Orondo Elementary & Middle School
Registration Form
Student’s Legal Full Name:______, ______,______
Last First Middle
Gender: M___ F___ Age:______Grade:______Date of Birth: ______/______/______
Enrollment Date:_____/_____/_____Home Phone: ______
Born in USA □ YES □ NO City of Birth______State of Birth______Country of Birth______
USA Entry Date____/____/____ USA School Entry Date____/____/____ WA School Entry Date____/____/____
Student resides with (circle one): Both Parents Mother Father Foster Parent Guardian Mother/Step-Father Grandparent Father/Step-Mother Other ______Ethnic Identity:
□Hispanic or Latino□Not Hispanic or Latino
Racial Identity:
□ White□ American Indian or Alaska Native□Black or African American □Native Hawaiian or Other Pacific Islander □ Asian
Father’s (Guardian) Full Name: / Home Phone #: / Cell Phone#: / Work #:Mother’s (Guardian) Full Name: / Home Phone #: / Cell Phone #: / Work #:
Home Address:______
City: ______Zip Code: ______
Mailing Address (if different): ______
City: ______Zip Code: ______
Other Children in Family
Name / Grade / BirthdateWho may we call in case of an emergency if unable to reach parents?
Name Relationship Phone
Has the student been retained? ___Yes ___No If so, in what grade? ______
Is the student enrolled in Special Education? ___Yes ___No
If you have moved within the last 3 years, was it for seasonal agriculture/fishing/forestry employment? __Yes __No
Orondo School District
STUDENT USER RELEASE FORM ACCEPTABLE USE POLICY FOR E-MAIL AND INTERNET ACCESS
Your child’s education can be enhanced by providing Internet access. Internet is a worldwide network of computers. It allows your child the opportunity to access rich information sources, share information, team concepts and communicate with children and adults from other parts of the country and the world. It is our intention to provide an Internet environment that is safe and appropriate for the maturity level and need of student users. Internet access by students will be monitored by district personnel and the degree of access to the Internet will be dependent upon the age of students.
We are requiring all students to have parental permission on file prior to receiving their Internet access.
Use of the Internet is an educational opportunity that requires users to act responsibly, ethically, and in accordance with network use guidelines. The student is responsible for his/her conduct on the Internet.
With access to computers and people all over the world also comes the availability of material that may be inappropriate and of no educational value. Once students become knowledgeable in the use of the Internet they may discover this controversial information. We cannot guarantee that students will not locate this type of material as they explore the Internet’s resources. We do provide content filtering and will monitor and guide the students. They will need to be on task anytime they use the Internet.
Please review the rules listed below with your child. You and your child must both sign the Student User Internet Access Release Form indicating your agreement with the conditions for the Internet use. The signed Release Form must be returned to your child’s school before access will be provided. If you have any questions, please call us at (509) 784-1333.
Please keep the above information for yourself and return the Release Form below.
Student User Internet Access Release Form
As a condition of each user’s right to use any type of computer related electronic media (including Internet) all students must agree to use the system in an acceptable manner, as listed below.
- I will not share my user ID and password.
- I will not use offensive language or pictures.
- I will respect other users and their rights.
- I will follow all copyright laws and licensing agreements.
- I will not use the system to sell or advertise.
Violation of the above policy may result in discipline up to expulsion from school and/or loss of the privilege of using school computer. If state or federal computer laws are broken, you will be reported to the police.
Student Signature______
Parent Signature ______Date Signed______
Classroom Teacher and Grade ______
Public Information Release
Orondo School District
Authorization to publish student work and/or physical likeness (photographs and videotapes)
My son/daughter ______has my permission to be photographed and/or videotaped for school presentations and publications. I understand my child’s likeness may appear in documents and other publications. I also understand that video he/she appears in may air on television or be included in promotional or informative school programs. This may include the World Wide Web.
Parent Signature______
Date ______
Dear Parents or Guardians,
Our school library is a very special place. This is where we share and enjoy books and develop reading habits that will be with us throughout our lives. We allow students to check out books not only to reinforce their studies, but also for enjoyment at home. You can help your child by taking an interest in the book he/she brings home and taking time to listen to him/her read them aloud.
Please help us by protecting and returning books on time. If a book is lost or damaged while in your care, you will be asked to pay for the book. Last year many books were damaged by food or liquids inside backpacks. We found that the 2 gallon freezer bags keep the books safe while in the backpacks. You can help by providing a safe place at home for the books and a safe way to carry books between home and school such as a book bag or plastic bag. Students are required to have a bag with them to check out books. This first plastic bag will be provided to your child at no charge. If the bag has a hole or will no longer seal; a new one will be necessary. The library will sell the student a plastic zip lock bag for $0.25. Since the average price of a new book is $15.00, we are encouraging parents to see that students use the bags provided.
We will be sharing important book care rules with your child. Please ask your child about these rules and reinforce them at home. If a book does get damaged, please don’t attempt to repair it at home.
Thank you for your support,
Linda Martinez, Librarian
WE ACCEPT THE RESPONSIBILITY OF CARING FOR THE AND RETURNING ON TIME BOOKS MY CHILD BORROWS FROM THE LIBRARY. WE UNDERSTAND THAT THE LIBRARY BOOKS ARE DUE EACH WEEK.
Student Signature ______Date ______
Parent Signature ______Date ______
Dear Parents/Guardians,
Attached to this letter you will find a Health History Form. It is required that you fill out the attached form and return it the first day of school. It is a means to comply with the new state laws: SHB 2834-Children with life-threatening health conditions and ESSB 6641-Diabetic Children. This is a tool for the school nurse to be able to identify those students who need an Emergency Care Plan and/or Health Care Plan developed for them to be safe at school, on the bus or on field trips. Not all children require a Care Plan. Those that do are students with moderate to severe asthma or other respiratory illnesses, diabetes, heart conditions, seizures, severe allergies to bee stings or foods requiring medication, moderate to severe mental health problems, mobility problems, or other disorder that impact their health and safety while learning. This form will be required at the beginning of each new school year.
Thank you for your cooperation in keeping your children safe at school. Please contact me at the school if you have questions or concerns.
______
Principal
______
School Nurse
Orondo School District Orondo Elementary & Middle School
REQUEST FOR RECORDS PO BOX 71
Orondo, WA 98843
Phone: 509-784-1333 Fax: 509-784-1754
Date: ______
The following student(s) have enrolled in our school. Please send __×__ Cumulative Records; __×__ Health Records; __×__ Confidential Records; __×__ Psychological Evaluations, Records & Reports; __×__ Discipline History; and __×__ Attendance History to the above address. Please send all special education recordsto the above address – Attention Caprice Logan, Special Education Director; or FAX 509-784-1754.
Last Name / First Name / Initial / Grade / Date of BirthI acknowledge notification of this transfer of records as required by the Family Education Rights and Privacy Act of 1974 and understand that I have a right to receive a copy at my own expense, if requested, and have an opportunity for a hearing to challenge the content of the records. I understand that the information transferred will be treated in a confidential manner and will not be transmitted to a third party without my consent.
______
Parent SignatureSchool Official