REQUIRED FORMS

Acknowledgment Form

My child and I have received a copy of the Sands CISD Student Handbook and the Student Code of Conduct for 2007–2008. I understand that the handbook contains information that my child and I may need during the school year and that all students will be held accountable for their behavior and will be subject to the disciplinary consequences outlined in the Code.

Printed name of student:

Signature of student:

Signature of parent:

Date:

“Please sign and date this page, remove it from the handbook, and return it to the student’s school.”

Notice Regarding Directory Information and
Parent’s Response Regarding Release of Student Information

State law requires the district to give you the following information:

Certain information about district students is considered directory information and will be released to anyone who follows the procedures for requesting the information unless the parent or guardian objects to the release of the directory information about the student. If you do not want Sands CISD to disclose directory information from your child’s education records without your prior written consent, you must notify the district in writing within ten school days of child’s first day of instruction for this school year.

This means that the district must give certain personal information (called “directory information”) about your child to any person who requests it, unless you have told the district in writing not to do so. In addition, you have the right to tell the district that it may, or may not, use certain personal information about your child for specific school-sponsored purposes. The district is providing you this form so you can communicate your wishes about these issues. [See Directory Information on page 8 for more information.]

For the following school-sponsored purposes: student recognition activities, yearbook or student newspaper, printed programs for extracurricular activities, news releases to local media. Sands CISD has designated the following information as directory information:

■ Student’s name

■ Address

■ Telephone listing

■ E-mail address

■ Photograph

■ Date and place of birth

■ Major field of study

■ Degrees, honors, and awards received

■ Dates of attendance

■ Grade level

■ Most recent school previously attended

■ Participation in officially recognized activities and sports

■ Weight and height, if a member of an athletic team

Directory information identified only for limited school-sponsored purposes remains otherwise confidential and will not be released to the public without the consent of the parent or eligible student.

Parent: Please circle one of the choices below:

I, parent of ______________________________ (student’s name), (do give) (do not give) the district permission to use the information in the above list for the specified school-sponsored purposes.

Parent signature Date

For all other purposes, Sands CISD has designated the following information as directory information:

■ Student’s name

■ Address

■ Telephone listing

■ E-mail address

■ Photograph

■ Date and place of birth

■ Major field of study

■ Degrees, honors, and awards received

■ Dates of attendance

■ Grade level

■ Most recent school previously attended

■ Participation in officially recognized activities and sports

■ Weight and height, if a member of an athletic team

Parent: Please circle one of the choices below:

I, parent of ______________________________ (student’s name), (do give) (do not give) the district permission to release the information in this list in response to a request unrelated to school-sponsored purposes.

Parent signature Date

Parent’s Response Regarding Release of Student Information
to Military Recruiters and Institutions of Higher Education

Federal law requires that the district release to military recruiters and institutions of higher education, upon request, the name, address, and phone number of secondary school students enrolled in the district, unless the parent or eligible student directs the district not to release information to these types of requestors without prior written consent. [See Release of Student Information to Military Recruiters and Institutions of Higher Education on page 8 for more information.]

Parent: Please complete the following only if you do not want your child’s information released to a military recruiter or an institution of higher education without your prior consent.

I, parent of ______________________________ (student’s name), request that the district not release my child’s name, address, and telephone number to a military recruiter or institutions of higher education upon their request without my prior written consent.

Parent signature Date

Name of Student____________________________________________________

Field Trip Permission

I hereby consent to the designated personnel of Sands CISD for my child to participate in field trips, short excursions, or any other type of school related activities during this school year that a professional school employee may deem necessary for educational/instructional related experiences. I further consent to medical treatment for my child in the event medical attention becomes necessary while on a field trip. This authorization includes the authority to sign releases on my behalf for medical services.

Parent Initial______________

Medical Release Authorization

I hereby authorize the person(s) listed as EMERGENCY CONTACTS and DOCTOR below to be notified at the school’s discretion and do authorized named doctor/emergency doctor to render such treatment as may be deemed necessary in an emergency, for the health of said child. I further assume responsibility for payment of any professional emergency services required.

EMERGENCY CONTACTS:

(1) _________________________________________ Phone_______________

(2) __________________________________________Phone_______________

DOCTOR’S NAME:__________________________________Phone________________

Any known medical conditions:______________________________________________

Parent’s Signature_________________________________________________________

Table of Contents

REQUIRED FORMS. ii

Acknowledgment Form.. ii

Notice Regarding Directory Information and Parent’s Response Regarding Release of Student Information iii

Field Trip and Medical Release Forms………………………………………………..vii

Parent’s Response Regarding Release of Student Information to Military Recruiters and Institutions of Higher Education vi