and is valid from the date signed (by checking the box) and for the entire duration the above student is enrolled at Woodland Public Schools.

Required

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