HS Parent Packet 2015-2016
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Transcript of HS Parent Packet 2015-2016
Greetings Parents and Families of TCS -
My name is Steve Palmer and I’m extremely honored to join the team of The Cottage School as the
new Executive Director. I’m very passionate about education and I look forward to partnering with
you to provide our students with a rigorous, engaging, and high-quality middle and high school
experience. As the parent of a son and daughter ages 22 and 20, I recognize the importance of a
strong home-school connection. Parents are every child’s first teacher and I believe that by working
together, we can make sure your child’s social, emotional, and academic needs are met.
Before joining TCS, I served in a variety of teaching and educational leadership roles over the past
20 years. Some of the roles I have held include classroom teacher, coach, Principal, Director,
Founder and Superintendent of a number of schools. My academic background includes a Doctoral
candidate in Education, a Master of Science in Educational Leadership, a Master of Science in
Counseling, a Bachelor of Science in Education and minor in Business, and a Certificate from three
states in Special Education and Educational Leadership and Administration.
The philosophy I live by is that all children are a gift and we as educators need to teach to their
strengths and cultivate their weaknesses. I also believe in helping children experience a positive and
realistic perception of themselves and a strong commitment to community. I think “abilities not
disabilities.” Education is all about children.
Finally, I want to congratulate Dr. Jacque Digieso for her 30 years of exemplary leadership of The Cottage School. I am excited she will remain with the school as a board member. I look forward to working with Dr. Digieso, as we continue to Honor the Past…Celebrate the Present…Embrace the Future! In Education –
Steven T. Palmer
Summer 2015
Hello High School Families,
Having just celebrated our 30th
, we were able to reconnect with alumni students and staff who told us over
and over what an amazing difference The Cottage School made in their lives. The administrative team is
already hard at work making sure we are ready to continue to make a positive difference in your lives as we
embark on year 31! Please review this letter and the attachments carefully as this is all information you need
for the summer and for the fall. Please attend to deadlines and submit early so you get a head start on things
that need to be completed before registration and orientation.
Policy Revisions: Again this year, thank you for the time and attention you gave to the parent survey; based
on your feedback we have made adjustments to our policies and procedures. Because students made such
good choices wearing work place appropriate jeans, Spirit Wear Casual Fridays, where appropriately nice
blue jeans can be worn with a TCS spirit shirt were a success and will continue. In addition, BYOD
continues in the High School, and students will be able to maintain possession of cell
phones/laptops/tablets/iPods, etc…for as long as they comply with the appropriate use policy, and we added
some privileges to individual pay levels as well. In our tobacco and no smoking policy for school and school
events, we prohibited electronic cigarettes and vaping, and we are excited to be considering an official
Cougar hooded jacket to be available for students to purchase in the fall. Encourage your teen to earn some
money this summer babysitting, mowing lawns, etc…because they are going to want one!
Staff Additions: We are excited to add to our instructional team this year and want to welcome Michael Ann
Harris from the ASP and CAPStone program to a full time position teaching Math, Lynn Leonard in Social
Science, Amanda Burke in Science and Jason Morrow in Science. They all come to TCS with excellent
experience and references, and we are looking forward to adding their talents to our already fabulous team.
Summer Reading Goal - Two Books/Graphic Novels: Education research stresses that students should be
reading over the summer. Summer reading credit is solely dependent on completed summer reading logs and
reading questions presented to teachers upon student’s return to school. We will accept submissions up to
Monday, August 17th
. We have provided some excellent reading options that are listed on the parent portal
of the TCS website, and as always, we are flexible with independent reading material, and trust that you will
assist your teen in choosing reading material appropriate for their age and reading level.
Manual Review: Review the revised Student Policy and Procedure Manual that is posted on our website:
www.cottageschool.org with your student, prior to signing the on-line form. This needs to be signed prior to
attending orientation.
Enrichment Classes for Rising 9th
Graders: These classes July 27 – July 31 are a great way to prepare
your student for the 2015-2016 year. Please see the flyer for more about this opportunity.
Remind.Com: We will again be using Remind.com for emergency announcements and any school
closings. To sign up for the 2015-16 school year, please take a minute to send a text to’81010’ and put
‘tcspar’ in the message section. We will use Remind.com only for emergencies or to communicate time
essential information.
Forms Due by July 20th
: In order to ensure your student gets first priority for registration in the classes they
would like and to save time at orientation, please complete forms and submit by July 20th
. Complete
ON-LINE forms for Vital Student Information, Elective choices, and PE uniform orders. For the remaining
forms, please complete and return either 1) mail, 2) scan and email ([email protected]), or
3) hand deliver to the school.
Registration: Since you will have submitted all of your forms and payments as needed, you will breeze
through registration. You will receive your preliminary schedule, calendar, text books, locker, sign-up for
athletic teams, purchase PE uniform, and reserve a parking space for your driving teen. In addition, parents
will receive information from the Parent Association and Booster Club. Be sure students attend in school
dress code (see Student Policy and Procedure Manual). Those students who are not in dress code will be
asked to go home and change before they can register.
Registration and Orientation for 10th
, 11th
, 12th
Returning Students: Wednesday, August 5th
9:00-11:00A.M. Report in school dress code to the Reinhardt Community Center in the Administration
Building. I strongly encourage a parent be in attendance.
Registration and Orientation for all 9th
grade and New Students & a Parent/Guardian: Thursday,
August 6th
9:00-11:00A.M. Report in school dress code at 9:00A.M. to the Reinhardt Community
Center in the Administration Building. New Student Registration REQUIRES at least one parent’s
attendance with their child from 9:00-11:00A.M. Starting at 9:01A.M. there will be a group orientation
session and review of some policies and procedures.
New Families: Wednesday, August 12th
we are hosting a New Parent Evening Reception at school from
6:00-7:30 P.M. Please RSVP to Stephanie by August 7th
[email protected] or 678-250-5125.
RSVP-Parent and Family Social: Thursday, August 20th
from 5:30P.M. to 7:00P.M. in the Reinhardt
Community Center. Please mark your calendar and make plans for the whole family to attend! This is a good
time to meet everyone and find families in your zip code to establish car pools. RSVP by August 12th
to
Stephanie with the number of family members attending the picnic: [email protected] or 678-
250-5125.
Carpool: For those families interested in carpool opportunities, please note this when you are filling out the
on-line Vital Student Information form. This information will be gathered and available during registration
and orientation.
Medication: Some of our students take medication during the school day. Please read our HS medication
policies in the Policy and Procedure Manual carefully and be prepared to follow the procedures listed. We
request that you deliver a couple of ‘emergency’ doses to Ivan Plastiak so that we have medication here
to administer should your child forget his/her medication. To ensure that all students receive the
prescribed medication and dose, please provide the school with your student’s medication in a prescription
bottle with the medication information and dosage clearly indicated on the bottle.
Lunch: We are working again with Wholesome Tummies. Please see the information on the lunch
program and get signed up! If you prefer to pack a lunch, be sure it is labeled with student name. There are
microwaves and a refrigerator in the RCC for student use.
Snack: We know the benefits of a quick snack mid-morning, so we are maintaining a snack opportunity at
the beginning of fourth period. Students may purchase snacks from the snack cart or bring their own.
Students are encouraged to bring something healthy and easy to eat quickly…fruit, granola, yogurt, energy
bars, water…items that will give their metabolism the boost it needs to sustain attention until lunch.
Materials for School: It is perfectly acceptable for HS students to wait to purchase school supplies until
receiving each teacher’s syllabus. In order to assist with organizational issues, and for those of you who want
to shop early, TCS uses the following COLOR GUIDE for each academic discipline. We ask that you
follow these same color schemes when purchasing your school materials:
English or Language Arts Classes – Red Notebooks
Mathematics – Blue Notebooks
Social Studies – Yellow Notebooks
Science – Green Notebooks
Electives – White/Black & other color Notebooks
In general, HS teachers prefer separate, 1 inch, 3 ring binders for each class, but allow one binder with
divided, color sections if that works best for your student. In addition, a few pens, pencils, loose leaf paper or
tablets and a pack of highlighters are encouraged. A flash drive is a must!
First Day of School Monday, August 10th
: Be sure students have a writing utensil and at least one notebook
to start the year off successfully. Remember, we are a team and we need your support to see that our
students are fully prepared so they get off to a good start.
We are looking forward to another great school year. Many of us will be available throughout the summer to
answer any questions you may have, so feel free to call or stop by. I look forward to seeing you soon!
Sincerely,
Laura Finnell
High School Principal
Attention Parents and Students
The 2015-2016 Student Policy and Procedure Manual is
now available in the “Parents” section of our website.
SUMMARY LIST
TO DO:
Summer Reading
Review Student Policy and Procedure Manual with your student
Optional – Place lunch order on Wholesome Tummies website July 27
Optional – Rising 9th
Grade Enrichment Opportunity July 27 - 31
RSVP for New Parent Evening Reception by August 7
RSVP for PAC Social by August 14
Review Booster Club Support
COMPLETE AND RETURN BY JULY 20TH
:
On-line Student Policy & Procedure Manual Signature Page
On-line Vital Information Forms
On-line Elective Selections
On-line PE Order Form
After School Opportunity and Competitive Sports Form with Payment
Physical Form
Parent Consent for Participation in Interscholastic Athletics
PAC Volunteer Form
Return items to TCS either by mail, hand delivery or
scan/email to [email protected].
June 17, 2015 Subject to change
The Cottage School 2015-2016 Parents Abbreviated Calendar Semester 1 August 5 H.S. Registration (returning students) 9am-11am August 6 H.S. Orientation (new students & rising 9th graders) 9am-11am August 7 M.S. Orientation (all students) 8am-12pm August 10 First Day of School August 12 New Parent Evening Reception 6pm-7:30pm, RCC August 20 PAC Parent and Family Social, 5:30pm-7pm, Cougar Center September 3 Curriculum Night for M.S. & H.S., 6pm-7:30pm September 7 No School – Labor Day Holiday September 18 No School – All School Teacher Work Day October 3 2nd Annual Cougar Classic Car Show & Bazaar, 10am-4pm, TCS Campus October 6-7 Annual Fund Drop Off Days in Carpool October 12 No School – Columbus Day Holiday October 30 No School – All School Teacher Work Day November 2 No School – GISA Conference November 14 3 on 3 Turkey Basketball Tournament, Cougar Center November 20 Grandparents’ & Grandpals Day, 8am-10am, Cougar Center November 23-27 No School – Thanksgiving Break December 15-17 H.S. Sem. 1 Final Exams - ½ days December 17 No M.S. School – M.S. Teacher Work Day December 18 No School – All School Teacher Work Day December 21-Jan 1 Winter Holiday for All Students Semester 2 January 4 First Day of 2nd Semester January 18 No School – MLK Holiday January 21 – 23 Homecoming Weekend February 12 No School – All School Teacher Work Day February 15 No School – Presidents’ Day Holiday March 10 Founder’s Day March 19 Glitter Event April 1 No School – All School Teacher Work Day April 4 - 8 Spring Break May 16 - 18 H.S. Sem. 2 Final Exams - ½ days May 17 M.S. Awards and Graduation, 6:30pm, Cougar Center May 18 M.S. Last Day of School - ½ day May 19 M.S. Teacher Work Day May 19 H.S. Last Day of School - ½ day May 19 Senior Luncheon, 12:15pm, Doubletree in Roswell May 20 TCS Graduation, Cougar Center
Dear TCS Parents:
We encourage you to take part in one of the most successful tax credit scholarship
programs in America-Georgia Goal!
Tens of thousands of Georgia taxpayers made history in 2015 – consuming all education tax
credits in just ONE day!
GA Goal is a Student Scholarship Organization (SSO) in which Georgia individual and corporate taxpayers can
contribute in exchange for a state income tax credit and possible federal charitable income tax deduction. GA
Goal then uses the contributions to award scholarships to students from K-12 public schools so that they can
attend the private schools chosen by their parents.
Seize the Opportunity!
Contribute to GOAL – at no cost to you – and allow deserving Georgia students to attend
The Cottage School.
This program is an invaluable benefit for our school and community.
With your contribution to GOAL, we are able to:
Increase the amount of financial aid that can be offered to new students
Preserve more of our existing financial aid to assist families already enrolled
Increase enrollment
Increase tuition income
Increase the funds available to improve educational and other offerings
Enable the school to further its mission by reaching more families desiring a TCS
education
GOAL is now accepting 2016 tax credit applications!
Please apply for a 2016 tax credit by completing the form online at www.goalscholarship.org.
Payment is required 60 days after DOR approval, which will be mid to late March of 2016.
If you have any questions, please contact CFO Bob Crenshaw at [email protected] or
770-641-8688. Thank you for your support of The Cottage School.
PSAT **Please send a check for $25
To The Cottage School
by August 28, 2015 to reserve your spot!**
Wednesday,
October 14, 2015
8-12
Please RSVP
for this test at
770-641-8688 or [email protected]
*Please contact Lynn for information regarding extended time
and other accommodations.*
We recommend all college bound 10th and 11th graders take the
PSAT for practice and exposure.
ENRICHMENT CLASS
Middle School and Rising 9th Graders
July 27-July 31
8:00-12:00
At the TCS Middle School
July 27th-31st
$300.00
Middle School and Rising 9th Grade Parents Language Arts and Math Enrichment
The Middle School has a great offer for you. We will be offering enrichment classes for Language Arts and Math. Has
your child forgotten some information over the summer that they will need come August 10? Have them attend a week of review to prepare them for the upcoming year. TCS Staff will be enriching the students on their language arts and math facts. Sign up as soon as possible to guarantee your child a spot in the class. Contact Nancy Wadel by phone at 770-641-8688 or by e-mail at [email protected].
New TCS Families!
High School Orientation Thursday, August 6th—9:00AM-11:00AM
Middle School Orientation Friday, August 7th—8:00AM-12:00PM
First Day of School Monday, August 10th—8:00AM-3:00PM
New Parent Social Wednesday, August 12th—6:00PM-7:30PM
PAC Social Thursday, August 20th—5:30PM-7:00PM
Updated 5/29/2015
After School Opportunities and Competitive Sports
Academic Support – The teaching staff is available on Tuesdays, Wednesdays, and Fridays from 3:00 P.M. – 4:00 P.M. (or in the A.M. by appointment) for additional academic support at no extra cost.
After School Program (ASP) – The Cottage School offers an ASP for students Monday – Friday, 3:00 P.M. – 6:00 P.M. From 3:30 P.M. – 4:30 P.M., students participate in a supervised homework and study hour, including use of computer lab for homework.
From 4:30 P.M. – 6:00 P.M., students have the opportunity to engage in activities including: continued homework supervision; indoor board or other educational games; outdoor physical activity (weather permitting); campus speakers/presentations; co-curricular activities; home sports events. ASP fees are prepaid in advance by month and are non-refundable.
Late Pick-Up – If you are unable to pick up your child at ANY scheduled pick-up time (either at the end of the school day by 3:15 P.M., practices, or ASP, etc.) there will be a $1 per minute late fee.
After School for Credit – After School for Credit is also available as an after school option for your child. Please contact the Admissions Office if you have interest in enrolling your child in an After School for Credit course.
Additional Academic & Tutorial Programs – Additional services are available for an hourly fee of $65 per hour, covering such topics as SAT/ACT Prep, Speech/Language services, social skills, etc. Please contact your child’s Principal in regard to additional academic and tutorial programs.
After School Program (ASP) Fee Schedule Please circle the appropriate fee for the months you wish to prepay for ASP coverage for your child:
Month Monday Only*
Mon. & Fri. Only*
Total due for the Month
August 2015 $144 $44 $77 September 2015 $180 $33 $66 October 2015 $180 $33 $77 November 2015 $135 $33 $66 December 2015 $117 $22 $44 January 2016 $171 $33 $77 February 2016 $171 $44 $77 March 2016 $207 $44 $88 April 2016 $135 $33 $66 May 2016 $126 $33 $55
Total: *If your child participates in sports, ASP coverage is available on days when practices are NOT held. No prorated fees on daily rates are available.
Competitive Sports Teams – High School and Middle School students may participate on any sports team listed below throughout the year. Fees are determined based on the number of seasons your child participates. Competitive Sports fees & After School Program fees can be combined in order to assure supervision on days when practices are not held. Competitive Sports fees also include membership in the TCS Athletic Booster Club. Please circle the sports your child chooses to participate in each season:
Fall Season: 8/10 - 10/11 Registration by Aug. 11th Choices: Soccer
Volleyball Cross Country
Winter Season: 10/13 – 2/13 Registration by Oct. 14th Choices: Women’s Basketball
Men’s Basketball Archery Cheerleading
Spring Season: 2/16 – 4/29 Registration by Feb. 17th Choices: Track and Field
Baseball Tennis Golf
Total # of Seasons Participating
1 Season ($200)
2 Seasons ($400)
3 Seasons ($550)
Total: $ ____________
*Note: Dates for specific sports vary within the MS/HS seasons. (Check with coaching staff for exact dates.) Student Name (Print): ________________________________________ Parent Name (Print): __________________________________________
Please Circle: Cash Check OR pay via Credit Card online at: https://cottageschool.diamondmindinc.com/
June 2015
School lunch was NEVER like this!
The Atlanta Wholesome Tummies Team is thrilled to be back at The Cottage School this year! Our company was started in an effort to bring REAL food back to students. Our WT Café experience offers only the highest quality food available in schools using only the purest, freshest and most natural ingredients. Our foods are prepared from scratch, cooked in our commercial kitchen using many organic and locally sourced ingredients and delivered directly to your school.
Key components of our program:
We use NO high fructose corn syrup, no trans fats, no artificial flavors, colors, nitrates or preservatives
We use only whole grains for breads and pastas Fresh fruits and vegetables on our menu daily – nothing canned Always a nut-free ingredients with gluten-free, vegetarian options Signature WT Creations – our line of healthy “treats” prepared from scratch Dietician approved menus Kid-favorite and more adventurous options daily Robust proprietary technology: on-line ordering and payment
How it works:
If you not already registered, please register on our website by clicking our logo at The Cottage School website. If you are already registered, please update your student’s information. This helps with distribution and getting lunches to the correct place – especially if your student is transferring from Middle to High School. Pre-order one of our vast selections of entrees online at least 36 hours before lunch. Students select their two sides on site at school. Sides include: fresh, in-season fruits, veggies and all-natural and organic snacks. The Cottage School will be active on the Wholesome Tummies website and you can begin ordering online by July 27, 2015. The first lunch will be served on Monday, August 10. Detailed pricing is listed on our website, with prices ranging from $4.50 to $7.00 depending on the size of the meal. We will have detailed instructions available on how to how to order once The Cottage School is live on our website.
Please note that we will deliver sack lunches in place of Pizza on the Fridays that your student has a field trip – these comprise a 6 inch sub, chips, fruit and water.
We look forward to serving you and your children this coming year – have a great summer! In the meantime, learn more about us at www.wholesometummies.com. Thank you! Judy Gordon
Summer 2015 Dear Parents, The following pages contain information regarding the physical education and athletic programs for the next school year. The first matter concerns PE uniforms. Of course, our policy as outlined in the Student Handbook requires Cottage School issued uniforms for all physical education and “athletic” elective classes. Please go on-line to place your order as soon as possible to ensure that we have enough inventory for our first day of school. The second form (Pre-participation Physical Examination) contains two sections. You must complete the front of the form yourself, while arranging for a doctor to fill out the other two pages. This form must be returned for students to gain eligibility for all Cottage School athletic teams. The Athletic Department is required by the Georgia Independent School Association and the Atlanta Athletic Conference to retain these forms on file for all students who participate in athletics. The third form is the Parental Consent for Participation in Interscholastic Athletics. This form must be completed by parents or guardians and returned to the school. Only students with signed consent forms will be eligible to participate in Cottage School Athletics. This form needs to be updated each year for returning student athletes. Thank you for your attention to these matters. Sincerely, Richie Briggs Athletic Director The Cottage School 678-250-5130 [email protected]
TCS Physical Education Order Form It is suggested that each student own at least one set of the summer uniform and one set of the winter uniform. It is further recommended that you have your students write their names, using a laundry marker, on the inside of each garment. Please specify the size: Youth Large (YL), Small (S), Medium (M), Large (L), Extra Large (XL), Double Extra Large (XXL), Triple Extra Large (XXXL) Summer Uniform Costs: T-Shirt - $10.00 each Size_______ Number______ Knee Length Mesh Shorts - $10.00 each Size ____ Number_____ Winter Uniform Costs:
Sweat Shirt - $15.00 each Size_____ Number______ Sweat Pants - $15.00 each Size_____ Number______ Please make checks payable to The Cottage School and mark “PE Uniform” in the memo space. Total Amount Paid: _____________________ Student’s Name: _________________________ Homeroom Teacher: _______________________
Explain "Yes" answers below.Circle questions you don't know the answers to.
Yes No 1. Has a doctor ever denied or restricted your participation
in sports for any reason? 2. Do you have an ongoing medical condition
(like diabetes or asthma)? 3. Are you currently taking any prescription or
nonprescription (over-the-counter) medicines or pills? 4. Do you have allergies to medicines, pollens, foods, or
stinging insects? 5. Have you ever passed out or nearly passed out
DURING exercise? 6. Have you ever passed out or nearly passed out
AFTER exercise? 7. Have you ever had discomfort, pain, or pressure in
your chest during exercise? 8. Does your heart race or skip beats during exercise? 9. Has a doctor ever told you that you have
(check all that apply):High blood pressure A heart murmurHigh cholesterol A heart infection
10. Has a doctor ever ordered a test for your heart?(for example: ECG, echocardiogram)
11. Has anyone in your family died for no apparent reason?12. Does anyone in your family have a heart problem?13. Has any family member or relative died of heart
problems or of sudden death before age 50?14. Does anyone in your family have Marfan syndrome?15. Have you ever spent the night in a hospital?16. Have you ever had surgery?17. Have you ever had an injury, like a sprain, muscle or
ligament tear, or tendinitis, that caused you to miss apractice or game? If yes, circle affected area below:
18. Have you had any broken or fractured bones ordislocated joints? If yes, circle below:
19. Have you had a bone or joint injury that required x-raysMRI, CT, surgery, injections, rehabilitation, physicaltherapy, a brace, a cast, or crutches? If yes, circle below:
Head Neck Shoulder Upper Elbow Forearm Hand/ ChestArm Fingers
Upper Lower Hip Thigh Knee Calf/ Ankle Foot/Back Back Shin Toes20. Have you ever had a stress fracture?21. Have you been told that you have or have you had
an x-ray for atlantoaxial (neck) instability?22. Do you regularly use a brace or assistive device?23. Has a doctor ever told you that you have asthma
or allergies?
Preparticipation Physical Evaluation HISTORY FORM
Date of Exam ___________________________
Name _________________________________________ Sex_________Age________Date of birth_________________
Grade_____School________________________________Sport(s)____________________________________________
Address_________________________________________________________________Phone_____________________
Personal Physician __________________________________________________________________________________
In case of emergency, contact:
Name _______________________Relationship______________Phone (H)_______________Phone(W)______________
Yes No24. Do you cough, wheeze, or have difficulty breathing
during or after exercise?25. Is there anyone in your family who has asthma?26. Have you ever used an inhaler or taken asthma medicine?27. Were you born without or are you missing a kidney,
an eye, a testicle, or any other organ?28. Have you had infectious mononucleosis (mono)
within the last month?29. Do you have any rashes, pressure sores, or other
skin problems?30. Have you had a herpes skin infection?31. Have you ever had a head injury or concussion?32. Have you been hit in the head and been confused
or lost your memory?33. Have you ever had a seizure?34. Do you have headaches with exercise?35. Have you ever had numbness, tingling, or weakness
in your arms or legs after being hit or falling?36. Have you ever been unable to move your arms or
legs after being hit or falling?37. When exercising in the heat, do you have severe
muscle cramps or become ill?38. Has a doctor told you that you or someone in your
family has sickle cell trait or sickle cell disease?39. Have you had any problems with your eyes or vision?40. Do you wear glasses or contact lenses?41. Do you wear protective eyewear, such as goggles or
a face shield?42. Are you happy with your weight?43. Are you trying to gain or lose weight?44. Has anyone recommended you change your weight
or eating habits?45. Do you limit or carefully control what you eat?46. Do you have any concerns that you would like to
discuss with a doctor?FEMALES ONLY47. Have you ever had a menstrual period?48. How old were you when you had your first menstrual period? ______49. How many periods have you had in the last 12 months?__________Explain "Yes" answers here:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct.
Signature of Athlete_________________________________Signature of Parent/Guardian________________________________Date_____________c 2004 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and AmericanOsteopathic Academy of Sports Medicine.
Revised 7/1/05Mandatory
Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
Name _______________________________________________________________Date of Birth___________________
Height_________Weight________% Body Fat (optional)________Pulse_______BP____ / ____ (____ / ____, ____/____)
Vision R 20/______ L 20/______ Corrected: Y N Pupils: Equal ______ Unequal______
NORMAL ABNORMAL FINDINGS INITIALS*MEDICALAppearance
Eyes/ears/nose/throat
Hearing
Lymph nodes
Heart
Murmurs
Pulses
Lungs
Abdomen
Genitourinary (males only)+
Skin
MUSCULOSKELETALNeck
Back
Shoulder/arm
Elbow/forearm
Wrist/hand/fingers
Hip/thigh
Knee
Leg/ankle
Foot/toes
*Multiple-examiner set-up only.+Having a third party present is recommended for the genitourinary examination.
Notes: ______________________________________________________________________________________________________________________________________________________________________________________________________________
Name of physician (print/type)________________________________________________________________Date______________
Address__________________________________________________________________________Phone____________________
Signature of physician _______________________________________________________________________________, MD or DO
c 2004 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and AmericanOsteopathic Academy of Sports Medicine.
Preparticipation Physical Evaluation CLEARANCE FORM
Name______________________________________Sex__________Age________Date of birth___________________
Cleared without restrictionCleared, with recommendations for further evaluation or treatment for:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Not Cleared for All sports Certain sports: ________________________ Reason:__________________
Recommendations:_________________________________________________________________________________________________________________________________________________________________________________
EMERGENCY INFORMATION
Allergies ________________________________________________________________________________________
Other Information _________________________________________________________________________________
Name of physician (print/type) ____________________________________________________Date _______________
Address ________________________________________________________________Phone ____________________
Signature of physician _____________________________________________________________________, MD or DO
c 2004 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and AmericanOsteopathic Academy of Sports Medicine.
Preparticipation Physical Evaluation CLEARANCE FORM
Name______________________________________Sex__________Age________Date of birth___________________
Cleared without restrictionCleared, with recommendations for further evaluation or treatment for:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Not Cleared for All sports Certain sports: ________________________ Reason:__________________Recommendations:_________________________________________________________________________________________________________________________________________________________________________________
EMERGENCY INFORMATION
Allergies ________________________________________________________________________________________
Other Information _________________________________________________________________________________
Name of physician (print/type) ____________________________________________________Date _______________
Address ________________________________________________________________Phone ____________________
Signature of physician _____________________________________________________________________, MD or DO
c 2004 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and AmericanOsteopathic Academy of Sports Medicine.
PARENT CONSENT FOR PARTICIPATION IN INTERSCHOLASTIC ATHLETICS
STUDENT’S NAME:_________________________________________________________ ADDRESS: ________________________________________________________________ _________________________________________________________________ I (we) as a parent (s) or guardian (s) understand and realize that there is a possibility that a student may suffer injury, including permanent paralysis or death, as a result of participation in athletics. I further understand that The Cottage School disc claims any financial responsibility for the costs of medical treatment, hospitals, ambulances, or paramedics, etc., arising out of or by virtue of an injury to my (our) student while participating in such interscholastic competition or preparation thereof. My (our) above named student has my (our) permission and approval to participate in the following sport (s). Please use an X to mark approved sports: _____ ALL SPORTS _____ CHEERLEADING _____ TENNIS _____ ARCHERY _____ CROSS COUNTRY _____ TRACK & FIELD _____ BASEBALL _____ GOLF _____ VOLLEYBALL _____ BASKETBALL _____ SOCCER I (we) acknowledge that before my student can participate in such school-sponsored sports, this consent must be executed by me (us) and filed at the school, together with the statement indicating a physician has been consulted and indicated that the above named student is physically fit to participate in such school-sponsored activity. TO WIT: I (we) do herein acknowledge that we have consulted with our family physician and that our student is physically fit to participate in the sport (s) indicated above and marked with an “X” and, do herein consent to the participation of the above named student in the sport(S0 indicated above and marked with an “X”. __________________________________________________________________________________________ Printed Name of Parent(s) or Guardians(s) Date
___________________________________________________________________________Signature of Parent(S) or Guardian(s) Telephone
Promote Cougar Pride Support the Athletic Booster Club in 2015-2016
Over 65 percent of our students participate on 18 athletic teams at The Cottage School. Our athletes and coaches need your help as team parent supporters. Our gym creates additional opportunities for Booster Club activity (help with concessions, scoreboard operation, and tournaments to name a few). Please consider an investment in the success of the TCS athletic programs. Your open support of any amount (Checks or online payment to TCS – Booster Club; to the business office) allows the athletic department to cover both unexpected necessities as well as “nice to have” but unbudgeted items, such as coaches polo’s, hall of fame plaques, and archery equipment. The students are vested; please help reinforce the principles being set forth by being involved too. Watching and cheering is great but helping is superb and a necessity!
Richie Briggs, Athletic Director & Lyle Cutchin, Assistant Athletic Director
The Cottage School · 700 Grimes Bridge Road · Roswell, GA 30075
Your Name (Parent/Guardian): ____________________________________________
Student(s) Name: ________________________________ Grade(s): ____________
Student(s) Sports (Actual or Interest): ______________________________________
Home Address (Include city/zip): __________________________________________
Email: ____________________________________ Phone: _____________________
How can I Help? (Circle all that apply):
Concessions
Sports Banquet
Cougar Store
Tournaments
Homecoming and/or Senior Night
Scorebooks & Clock
Thank you for the support!
PAC PICKS Dear TCS Families – Did you know that the Parent Association (PAC) dues are included with your tuition? Many of you may be wondering exactly what PAC is all about and how you can be involved. PAC provides much of the volunteer manpower for programs and initiatives at The Cottage School. PAC volunteers help support TCS through campus beautification, staff appreciation activities, administrative support, hospitality, program enhancements, TCS Founder’s Day celebration, parent social events, the newly formed mentor program, educational opportunities and more! Take a minute to fill out the volunteer form, we will find the right position for YOU! The most important thing is for your student to see you involved in their school. Your involvement shows them just how important their education is to you. There is a volunteer position for everyone; whether you work full-time, part-time, live around the corner from TCS or have a one hour + commute each day. Welcome to our new families! We are so glad to have you here at TCS and hope you will join us for the New Parent Reception on August 12 at 6pm. This is great way to learn so much more about TCS and meet people. And, we look forward to seeing all families, new and returning, at our first all school event, the PAC Family Social on Thursday, August 20th from 5:30 pm-7:00 pm in the Cougar Center. This is a great opportunity to see old friends and make new ones. Mark your calendar now! If we can answer any questions, please email Brenda at [email protected] or Becky at [email protected]. It is going to be a great year at TCS, thank you in advance for your support. Best Wishes and Go Cougars – Your 2015-2016 PAC Co-Presidents Brenda Hall and Becky Thelen
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staff and mentor families. It is going to be a great year and we are pleased to have you as part of the TCS family.
RSVP to [email protected] by Friday August 7.
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Dear Parents: The Cottage School strives to create and ensure a safe environment where your student can flourish both academically and socially. Part of ensuring your students safety to accomplish these goals is to do our best to make certain The Cottage School is a drug and alcohol free campus. The Cottage School has a history and culture of trusting our students and parents to inform us of any known illegal substances present on campus. We believe this has served us and our community well in the past and will continue to serve us well as we move forward. In addition, we would like to add an active prevention to assist us in our mission to keep our students and campus drug free. In doing so, we are taking a proactive position regarding the presence of prohibited substances on our campus. The Cottage School will renew our contract with Interquest, Canine Detection in order to actively prevent the use or presence of illegal substances on our campus. Interquest uses mild mannered, scent trained dogs, such as Golden and Labrador Retrievers, Springer Spaniels and Weimaraners to detect the presence of prohibited substances. The canines will search the outside area around cars, lockers and bags. If the canine detects drugs or alcohol, the applicable student will be asked to open the designated area for a confidential search of the area. If anything is found that creates a concern for the school, the substance will be turned over to an administrator and the parent will be contacted for a conference. Canine Detection dogs are unable to discriminate between legal and illegal drugs. Students who have over the counter medication in appropriate doses or prescribed medication in the prescription bottle will not be penalized. The Roswell Police Department will be notified when students are in possession of illegal or unidentified substances. The Cottage School is very excited and pleased to continue this additional step in keeping our community and student body drug and alcohol free. If you have any questions or would like further information, you can view Interquest’s web page at www.interquestk9.com or contact your respective principal. Sincerely, The Cottage School
Check out The Cottage School ePayment Portal
You may make all payments to the Business Office directly through the web – just select
“Pay Tuition & Fees” under the “Academics” tab on the Home page
(http://www.cottageschool.org) and you will go directly to our secure ePayment
Portal. You may pay any tuition, deposits, sports programs, ASP, or other fees directly
through this new site.
Payments can be made on your MasterCard,
Visa, Discover Card or American Express Card,
or you can have the payment drafted directly
from your checking or savings account. Please
note that a non-refundable convenience fee
equal to 3% of the total charge will be billed
or deducted when you use your credit card. There is no additional fee when paying by
Electronic Check. For security purposes, your credit card or checking/savings information
will not be saved.
Please be sure when using the system to add notes in the “Notes to Office” box so that we
make sure we apply your payment as you intend. Just let us know if you experience any
difficulties, but we think you will find that the system works very well, and we believe this
will be a huge convenience for you going forward.
COLLEGES THAT CHANGE LIVES August 12, 2015 at 7:00 p.m.
Renaissance Atlanta Waverly Hotel & Convention Center
Admission officials from the schools in Loren Pope’s book,
Colleges That Change Lives, will be there to discuss their schools and the
transition process from high school to college.
There is a college fair after the discussion.
The event is FREE and there is no pre‐registration required!
Agnes Scott College Kalamazoo College Allegheny College Knox College Antioch College Lawrence University Austin College Lynchburg College Beloit College Marlboro College Birmingham‐Southern College McDaniel College Centre College Millsaps College Clark University New College of Florida Cornell College Ohio Wesleyan University Denison University Reed College Earlham College Rhodes College Eckerd College Southwestern University Emory & Henry College St. John’s College, MD The Evergreen State College St. John’s College, NM Goucher College St. Mary’s College of California Guilford College St. Olaf College Hampshire College University of Puget Sound Hendrix College Ursinus College Hillsdale Colle Wabash College Hiram College Wheaton College (IL) Hope College Whitman College Juaniata College Willamette University
College of Wooster
www.CTCL.org