2020-2021 "Facts for Parents" Universal Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

After reading through the 2020-2021 "Facts for Parents" booklet, please complete this brief questionnaire. Please complete ONE questionnaire per child. Thank you!

Email *

Student Name *

Student Grade *

Student's Teacher *

Student Address *

Parent's Name *

DISCRIMINATION, HARASSMENT, INTIMIDATION, & BULLYING POLICIES (Facts for Parents: Section B): By checking each square and signing below, I acknowledge the following: *

My student and I have read and understand the Discrimination and Harassment Policies section

My student and I understand the consequences should my student violate the policy

I have been informed of these rights

Required

PHOTOGRAPHY/VIDEO/MEDIA RELEASE: During the school year, schools host events where representatives of the news media may be on campus to gather photographs and/or video footage. In addition, parents and students may take photos of events in classrooms or around schools. These photos may be posted on the internet, on social media or otherwise distributed without the permission of the school. Your child’s participation in these events is valued, and parent permission is needed to include him or her in events where photography may take place. Parents/Guardians who prefer that their child not be photographed or video recorded must notify their school by using this form. Schools make every effort to ensure the wishes of the parent/guardian. PARENTS OR GUARDIANS: Indicate your level of permission OR use the last checkbox to opt out completely. *

I agree to have my student interviewed, photographed, and/or video recorded by news media.

I agree to have my student photographed and/or video recorded by the district/school. Photos and videos may be used on school/district websites, brochures, social media, etc.

I agree to have my child’s name published in order to credit his or her work.

I agree to have my student’s photograph included in the school yearbook

I DO NOT want my child’s name, photo or video published publicly.

Required

UNIFORM DISCIPLINE PLAN (Facts for Parents: Section C) *

I acknowledge that my student has read the Uniform Discipline Plan, and that my student and I understand the consequences should my student violate the policy

Required

HEALTH REQUIREMENTS (Facts for Parents: Section D): California law requires that parents/guardians of each pupil acknowledge having been informed of their rights as explained in “Health Requirements” in Facts for Parents. *

I acknowledge that I have been informed of these rights

Required

TECHNOLOGY/NETWORK USE GUIDELINES (Facts for Parents: Section K): The “Network Use Guidelines” for San Diego Unified School District is a contract and must be signed by students and parent/guardians before the student is given access to technology, the internet and other San Diego Unified networks. *

STUDENT: I understand and will abide by the rules and conditions outlined in Section K about access to technology, the internet and other San Diego Unified networks

PARENT or GUARDIAN: I give my student permission to use technology, and access the internet and other San Diego Unified networks

Required

SIGNATURES: By completing the sections above and typing your names below, I the student, and I the parent, have read, understand and acknowledge the policies and rights outlined above and described in detail in the Facts for Parents booklet. In lieu of signatures, please type your name and your child's name in the box below (please fill out ONE of these questionnaires per child). *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of San Diego Unified School District. Report Abuse

Forms