2020-2021 Locker Agreement
Please read the locker policy below and go over the content with your student.  A signed copy will be emailed to you once you complete this form.
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What is your full family name? *
Student Name(s): *
Student Grade(s) *
Check all that apply:
Required
What is the best email to contact you? *
Please read, check that you read each statement, sign and date the end of this form.
1. *
Students may only use the assigned locker. Only locks provided by the school may be used, all other locks will be cut off and removed. Students should not give their combinations to any other person, or tamper with any other locker. They may not not use someone else's locker.
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2. *
Students must leave costly personal items at home and should not store valuable items in the locker. The school is not responsible for lost or stolen items in locked or unlocked lockers.
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3. *
No food products are allowed in any locker overnight, to avoid rodent and insect infestation.
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4. *
Shelves are allowed if students would like to purchase them for the locker. Adhesive is not allowed, but use of magnets is permitted.
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5. *
It is the student's responsibility to keep the locker in good condition and to report any problems to the homeroom teacher.
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6. *
Students should not write or mark in or on the locker. Students will be assessed a repair charge for any damage that they cause to the locker or be assigned to custodial duty to repair or clean locker.
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7. *
Nothing may be hung or posted on the outside of the locker.
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8. *
8. To keep tardiness and possible problems between students to a minimum, we ask students to plan on going to their lockers before school, before and after lunch, and after school only.  
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9. *
A locker may be opened for inspection when the school administration believes it may contain prohibited articles. Also, locker checks may be conducted as determined by the administration in order to dispose of waste materials, recover missing books, and other school property, or for other reasons deemed appropriate by the building administration.
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10. *
The assigned locker remains the property of St. Justin School even while being used by students. School administration reserves the right to remove locker privileges as a disciplinary consequence.
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Use of Locker: *
All lockers assigned to students are the property of St. Justin School. In other words, lockers are not private property. At no time does the school relinquish its exclusive control of its lockers. Students can only store their own belongings and must keep the lockers assigned to them. They cannot move their belongings to any other locker to which they are not assigned. The storage of other student’s belongings is prohibited. Any student found using a locker other than the one assigned or allowing other students to store their things, are subject to having the locker immediately taken away.  Lockers are to be used to store school supplies and personal items necessary for use at school. Lockers shall not be used to store items, which cause an interference with school purposes or that violate school rules. No food products are allowed in any locker overnight, to avoid rodent and insect infestation. Lockers are not burglar proof and students should not leave valuables such as money, and expensive personal property in the lockers. Students must keep their possessions only in their assigned lockers and are responsible for any assigned school property that may be taken from lockers. Decorations are not allowed outside of the locker.  Lockers will be cleaned periodically. Any food items found in the lockers at the end of the day will be thrown away.
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Locks: *
The school will retain access to student lockers by keeping a master list of combinations. All locker students: (1) must use lock provided by the school, (2) are solely responsible for the contents of their lockers and (3) should not give out the combination to other students. The school principal or his/her designee shall have custody of all combinations to all lockers or locks. Students are prohibited from placing locks on any locker without the advance approval of the school principal or his/her designee. Students should make sure the lock is secure after using lockers and report all incidents to a homeroom teacher where locks and or lockers have been tampered with. All locks must be returned at the end of the school year.  If a lock is damaged or lost, the student will responsible for a $10 replacement fee.
Required
Inspection of Locker Contents: *
Random searches of school lockers and their contents have a positive impact on deterring violations of school rules, ensure proper maintenance of school property and provide great safety and security for pupils and personnel. Other reasons for a search of a student’s locker would be a complaint or evidence of foul odors emanating from a locker or the leaking of any wet or dry substance. Accordingly, the principal or designee may search lockers and locker contents at any time, without notice, and without parent/guardianship or pupil consent.  All unauthorized locks (ones which the school does not have direct access) will be cut off from the locker. Failure to comply with these rules may result in the loss of locker privileges.  All lockers made available for student use on the school premises are the property of St. Justin School.  These lockers are made available for students use to store school supplies and personal items necessary for use at school.  These lockers are not to be used to store items which cause, or can reasonably be foreseen to cause, an interference with school purposes or an educational function or which are forbidden by state law or school rules.
Required
My student(s) and I have read and reviewed the Locker use policy for students and fully intend to comply with it's content.  Should I or my student(s) violate these rules, we understand that privilege to use the school locker may be revoked at any time.  

I or my student(s) also agree to report any misuse of the lockers to the school administration or teacher.  

This policy may be supplemented by guidelines established within school policies.  This agreement shall be in effect between the locker user and St. Justin school for the duration of the student's enrollment.  Non-renewal of the agreement does not release the user from the obligations of their most recently signed agreement.
Electronic Signature: *
First and last name
Today's Date *
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