2020-2021 Required Parent Signature Forms

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Please scroll through each form and complete the required information. These forms must be completed for every student enrolled in Franklin Academy. Deadline: Wednesday, September 9, 2020.

Student Last Name *

Student First Name *

Parent/Guardian Last Name *

Parent/Guardian First Name *

Student Grade Level *

Homeroom Teacher Name (Last, First) *

Code of Student Conduct Acknowledgement Form

Policy 5.8, Code of Student Conduct, lists the District’s rules for students in Broward County Public Schools. The rules apply to all activities occurring on school grounds, on other sites being used for school activities, and on any vehicles authorized to transport students. Your signature below indicates that you have reviewed the electronic copy of these rules (http://www.browardschools.com/codeofconduct). *

I have reviewed the electronic copy of these rules.

Required

Please indicate below that your child has also reviewed the Code Book of Student Conduct. *

My child has reviewed the electronic copy of these rules.

Required

Media Release Form 2020-2021 School Year

Section A- External Media Outlets *

I WILL permit my student to be photographed, videotaped, and/or interviewed by the news media when the news media has secured proper authorization from Broward County Public Schools.

I WILL NOT permit my student to be photographed, videotaped, and/or interviewed by the news media.

Required

Section B- Broward County Public Schools *

I WILL permit my student to be photographed, videotaped, and/or interviewed for school publications, such as school yearbooks, school newspapers, school and/or District websites, social media/BECON TV, or for other communication tools by Broward County Public Schools or its approved vendors. I understand the District may be required to release this information if requested by the media or other members of the public (i.e., public records requests). Note: Student’s name, student’s home address, student/parent phone number, grade level, student identification number, teacher’s name and room number may be released in order to facilitate school-based publications. Athletic team member’s team position and jersey number may be disclosed during sporting events.

I WILL NOT permit my student to be photographed, videotaped, and/or interviewed for school publications, such as school yearbooks, school newspapers, school and/or District websites, social media/BECON TV, or for other communication tools by Broward County Public Schools or its approved vendors.

Required

Please indicate below that you have reviewed the Media Release Form and agree with your selections. If you have chosen option 2 above, please note that your child will NOT be pictured in the school yearbook. *

I have reviewed the electronic copy of this form.

Required

Please indicate below that your child has also reviewed the Media Release Form 2020-2021 School Year.

My child has reviewed the electronic copy of this form.

FERPA Opt-Out Notification Form 2020-2021 School Year: ATTENTION! Checking items below will prevent the selected information from appearing in school publications, including, but not limited to, the yearbook, even if you provide permission in Section B on the Media Release Form. For Example: Checking “Student’s Name” below may prevent the student’s photograph from appearing in the yearbook.

I understand that checking any items below will prevent the selected information and student's photograph from appearing in the yearbook and other publications.

Types of Directory Information: Parents/guardians of students in any grade level, or eligible students (those over the age of 18, emancipated, or attending a postsecondary institution), may opt out of having any or all of the following types of directory information disclosed by indicating, with a check mark (√), those items NOT TO BE DISCLOSED:

Student's Name

Parent's Name

Residential Address

Telephone Number(s)

Date of Birth

Place of Birth

Major Field of Study

School-Sponsored Activities and Sports

Height and Weight of Athletic Team Members

School Grade Level

Dates of School Attendance

Jersey Number and Team Position

Degrees & Awards

Name of the Most Recent/Previous School or Program Attended

Room Number

Please indicate below that you have reviewed the FERPA Opt-Out Notification Form and agree with your selections. *

I have reviewed the electronic copy of this form.

Required

Family Life & Human Sexuality Form 2020-2021

By checking the box below, you are indicating that you do NOT want your child to participate in any of the Family Life/Human Sexuality lessons.

I DO NOT want my child to participate in any of the Family Life/Human Sexuality lessons.

Please indicate below that you have reviewed the Family Life/Human Sexuality Form and agree with your selections. *

I have reviewed the electronic copy of the form.

Required

Below you will find links to the Broward County Code Book of Student Conduct and the Signature Pages. Please review them and save them for your records.

Code Book of Student Conduct: https://www.browardschools.com/cms/lib/FL01803656/Centricity/Domain/13726/Student%20Code%20of%20Conduct%20Book%202020-21.pdf

Signature Pages: https://drive.google.com/file/d/10j5w5Of19lpmu6sXbUs_8nK5NogGCpPg/view?usp=sharing

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