Combined Common Enrollment Forms 2019-2020 Parents/Guardians, The following document is provided to assist you in enrolling your student in the Wichita Public Schools. It includes enrollment forms that are common to all schools in the district. Please read and complete the following forms: Agreement to Pay School Fees Asbestos Letter Authorization for Release of Immunization Records Authorized Student Data Disclosures Kansas Communities that Care Letter Grades 6, 8, 10, 12 Consent for Disclosure for Reduction of School Fees Enrollment Residency Questionnaire Human Growth & Development Form Elementary Grades 4 - 5 Human Growth & Development Form Secondary Grades 6 - 12 Migrant Survey Military Opt Out Form Grades 11 - 12 K-8 CHAMPS Student Expectations on the Bus Grades K - 8 High School BUS RIDE Student Expectations on the Bus Grades 9 - 12 FirstView Parent Release of Liability Textbook Acknowledgement Form You cannot save data typed into this document. After you have typed your information, hit the “Click Here to Print” button on the last page. Then sign each form in the designated space and submit them all to the school office. Each school may have additional forms that it requires as a part of the enrollment process. Also note that one document should be completed for each student in the district. THANKS!
Transcript
Combined Common Enrollment Forms 2019-2020
Parents/Guardians,
The following document is provided to assist you in enrolling your student in the Wichita Public
Schools. It includes enrollment forms that are common to all schools in the district. Please read
and complete the following forms:
Agreement to Pay School Fees
Asbestos Letter
Authorization for Release of Immunization Records
Authorized Student Data Disclosures
Kansas Communities that Care Letter Grades 6, 8, 10, 12
Consent for Disclosure for Reduction of School Fees
Enrollment Residency Questionnaire
Human Growth & Development Form Elementary Grades 4 - 5
Human Growth & Development Form Secondary Grades 6 - 12
Migrant Survey
Military Opt Out Form Grades 11 - 12
K-8 CHAMPS Student Expectations on the Bus Grades K - 8
High School BUS RIDE Student Expectations on the Bus Grades 9 - 12
FirstView Parent Release of Liability
Textbook Acknowledgement Form
You cannot save data typed into this document. After you have typed your information, hit the “Click Here to Print” button on the last page. Then sign each form in the designated space and submit them all to the school office. Each school may have additional forms that it requires as a part of the enrollment process.
Also note that one document should be completed for each student in the district.
THANKS!
Agreement To Pay School Fees
School
WICHITA PUBLIC SCHOOLS
Student Name ID Grade Date
Obligation Description Amount Due
Textbook Rental
Locker
Photo ID
Agenda
Total
Parent Information (Print Clearly) Name
Address
City/State/Zip
Home Phone
Work Phone
I am unable to pay textbook rental fees/obligations for the pupil named above at this time. I hereby agree to pay the fees according to the schedule below. I do request that my child be issued/have access to the adopted textbooks. I understand that all unpaid textbook rental fees/obligations may be reported to an agency for collection.
To: Parent/Guardian From: Margo Rufle, Manager Dear Parent: In 1988, the Wichita Public Schools completed a survey of all school buildings in the district as required by 40 CFR Part 763, Asbestos-Containing Materials in Schools Rule. This rule, which was enacted by Congress in 1987, requires all local education agencies to identify the location and condition of all asbestos-containing materials in the schools, and to develop plans to minimize the hazard of airborne asbestos fibers to building occupants. Accredited asbestos inspectors inspected each of our facilities. The inspectors located, sampled, and rated the condition and the potential hazard of all material suspected to contain, or assumed to contain asbestos.
The inspection reports and laboratory analysis records were turned over to an accredited asbestos management planner who developed an Asbestos Management Plan for each of our facilities. The plans include the inspection report, hazard assessment, and procedures for controlling any hazard that may exist.
The asbestos management plan of your child’s school is available for your inspection at no cost or restriction. Copies of the plan, which are located in the administrative office of each school and at the School Service Center, can be reviewed during regular school hours. A copy of the plan will be made available upon request for a reasonable fee. Implementation of the asbestos management plan is now in progress. We are committed to comply with all federal, state, and local regulations; including, but not limited to, periodic surveillance, operations and maintenance, and implementation of all response actions as listed in the Management Plan for each school. We plan to take all steps deemed necessary to ensure that your child and our employees have a healthy, safe environment in which to learn and work. If you should have any questions or comments regarding the Asbestos Management Plan for your school building, please contact the Environmental Services office at 973-2217.
April 18, 2017
WICHITA PUBLIC SCHOOLS Division of Student Support Services
DEPARTMENT OF HEALTH SERVICES
Authorization for the Release of Immunization Records and Information
Student Name – ______________________
Date of Birth – _______________
School – ______________________
Please return this form to the school office. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
I do hereby authorize any entity subject to HIPAA laws and regulations to release records and information regarding immunizations received by the above-named student to Unified School District No. 259, Sedgwick County, Kansas, to permit the student’s enrollment and attendance at school. This authorization continues until such time as the student reaches eighteen (18) years of age or until I exercise our right to revoke this authorization in writing and present it to the party in possession of the records and/or information.
Yes No ~~May we access the immunization record from the Kansas Immunization Registry (KSWebIZ)?
Yes No ~~May we share the immunization record with the Kansas Immunization
Registry (KSWebIZ)? Signed this ______ day of ____________________, 20____. (Date) (Month) (Year) Parent/Guardian Name (Print) Parent/Guardian Signature
PARENTS: PLEASE SIGN BELOW AND RETURN THIS DOCUMENT TO THE OFFICE AT: _____________________ SCHOOL.
ANNUAL NOTICE TO PARENTS AUTHORIZED STUDENT DATA DISCLOSURES
Certain student data of Unified School District No. 259 students is stored and maintained in statewide longitudinal data systems. A law was passed in 2014 that requires school districts to provide annual notice to parents concerning when a school district is allowed to disclose student data maintained in a statewide longitudinal data system to third parties. Under the 2014 law, a school district may disclose student data that is maintained in a statewide longitudinal data system to:
Authorized personnel of an educational agency or the state board of regents who require disclosure to perform assigned duties, and
The student and the parent or legal guardian of the student, provided the data pertains solely to the student.
In addition, student data maintained in a statewide longitudinal data system may be disclosed to authorized personnel of any state agency or to a service provider of a state agency, educational agency, or school performing instructions, assessment or longitudinal reporting, provided a data-sharing agreement between the educational agency and other state agency or service provider provides the following:
Purpose, scope and duration of data-sharing agreement
Recipient of student data uses such information solely for the purposes specified in the agreement
Student data will be destroyed when no longer necessary for purposes of the data-sharing agreement or upon expiration of the agreement, whichever occurs first.
A service provider engaged to perform a function of instruction may be allowed to retain student transcripts maintained in a statewide longitudinal data system as required by applicable laws and rules and regulations. Unless an adult student or parent or guardian of a minor student provides written consent to disclose personally identifiable student data maintained in a statewide longitudinal data system, such student data may only be disclosed to a governmental entity not specified above or any public or private audit and evaluation or research organization if the data is aggregate data. “Aggregate data” means data collected or reported at the group, cohort or institutional level and which contains no personally identifiable student data. The district may disclose:
Student directory information maintained in a statewide longitudinal data system when necessary and the student’s parent or legal guardian has consented in writing
Directory information maintained in a statewide longitudinal data system to an enhancement vendor providing photography services, class ring services, yearbook publishing services, memorabilia services or similar services
Any student data information from a statewide longitudinal data system requiring disclosure pursuant to state statutes
Student data maintained in a statewide longitudinal data system pursuant to any lawful subpoena or court order directing such disclosure
Student data maintained in a statewide longitudinal data system to a public or private postsecondary educational institution for purposes of application or admission of a student to such postsecondary educational institution with the student’s written consent.
AS THE PARENT OR LEGAL GUARDIAN OF __________________________________ (printed name of student), I ACKNOWLEDGE THAT I HAVE BEEN PROVIDED WITH NOTICE OF AUTHORIZED STUDENT DATA DISCLOSURES UNDER THE STUDENT DATA PRIVACY ACT. ________________________________________________ _________________________ Parent signature Date
Consent for Disclosure USD 259 – 4/2019
Consent for Disclosure for Reduction of School Fees USD 259 - Wichita Public Schools
2019-2020 School Name __________________________________ Dear Parent/Guardian:
You do not have to sign or send in this form to get reduced price or free Child Nutrition Program benefits for your children. If you do not sign the Consent for Disclosure it will not affect eligibility for or participation in the Child Nutrition Programs.
To save you time and effort, information about your children’s eligibility for reduced price or free Child Nutrition Program benefits may be shared with other programs for which your child may qualify. For the programs listed below, we must have your permission to share your information:
Yes, I DO want school officials to share information about my children’s eligibility for Child Nutrition Program benefits with only the programs I have checked below.
USD 259 Programs: Other Programs:
Textbook Rental Fees (Grades K-12)
AVID (Grades K-12)
Standardized Student Materials Fees (Grades K-12)
Upward Bound/TRIO (Grades 9-12)
Musical Instrument Rental Fees (Grades 5-12)
Latchkey Fees (SAP) (Grades K-5)
Athletic Fees (Grades 9-12)
Testing Fees (Grades 9-12)
If you checked yes to any or all of the boxes above, list all your children attending the school named above. Your information will be shared only with the programs you checked: Child’s Name: ______________________________________________________________ Student ID#_____________
Address: ____________________________________________________________________________________ For more information, you may call or email: School Official’s Name: __________________________________ Phone: _______________ Email: __________________________ Address: _____________________________________________________________________________________________________
If you have any questions regarding free/reduced, please call the Nutrition Services office at (316) 973-2160
This institution is an equal opportunity provider.
Wichita Public Schools ENROLLMENT RESIDENCY QUESTIONNAIRE
This form is intended to address the McKinney-Vento Act 42 U.S.C 11436, and must be completed for each Family. The information is confidential. Please complete the following questions regarding student’s housing in order to help determine if the student qualifies for services under the McKinney-Vento Act.
If one of the above is marked, Do Not complete the remainder of this form.)
Temporary Address: __________________________________ City:_______________ Zip Code: ________ Language Spoken in the Home: English:____________ Spanish________ Vietnamese________ Other_______________
Other Contact:_________________________________ Phone:_____________ Family:_____ Friend:______
1. Is your current address a temporary living arrangement? Yes____ No___ (see examples below) 2. Have you recently lost your housing due to economic hardship or eviction? Yes ____ No____ 3. How long have you lived in a temporary situation at your current address?_________________
If you answered YES to the above questions please fill out the remainder of the form. Living Arrangement: (Must select One) Living with another person or family temporarily due to loss of housing or economic hardship
Living in a motel or campground temporarily due to lack of an alternative housing
Living in a shelter, or transitional housing
Living in a parked car, abandoned building, or other inadequate housing
Student not in the physical custody of a parent or living on their own without parent or guardian support
I declare under penalty of perjury/fraud under the laws of the United States and the State of Kansas that the foregoing information is true and correct. I accept responsibility for repayment of all funds if found fraudulent.
Signature of Parent, Guardian, or Student:__________________________________ Date:_________
Student Name (First Name, Last Name)
Current School (please list previous school district if not currently enrolled in USD 259.
Grade M/F Date of Birth
ID#
2019-2020
***Please admit student immediately while documentation is being obtained***
Instructions for office staff – Please make sure all information is completed on the form and fax or email to the McKinney-Vento Office. Keep a copy of the
completed form. Fax to 973-4699 or email the Liaison at [email protected] (Please have the parent fill out the waiver of confidentiality form and the
child nutrition benefit form.)
Please list your children 0-18 years of age living with you in the same residence:
Are you renting, contributing to the rent or own your own home? If so
Are you in a Foster home or in JJA Custody? If so
Staff name submitting form: ________________________ Phone #:_____________________
Human Growth and Development (HGD) Opt-In Form 2019-20
As a parent/guardian, you have the option of whether or not your student receives education about Human Growth and Development in the Wichita Public Schools. The curriculum that your student would receive at each grade level is described in the following table:
Elementary Curriculum Research shows that many 4th and 5th grade boys and girls are beginning to experience the physical and emotional changes that occur during puberty. The Wichita Public Schools’ HGD curriculum includes a lesson to help students understand this normal part of growth and development.
4th Grade Girls and boys are separated for this lesson that includes a video and discussion of the following topics. The girls watch the video Puberty for Girls: Top Ten Things to Expect and the boys watch the video Puberty for Boys: Top Ten Things to Expect.
*A Time to Change *A Different Body, A Different Look *Organs & Glands *Top Ten Things to Expect
5th Grade Girls and boys are separated for this lesson that includes a video and discussion of the following topics. Both groups will watch the video, “Always Changing and Growing Up.”
• Physical, emotional and social changes that take place during puberty • Physical growth specific to females and males • Ideas to care for the body through hygiene, sleep, exercise and diet • Mature discussion with family members and peers
If you have any questions about this curriculum, please contact your child’s teacher or school nurse for a review of the curriculum. If further questions arise, contact the Human Growth and Development Curriculum Coach at 973-5123 or 973-5162. Please check one: Your choice is in effect for this school year unless you request a change.
Yes, I want my student to receive instruction on Human Growth and Development.
No, I do not want my student to receive instruction on Human Growth and Development.
If I’ve chosen “No” from the above choices and my child does not participate in the puberty lesson provided in the Wichita Public School classroom, I accept responsibility for the puberty education of my child. ______________________________________ ______________________________________ Parent/Guardian Printed Name Parent/Guardian Signature
Human Growth and Development (HGD) Opt–In Form 2019-20
As a parent/guardian, you have the option of whether or not your student receives education about Human Growth and Development and HIV/AIDS in the Wichita Public Schools. The curriculum that your student would receive at each grade level is described in the following table:
Secondary Curriculum The 6th through 12th grade HGD curriculum emphasizes abstinence and making healthy choices. Major topics include physical and emotional changes in puberty, pregnancy, child birth, STD and HIV/AIDS, protection methods, relationships, and sexual assault issues. The HGD curriculum is taught in specific classes based on USD 259 policy. Not all topics listed above are taught at each grade level. 6th Grade Science in all middle schools 7th Grade Science in all middle schools 8th Grade Science in all middle schools 9th Grade Physical Education Foundations in all high schools 9th – 12th Grade Family and Consumer Science in specific high school classes
If you have any questions about this curriculum, please contact the teacher who will be teaching this curriculum. If further questions arise contact the Human Growth and Development Curriculum Coach at 973-5123 or 973-5162. Please check one: Your choice is in effect for this school year unless you request a change.
Yes, I want my student to receive instruction on Human Growth and Development and HIV/AIDS.
No, I do not want my student to receive instruction on Human Growth and Development and HIV/AIDS. I
understand that my child will work independently on alternative assignments during the Human Growth and Development and HIV/AIDS instruction.
If I’ve chosen “No” from the above choices and my child does not participate in the Human Growth and Development and HIV/AIDS lessons provided in the Wichita Public School classroom, I accept responsibility for this education of my child.
______________________________________ ______________________________________ Parent/Guardian Printed Name Parent/Guardian Signature
English / Migrant Survey Revised 02/13/2017
Kansas Title I, Part C Program Identification & Recruitment Parent Survey Have you or a member of your family moved in the last 36 months to do, or apply for, any of the jobs listed below? Yes No Feed Cattle Dairy Poultry Cultivation Fishing Harvest Milling Cotton Trees Greenhouses Processing Preparation Planting Nursery Packing of soil Sod
Did your child or children move with or to join the worker mentioned above in the last 36 months? Yes No If you have lived in Wichita more than 3 years, have you or your family made a move out of Wichita and back again in the last 3 years? Yes No If yes, your child may be eligible for extra assistance and support. Please complete the following information. You can also call 866-8032 for additional information. Father’s Name: _______ Mother’s Name: _______________________ Address: _____ _____ Zip Code: __________ Telephone(s) Number(s):______________________________ Today’s date: ___________
Child’s Name First Last
Birthdate
School
Student ID Number
Wichita Public School - Title I Multilingual Education Services 923 Cleveland St - Wichita, KS 67214
Opt-Out Notification for Military Recruiters 2019-2020 school year
Two federal laws require the school district to provide military recruiters, upon request, the name, address and telephone number of each secondary school student unless the student or student’s parent has advised the district that this information is not to be disclosed. In order to have your directory information withheld, please note the following:
A request to withhold directory information must be in writing. You may use this form or appropriate forms from other sources. A request may also be hand-written.
This request will apply only to the release of directory information to military recruiters. Requests to suppress directory information used for other purposes (such as student publications, colleges and universities, class rings, and yearbooks) are not covered by this notification. Such requests must be filed directly with the school.
Requests for suppression of directory information are for one year, and must be renewed annually.
Both parents and students may sign this form. The parent signature must be on requests for students who are under the age of 18. For students who are 18 years of age or older, the student must sign the request.
Written requests to be excluded from directory lists provided to military recruiters must be completed and returned to the school by September 20, 2019.
I hereby request USD 259 not release directory information to military recruiters for this student:
Name of student
Date of birth mm/dd/yy
School attending
Parent signature Date signed (Not required if student is 18 years of age)
Student signature Date signed
………………………………………………………………………………………………………………….
Date Received Date entered to At School Date stamp Synergy
These laws are: Section 9528 of the ESEA (20 U.S.C. 7908), as amended by the No Child Left Behind Act of 2001 (P.L. 107-110), the education bill, and 10 U.S.C. 503, as amended by Section 544, the National Defense Authorization Act for Fiscal Year 2002 (P.L. 107-107), the legislation that provides funding for the Nation’s armed forces.
Board Counsel has approved this form as to legal form and content. Date: July 2, 2005
K-8 STUDENT EXPECTATIONS ON THE BUS Transportation Services Department
It is the right of every student being transported on a bus to receive this service in the safest possible manner. In
order to insure this, it is necessary for all students to know, and to follow the rules and regulations set forth by the
State and the local Board of Education. Below is a copy of the CHAMPS poster that will be posted on each bus with
additional student expectations following. Parents are urged to help their children understand the importance of
these rules as they relate to their personal safety. Remember the bus ride is an extension of the school day and that
school and classroom conduct is expected at the bus stop as well as on the bus.
Be on time to your assigned bus stop.
Bring only school appropriate items on the bus.
Obey the driver and/or aide at all times.
The use of Personal Electronic Devices such as cell phones and iPods may be allowed on the bus
when used quietly and appropriately. Students are personally responsible for the security of any Personal Electronic Devices.
A student with transportation as a related service who rides on a Special Education bus needs to be received by a parent/guardian. Pre-K students must be received hand-to-hand at the bus.
A Kindergarten student riding a regular education bus needs to be received by a parent/guardian.
Violation of the bus rules could result in suspension or revocation of the privilege to ride the bus.
The undersigned persons acknowledge receiving a copy of Student Expectations on the Bus and understand that
based on Board of Education Policy 7311 a student’s riding privilege may be suspended or revoked for unsafe and/or
inappropriate conduct on the bus. (See back for additional Transportation information.)
Print Student Name Student Signature (when applicable)
__________________________________________ Date ______________
Parent/Guardian Signature
Conversation Voice Level 1 or 2 – Whisper or quiet conversation (Level 0 – No talking at railroad tracks)
Help Raise your hand and ask bus driver for help.
Activity Be a respectful rider in your words and actions.
Movement Stay seated in assigned seat unless otherwise directed. (Exit and enter safely using handrails,
walk, feet on floor, face forward, keep body parts and objects inside the bus)
Participation Follow directions (No food, drink or gum, backpacks in appropriate place)
Success in school Safety for all riders
Other Transportation Information for Parents
1. Students are encouraged to arrive at their assigned bus stop 5 minutes prior to the scheduled stop time.
2. For your student’s safety he or she may only use the assigned bus stop.
3. The following items will not be allowed on the bus: skateboards, balls not secured in a backpack, water guns or toy replicas of weapons, animals/pets, scooters, balloons, flower bouquets, or any object that is prohibited by district policy, may cause a distraction, or is a safety hazard on the bus.
4. In case of an emergency while the bus is in transport, the driver will follow the bus contractor’s protocol. The
appropriate responders will be contacted and sent to assist. Depending on the nature of the incident, the
school will be contacted and will notify parents if appropriate and possible.
5. If buses are in transit when a tornado warning is issued, bus drivers will be directed to follow their severe
weather plan and when appropriate to proceed to the nearest USD 259 secondary school in the morning and
elementary school in the afternoon to seek shelter. Bus drivers will remain with students at that location
until released to resume the bus run.
6. A parent, guardian, or emergency contact person (listed at the school) must receive any student receiving
Special Education transportation. The adult must be visible to the driver. Pre-K students must be received
hand-to-hand at the bus.
7. A parent, guardian, or emergency contact person (listed at the school) must receive a Kindergarten student
transported on a regular education bus. The adult must be visible to the driver. Exception: A regular
education Kindergarten student who has an older sibling riding the bus may exit the bus with the older
sibling or be met at the bus by a sibling who is in middle or high school. On a day when the older elementary
age sibling does not attend school or ride the bus, the Kindergarten student must be received.
The following information identifies who to contact when certain situations arise:
Revised 2018
QUESTION WHO TO CALL PHONE NUMBER
Lost Child First Student Transportation Services
832-9231 973-2190
Stop or Address Change School
Driver Problems School Transportation Services
973-2190
Student Not Picked Up First Student 832-9231
Eligibility for Bus School
Lost Items on Bus First Student 832-9231
Parent Emergency School
School Closings USD 259 Hotline 973-4259
Discipline School
Bus Stop Information School
Late Bus First Student If no answer call Transportation Services
832-9231 973-2190
Attendance Boundary Student Records 973-4498
HIGH SCHOOL STUDENT EXPECTATIONS ON THE BUS Transportation Services Department
It is the right of every student being transported on a bus to receive this service in the safest possible manner. In order to insure this, it is necessary for all students to know, and to follow the rules and regulations set forth by the State and the local Board of Education. Below is a copy of the BUS RIDE poster that will be posted on each bus with additional student expectations following. Parents are urged to help their children understand the importance of these rules as they relate to their personal safety. Remember the bus ride is an extension of the school day and that school and classroom conduct is expected at the bus stop as well as on the bus.
• Be on time to your assigned bus stop.
• Bring only school appropriate items on the bus.
• Obey the driver and/or aide at all times.
• The use of Personal Electronic Devices such as cell phones and iPods may be allowed on the bus when used quietly and appropriately. Students are personally responsible for the security of any Personal Electronic Devices.
• A student with transportation as a related service who rides on a Special Education bus needs to be received by a parent/guardian.
Violation of the bus rules could result in suspension or revocation of the privilege to ride the bus.
The undersigned persons acknowledge receiving a copy of Student Expectations on the Bus and understand that based on Board of Education Policy 7311 a student’s riding privilege may be suspended or revoked for unsafe and/or inappropriate conduct on the bus. (See back for additional Transportation information.)
Print Student Name Student Signature (when applicable)
__________________________________________ Date ______________ Parent/Guardian Signature
Be respectful to others
Use headphones
Stay seated facing forward
Raise hand to ask for driver help
Interact at voice level 1 or 2
Don’t bring food drinks or gum
Enter & exit safely at assigned stop
Other Transportation Information for Parents
1. Students are encouraged to arrive at their assigned bus stop 5 minutes prior to the scheduled stop time.
2. For your student’s safety he or she may only use the assigned bus stop.
3. The following items will not be allowed on the bus: skateboards, balls not secured in a backpack, water
guns or toy replicas of weapons, animals/pets, scooters, balloons, flower bouquets, or any object that is prohibited by district policy, may cause a distraction, or is a safety hazard on the bus.
4. In case of an emergency while the bus is in transport, the driver will follow the bus contractor’s protocol. The appropriate responders will be contacted and sent to assist. Depending on the nature of the incident, the school will be contacted and will notify parents if appropriate and possible.
5. If buses are in transit when a tornado warning is issued, bus drivers will be directed to follow their severe weather plan and when appropriate to proceed to the nearest USD 259 secondary school in the morning and elementary school in the afternoon to seek shelter. Bus drivers will remain with students at that location until released to resume the bus run.
6. A parent, guardian, or emergency contact person (listed at the school) must receive any student receiving Special Education transportation. The adult must be visible to the driver.
The following information identifies who to contact when certain situations arise:
Revised 2018
QUESTION WHO TO CALL PHONE NUMBER Lost Child First Student
Transportation Services 832-9231 973-2190
Stop or Address Change School Driver Problems School
Transportation Services 973-2190
Student Not Picked Up First Student 832-9231 Eligibility for Bus School Lost Items on Bus First Student 832-9231 Parent Emergency School School Closings USD 259 Hotline 973-4259 Discipline School Bus Stop Information School Late Bus First Student
If no answer call Transportation Services
832-9231 973-2190
Attendance Boundary Pupil Accounting 973-4498
Parent Release of Liability
FirstView is an App that is owned and operated by First Student. They have agreed to Wichita Public
Schools granting and managing parent access to FirstView and all of its features I acknowledge and
understand that I am fully responsible for my child’s FirstView login information, including the security
code. I am fully responsible for notifying the school my child attends if I believe a user’s access to bus
Nombre en letras imprenta Firma Fecha FirstView là một App mà được sở hữu và vận hành bởiFirstStudent.Họđãđồng ýcho phép Trường CôngLập Wichita để cấp và quản lý quyền truy cập của phụhuynh vào FirstViewvàmọi tính năng của nó. Tôi thừa nhận và hiểu rằng tôi hoàn toàn chịu trách nhiệm về thông tin đăng nhập FirstView của con em tôi, bao gồm cả mã bảo mật (security code). Tôi hoàn toàn chịu trách nhiệm về việc thông báo trường mà con em tôi đang theo học. nếu tôi tin rằng người sử dụng có quyền truy cập thông tin xe bus có liên quan đến con em tôi sẽ bị khước từ. __________________________ ____________________________________ __________ Viết Tên Ký Tên Ngày
The form below must be signed by you and your student. Please return the form to the school office where it will be kept on file for the current school year.
Textbooks and other instructional materials are the property of USD 259, Wichita Public Schools. They are provided for the use of students who are enrolled in district schools and centers with the expectation they will be returned in the condition they were issued less reasonable wear and tear. Students who lose or damage instructional materials will be charged the replacement cost of the lost or damaged item(s).
Each student shall return all textbooks issued to the student at the time they withdraw from the school, at the end of the first semester for all classes that do not continue, or at the end of the school year. Students shall either checkout or write their names in the appropriate place, and properly use and care for the textbooks. Each student or their parent or legal guardian shall be responsible for textbooks not returned or damaged by the students. Any student failing to return textbooks or who fails to pay for lost or damaged items may as a result have holds placed on progress reports, report cards and diplomas, be excluded from participation in graduation ceremonies, extracurricular activities, sports and special programs/events. All fines must be paid by no later than the last instructional day of the school year.
Students are required to pay the replacement cost for damaged textbooks and instructional materials. The costs of books and materials are available in the district’s Textbook Manager System.
