Krum ISD Registration Form for School Year 2016 - 2017Krum Independent School District

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White Black

Asian American Indian

Local ID Student Name Grade Level Original entry dt.

Track Social Security Number

Gender Date of Birth Birth Place Age (Sept. 1, 2016)

Physical Address:

Mailing Address:

Student Home Phone:

Will your child be using bus transportation to get to school?

Guardian:

Address:

City, State, Zip:

Employer:

Cell Ph:

Relation:

Home Ph: Bus:

Student Information

Parent Information

No

Emergency Contact Information Name:

Relation: Cell Ph: Bus Ph: Home Ph:

Name:

Relation: Cell Ph: Bus Ph: Home Ph:

Doctor Preference: Phone: Dentist Preference: Phone:

Hospital Preference: Phone: Other Medical: Phone:

List any allergies:

Brothers/Sisters Grade SchoolSibling Information

Brothers/Sisters Grade School

The above information is required for a permanent school record of your child and will be used by school personnel. Presenting false documents, records or information is a violation of state law and may subject you to tuition cost for your child. I certify that the information given above is correct. I authorize the school to contact the person named on this form and the above named physician to render such treatment as may be necessary in an emergency of said child. In the event parents, physician, or other persons named FDQQRW�EH�FRQWDFWHG��VFKRRO�RI¿FLDOV�DUH�KHUHE\�DXWKRUL]HG�WR�WDNH�ZKDWHYHU�DFWLRQ�LV�QHFHVVDU\�LQ�WKHLU�MXGJHPHQW�IRU�WKH�KHDOWK�RI�WKH�DERYH�FKLOG���,�ZLOO�QRW�KROG�WKH�VFKRRO�GLVWULFW�¿QDQFLDOO\�UHVSRQVLEOH�IRU�HPHUJHQF\�FDUH�DQG�RU�WUDQVSRUWDWLRQ��

Parent or Guardian Signature Date of Birth Date

�)RU�2I¿FH�8VH�2QO\�Teacher Name:%LUWK�&HUWL¿FDWH�RQ�)LOH�� � 3.�3DU�0LO�������3.�)RVWHU�Soc Sec Copy on File: At Risk: Migrant:Gift: LEP: BIL: ESL: Par Per: Econ:

Control No.: Eligibility Code:Immunization on File: Title I:Hm Lng:Special Education: Prim: Sec: Tert: Multi:

1. Guardian:

Address:

City, State, Zip:

Employer:

Cell Ph:

Relation:

Home Ph: Bus:

2.

3.

4.

Yes

Phone Preference: Cell Home Business

Email:

Language for Mailouts:English Spanish

Svc. Branch: Rank:

Enrolling Person:

Receive Mailouts: Yes No

Phone Preference: Cell Home Business

Email:

Language for Mailouts:English Spanish

Svc. Branch: Rank:

Enrolling Person:

Receive Mailouts: Yes No

Krum Independent School District 2016 - 2017District: Campus: Grade:

Student Name: Date of Birth:

Dear Parents,In order to better serve your children, our school district is helping the State of Texas identify students who may qualify to re-ceive additional educational services.7KH�LQIRUPDWLRQ�SURYLGHG�EHORZ�ZLOO�EH�NHSW�FRQÀGHQWLDO��Please answer the following questions and return this form to your child’s school.

1. Within the past 3 years have you moved from one city or state to another so that you or your family could work or look IRU�ZRUN�LQ�DJULFXOWXUH�RU�ÀVKLQJ"

No (STOP here and return survey to your child’s school.) Yes (Please check all that apply below and continue to Question 2.)

Fruit, vegetables, soybeans, VXQÁRZHU��FRWWRQ��ZKHDW��JUDLQ��sugar beets, agricultural farms or UDQFKHV��ÀHOGV�DQG�YLQH\DUGV

For questions, please contact:Keilah Villarreal, Migrant Consultant at 817-740-7511 Linda Mendoza, Migrant Coordinator at 940-482-2603 Alma Mas, Migrant Recruiter at 817-740-7702 Fax 940-482-3368Fax 817-740-3622 Krum Independent School DistrictEducational Service Center Region XI 809 East McCart3001 North Freeway Krum, Texas 76249Fort Worth, Texas 76106

Working in a slaughter house.

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NO (STOP here and return survey to your child’s school.) YES (Please complete below)

If you check “YES” someone will call you. Best time to contact you:

Parent/Guardian Name: Home Address/Apt Name: City: Zip Code:

Parent/Guardian Name: Home Address/Apt Name: City: Zip Code:

Working in a cannery.

Working in a dairy farm.

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Working on a poultry farm. Working in a plant nursery,orchard, tree growing or harvesting

Other similar work, please explain:

El Districto Escolar Independiente de Krum 2016-2017Distrito: Escuela: Nivel:

Nombre del Estudiante: Fecha de Nacimiénto:

Estimados padres,

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For questions, please contact:

.HLODK�9LOODUUHDO��0LJUDQW�&RQVXOWDQW�DW�������������� � /LQGD�0HQGR]D��0LJUDQW�&RRUGLQDWRU�DW��������������$OPD�0DV��0LJUDQW�5HFUXLWHU�DW�������������� � � )D[�������������)D[�������������� � � � � � � � )D[�������������6HUYLFLR�GH�OD�(GXFDFLyQ�OD�5HJLyQ�&HQWUDO�;,� � � .UXP�HO�'LVWULWR�,QGHSHQGLHQWH�GH�(VFRODU������1RUWK�)UHHZD\� � � � � � ����(DVW�0F&DUW)RUW�:RUWK��7H[DV������� � � � � � .UXP��7H[DV������

Trabajando en una casa

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2. ¿Viajaron sus hijos con usted o los acompañaron después?

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Trabajando enlatando frutas o

verdurasTrabajando en una lecheria

Trabajando en la pesca

7UDEDMDQGR�HQ�JUDQMDV�DYtFRODV Trabajando en un vivero

de plantas, plantando o

cosechando arboles

Otro trabajo similar, favor de

explicar:

Revised by THEO on April 27, 2009

� � .UXP�,6'�Student Residency Questionnaire

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Month / Day / Year (or student identification number) �&KHFN�WKH�ER[�WKDW�EHVW�GHVFULEHV�ZLWK�ZKRP�WKH�VWXGHQW�UHVLGHV���Please note:�legal guardianship may be granted only by a court; students living on their own or with friends or relatives who do not have legal guardianship are allowed to enroll in and attend school. The school cannot require proof of guardianship for enrollment or continued attendance.���� 3DUHQW�V��� /HJDO�*XDUGLDQV�V��� &DUHJLYHU�V��ZKR�DUH�QRW�OHJDO�JXDUGLDQ�V��(Examples: friends, relatives, parents of friends, etc.)�� 2WKHU�� � � � � � � � � � � � � �

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Krum ISD Cuestionario Sobre la Residencia del Estudiante

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� (Q�OD�FDVD�GH�XQ�DPLJR�R�SDULHQWH��SRUTXH�\R�SHUGt�PL�YLYLHQGD��por ejemplo: incendio, inundación, pérdida de trabajo, divorcio, violencia doméstica, echado de la casa por los padres, padre es militar y ha sido enviado fuera del país, padre(s) en la cárcel, etc.) ��&2'(�±�'�����

� (Q�XQ�DOEHUJXH��SRUTXH�QR�WHQJR�YLYLHQGD�SHUPDQHQWH��por ejemplo: viviendo en un albergue familiar, albergue para víctimas de violencia doméstica, albergue infantil/juvenil, viviendas FEMA) �&2'(�±�6�����

� (Q�XQD�KDELWDFLyQ�GH�WUDQVLFLyQ��vivienda que es disponible solamente por un período de tiempo específico y es pagada parcialmente o completamente por una iglesia, una organización sin fines de lucro, u otra organización����&2'( 6�����

� (Q� XQ� KRWHO� R� PRWHO� �por ejemplo: a causa de problemas económicos, desalojo, no puede obtener depósitos requeridos para instalarse en un apartamento o casa, inundación, incendio, huracán, etc.����&2'(�±�+0�����

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Para Uso Exclusivo de la Escuela

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Language Proficiency Assessment Committee (LPAC)

Texas Education Agency Texas Public School Student/Staff Ethnicity and Race Data Questionnaire

The United States Department of Education (USDE) requires all state and local education institutions to collect data on ethnicity and race for students and staff. This information is used for state and federal accountability reporting as well as for reporting to the Office of Civil Rights (OCR) and the Equal Employment Opportunity Commission (EEOC). School district staff and parents or guardians of students enrolling in school are requested to provide this information. If you decline to provide this information, please be aware that the USDE requires school districts to use observer identification as a last resort for collecting the data for federal reporting. Please answer both parts of the following questions on the student’s or staff member’s ethnicity and race. United States Federal Register (71 FR 44866)

Part 1. Ethnicity: Is the person Hispanic/Latino? (Choose only one)

Hispanic/Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Not Hispanic/Latino Part 2. Race: What is the person’s race? (Choose one or more)

American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.

Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

________________________________

Student/Staff Name (please print)

________________________________

(Parent/Guardian)/(Staff) Signature

________________________________

Student/Staff Identification Number

________________________________ Date

This space reserved for Local school observer – upon completion and entering data in student software system, file this form in student’s permanent folder. Ethnicity – choose only one: _____ Hispanic / Latino _____ Not Hispanic/Latino

Race – choose one or more: _____ American Indian or Alaska Native _____ Asian _____ Black or African American _____ Native Hawaiian or Other Pacific Islander _____ White

Observer signature:

Campus and Date:

Texas Education Agency – March 2010

Agencia de Educación de Texas

Cuestionario de Información de Datos Raciales y de Etnicidad de Estudiantes/Miembros de Personal de las Escuelas Públicas de Texas

El Departamento de Educación de Estados Unidos (USDE) requiere que todas las instituciones estatales y locales de educación, recopilen datos sobre etnicidad y raza de los estudiantes y de miembros de personal. Esta información es utilizada para los reportes estatales y federales así como para reportar a la Oficina de Derechos Civiles (OCR) y a la Comisión de Igualdad en el Empleo (EEOC).

Al personal del distrito escolar y los padres o representante legal de estudiantes que deseen matricularse en la escuela, se le requiere proporcionar esta información. Si usted rehúsa proporcionarla, es importante que sepa que el USDE requiere que los distritos escolares usen la observación para identificación como último recurso para obtener estos datos utilizados para reportes federales.

Favor de contestar ambas partes de las siguientes preguntas sobre la etnicidad y raza del estudiante así como del miembro de personal. Registro Federal de Estados Unidos (71 FR 44866).

Parte 1. Etnicidad: ¿Es la persona Hispana/Latina? (Escoja solo una respuesta) Hispano/Latino – Una persona de origen cubano, mexicano, puertorriqueño, centro o sudamericano o de otra

cultura u origen español, sin importar la raza. No Hispano/Latino

Parte 2. Raza. ¿Cuál es la raza de la persona? (Escoja uno o más de uno) Indio Americano o Nativo de Alaska – Una persona con orígenes o de personas originarias de Norte y

Sudamérica (incluyendo America Central), y que mantiene lazos o apego comunitario con una afiliación de alguna tribu.

Asiático – Una persona con orígenes o de personas originarias del Lejano Este, Sureste de Asia o el subcontinente indio, incluyendo, por ejemplo a Cambodia, China, India, Japón, Corea, Malasia, Pakistán, las Islas Filipinas, Tailandia y Vietnam.

Negro o Áfrico-Americano – Una persona con orígenes de cualquier grupo racial negro de África. Nativo de Hawai u otras islas del pacífico – Una persona con orígenes o de personas originarias de

Hawai, Guam, Samoa u otras Islas del Pacífico. Blanco – Una persona con orígenes de personas originarias de Europa, el Medio Este o el Norte de

África.

________________________________ Nombre del Estudiante/Miembro de Personal (por favor use letra de imprenta)

________________________________ Firma (Padre/Representante legal) /(Miembro de personal

________________________________ Número de Identificación del Estudiante/Miembro del personal

________________________________ Fecha

This space reserved for Local school observer – upon completion and entering data in student software system, file this form in student’s permanent folder. Ethnicity – choose only one: _____ Hispanic / Latino _____ Not Hispanic/Latino

Race – choose one or more: _____ American Indian or Alaska Native _____ Asian _____ Black or African American _____ Native Hawaiian or Other Pacific Islander _____ White

Observer signature: Campus and Date:

Agencia de Educación de Texas – Marzo 2009

STUDENT HEALTH INFORMATION

Student: _________________________ Grade__________ Date: _______________

HISTORY OF HEALTH CARE NEEDS ADHD: ________________________________ HEART: ________________________ AUTISM: _________________________ _____ MOBILITY: ______________________ ASTHMA: ______________________________ SEIZURES: _______________________ DEPRESSION/ANXIETY: ___________________ URINARY: _______________________ DIABETES: _____________________________ VISION: _________________________ HEARING: _____________________________ OTHER: _________________________ MEDICATION ALLERGY: ________________________________________________________

REQUEST FOR FOOD ALLERGY INFORMATION

(The District must request, at the time of enrollment, that the parent or guardian of each student attending the District disclose the student’s food allergies. This form will satisfy this requirement. Additional information regarding food allergies, including maintaining records related to a student’s food allergies, can be found at FD and FL.) This form allows you to disclose whether your child has a food allergy or severe food allergy that you believe should be disclosed to the District in order to enable the District to take necessary precautions for your child’s safety.

“Severe food allergy” means a dangerous or life-threatening reaction of the human body to a food-borne allergen introduced by inhalation, ingestion, or skin contact that requires immediate medical attention.

Please list any foods to which your child is allergic or severely allergic, as well as the nature of your child’s allergic reaction to the food.

Food: Nature of allergic reaction to the food:

Parent/Guardian Signature: ___________________________ Date form returned: _______________

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Krum%Independent%School%District%Technology%Department%Responsible%Use%Policy%(December%2014%Revision)%

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Student Responsible Use Policy Our staff and students use technology to learn. Technology is essential to facilitate the creative problem solving, information fluency, and collaboration that we see in today’s global economy. While we want our students to be active contributors in our connected world, we also want them to be safe, legal, and responsible. This Responsible Use Policy (RUP) supports our vision of technology use and upholds in our users a strong sense of digital citizenship. This policy applies to all Krum Independent School District (KISD) computer networks (including the resources made available by them), and all devices connected to those networks.

Responsible Use and Digital Citizenship Respect Yourself: I will select online names that are appropriate, and I will be polite and use appropriate language/content in all online posts. Protect Yourself: I will not publish personal details, contact details or a schedule of activities for myself or anyone else. I understand that unless otherwise authorized, I am the owner of my accounts, and I am responsible for all activity initiated by and/or performed under these accounts. I understand that it is my responsibility to appropriately secure my account credentials. I understand that I am responsible for maintaining and backing up all of my own data. If I am uncertain whether a specific computer activity is permitted or appropriate, I will ask a teacher/administrator before engaging in that activity. Respect Others: I will not use technologies to bully or tease other people. I will not make audio or video recordings of students/employees without their prior permission. I understand that posing as someone else is forbidden and I will not pose as a user other than myself when online. I will be careful and aware when printing to avoid wasting resources and printing unnecessary items. Protect Others: I will help maintain a safe computing environment by notifying appropriate campus officials of inappropriate behavior, vulnerabilities, risks, and breaches involving campus technology. Respect Intellectual Property: I will suitably cite any and all use of websites, books, media, etc. I will respect all copyrights. Protect Intellectual Property: I will request to use the software and media that others produce.

General Policies

• The purpose of a KISD user account is to access the KISD network and facilitate creativity and innovation. We use this network to support communication and collaboration. We use technology to extend research and information fluency, to collect and analyze data and to solve problems.

• Access is a privilege, not a right. Access entails responsibility, and inappropriate use may result in cancellation of those privileges.

• KISD user accounts are owned by the KISD; Consequently they are subject to the Open Records Act. All digital files associated with user accounts may be retrieved by KISD staff at any time without prior notice and without the permission of any user. The KISD reserves the right to monitor all accounts in order to maintain system integrity and to ensure responsible use.

• Students should have no expectation of personal privacy in any matters stored in, created, received, or sent through the KISD computer network. These are subject to review by the KISD at any time, with or without notice, with or without cause and without the permission of any student or parent/guardian.

• A content filtering solution is in place in order to prevent access to certain sites that may contain inappropriate material, including pornography, weapons, illegal drugs, gambling, and any other topics deemed to be of non-educational value by the KISD. The KISD is not responsible for the content accessed by users who connect via their own 3G type service (cellphones, air-cards, etc.).

Krum%Independent%School%District%Technology%Department%Responsible%Use%Policy%(December%2014%Revision)%

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Government Laws Technology is to be utilized in conformity with laws of the United States and the State of Texas. Violations include, but are not limited to, the following: 1. Criminal Acts – These include, but are not limited to:

2. Libel Laws - You may not publicly defame people through published material. 3. Copyright Violations - Copying, selling or distributing copyrighted material without the express written permission of the author or publisher (users should assume that all materials available on the Internet are protected by copyright), and/or engaging in plagiarism.

Bring Your Own Device KISD is now allowing staff and students the option to Bring Your Own Device (BYOD). Staff may use a personal device in place of (or along with) their district assigned devices if they choose. Students may use a personal device in class for instructional use with teacher permission. I understand that if my device is damaged or stolen while on KISD property I will not hold the KISD liable for the replacement or repair of my device. I understand that any data and/or SMS/MMS (texting) charges will not be reimbursed by the KISD.

I understand that for my device to be compatible with the KISD BYOD initiative some software may need to be installed on the device. I understand that the KISD may provide accessories that can be installed and used with my personal device. These accessories will remain district property and will be maintained according to the currently established procedures in the KISD. At such time as I choose to leave the KISD, any of the KISD owned accessories will be returned prior to my last day, and I will be responsible for removing any licensed KISD software from my device(s). I understand that I will only have access to the guest wireless service that the KISD has provided. I understand that I will not have access to the wired network. I understand that my Internet will still be filtered by the KISD content filter when I am connected to the guest wireless service.

Web 2.0 and Digital Tools Students 13 or younger For students under the age of 13, the Children’s Online Privacy Protection Act (COPPA) suggests that a school district maintain a list of the websites and online services appropriate for educational use, which has been consented to on behalf of the parent (www.krumisd.net/COPPA). Krum ISD maintains a digital list of suggested classroom digital tools at www.krumisd.net/digitaltools. KISD will always use digital tools or apps in a way that is consistent with the Children’s Online Privacy Protection Act. Parents may deny access to any specific digital tool by notifying their child’s campus administrator in writing.

Consequences I understand and will abide by this Responsible Use Policy. If I break this agreement, the consequences could include suspension of your accounts and network access. In addition you could face disciplinary/legal action including but not limited to: criminal prosecution and/or penalty under appropriate state and federal laws. The following actions are not permitted and could result in the consequences outlined above:

• Users may not attempt to disable or bypass the KISD content filter. • Users may not illegally access or manipulate the information of a private database/system

such as gradebooks and other student information systems. • Users may not install unauthorized network access points, or other connections that may not

effectively integrate with existing infrastructure.

• unauthorized tampering • cyberstalking • cyberbullying • vandalism • harassing email • child pornography

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Krum%Independent%School%District%Technology%Department%Responsible%Use%Policy%(December%2014%Revision)%

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• Users may not use their accounts for non-school related activities including, but not limited to: using the Internet for financial gain, personal advertising, promotion, non-government related fundraising,%public%relations,%political%activity,%lobbying%for%personal%political%purposes,%or%soliciting%for%religious%purposes.

• Users may not send, save, view, forward, or create harassing or offensive content/messages. Offensive material includes, but is not limited to: pornographic, obscene, or sexually explicit material; or sexual comments, jokes or images that would violate school policies. The school policies against harassment and discrimination apply to the use of technology.

The Director of Information Technology Services and the campus principal will deem what is considered to be inappropriate use of the KISD computer network. They may suspend an account or network access at any time. In addition, the administration, faculty, and staff of the KISD may request that a user’s account be suspended or denied at any time.

Krum%Independent%School%District%Technology%Department%Responsible%Use%Policy%(December%2014%Revision)%

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Note:&Please&complete&this&form&in&its&entirety.%&This%agreement/permission%form%shall%remain%in%effect%as%long%as%a%student%is%enrolled%at%Krum%ISD,%until%a%new%policy%becomes%effective,%or%until%a%parent%rescinds%permission%in%writing.%It%will%be%rolled%forward%from%one%year%to%the%next.%%%Student’s%Name:_____________________%%%%%%%%%%%%%%%%%%%Parent’s%Name:__________________________%Campus:___________________________%%%%%%%%%%%%%%%%%%%%Grade:__________________%Parent’s%Email%Address:_____________________%%%%%%%%%%%%%%%%%%%%Contact%Number:___________________%%%Student%User%Agreement%As%a%user%of%the%Krum%Independent%School%District,%I%herby%agree%to%use%the%network%responsibly,%to%comply%with%the%statements%and%expectations%outlined%in%the%Student%Network/Internet%Responsible%Use%Policy,%and%to%honor%all%relevant%laws,%rules,%and%restrictions.%%Student%Signature:_____________________________%%%%%%%%%%%%%%%%%%%%%%%%Date:_______________________%%Parental/Guardian%Permission%I%understand%and%consent%to%the%responsibilities%outlined%in%the%District’s%Student%Network/Internet%Responsible%Use%Policy%(Dec.%2014%Revision).%%I%also%understand%and%agree%that%my%child%shall%be%held%accountable%for%violations%of%this%policy,%and%may%be%subject%to%disciplinary%action%in%accordance%with%the%Student%Code%of%Conduct%and%other%applicable%District%policies.%%%These%permissions%are%granted%for%as%long%as%this%student%is%enrolled%at%Krum%ISD,%unless%otherwise%requested%in%writing.%Permissions%granted%or%denied%on%this%form%supersede%and%replace%any%permission%granted%or%denied%on%previous%revisions%of%this%form.%I%understand%that%my%child%or%my%family%may%be%held%liable%for%violations%of%the%policy.%I%understand%that%some%materials%on%the%Internet%may%be%objectionable,%but%I%accept%responsibility%for%guidance%of%internet%useTsetting%and%conveying%standards%for%my%son%or%daughter%to%follow%when%selecting,%sharing,%or%exploring%information%and%media.&NOTE:&Parents&may&sign&for&their&student&if&the&student&is&enrolled&in&the&fifth&grade&or&a&lower&grade.%%%Parent%Signature:______________________________%%%%%%%%%%%%%%%%%%%%Date:_______________________%%

KRUMISDTRANSPORTATION KrumISDisabletoprovidetransportationtoKrumISDstudentsthatliveonadesignatedbusrouteandresidetwoormoremilesfromtheschoolthattheyattend.

Pleasefilloutthebusroutetransportationrequestformthatisattached.Onlyfillouttheformifyourstudentisgoingtoberidingthebusdaily. Aseparaterequestformmustbecompletedforeachstudent.

Pre-K,kindergartenandfirst-gradestudentswillNOTbedroppedoffwithoutaparentorguardianpresentandvisible.Ifnooneishome,thestudentwillbebroughtbacktotheEECcampusandtheparentwillbecalledtopickupthechild.Yourchild’ssafetyisournumberoneconcern.Pleasetaketimetogooverallthebussafetyrulesandregulationswithyourstudent.

Todetermineyourstudent’sbusroute:

1. GototheKrumISDwebsiteatwww.krumisd.net2. Onthebottomrighthandside,choosethe“BusRouteInformation”link.3. Enteryourstreetaddressandsearch.4. Clickon“MyBusStops”toshowyourstudent’sroutenumber,busnumber

andthetimestheywillpickedupanddroppedoff.Studentsshouldbeatthebusstopatleastfiveminutesbeforethebusisscheduledtoarrive.

PMCROSS-TOWNBUSTRANSPORTATIONREQUESTFORM

2016-2017 IfyourchildWALKShomefromschool,KrumISDmayprovideyourchildbustransportationfromonecampustoanyothercampusinthedistrict,providingthereisadequatespaceonthebusforadditionalriders.

Thisserviceshouldbeconsideredacourtesy;therefore,disciplineissueswillnotbetolerated.Astudentwillnolongerbeeligibleforthecross-towntransportationafterthefirstoffenseordisciplineissue. Inaddition,thisformmustbecompletedseparatelyforeachstudentandsubmittedtothecampusofficeandapprovedbythetransportationdepartmentbeforeastudentwillbeallowedtoboardacross-townbus.THEREWILLBENOEXCEPTIONSTOTHESERULES!

THISSERVICEISFORWALKERSONLY---NOPARENTPICKUP

ATTENTION:ONLYONEFORMPERSTUDENT StudentLastName: StudentFirstName:

Parent’sLastName: Parent’sFirstName:

Child’sCampus: Grade:

HomeAddress: HomePhone:

WorkPhone: CellPhone:

NameofEmergencyContact: Phone:

Alt.Phone: Alt.Phone:

RelationshiptoChild:

FROMCAMPUS: TOCAMPUS:

ParentSignature Date

BUSROUTETRANSPORTATIONREQUESTFORM2016-2017

(2milesormorefromtheschoolcampus) FILLOUTTHISFORMONLYIFYOULIVEONADESIGNATEDBUSROUTEANDPLANONRIDINGTHEBUSDAILY

ATTENTION:ONLYONEFORMPERSTUDENT

Bus# Route# Driver

Student’sName: Age: Grade: HomeAddress: Parent’sName: HomePhone: CellPhone: EmergencyContactPerson: Emergency#:

BusSafetyRulesandRegulations:

1. Remainseatedatalltimes.2. Sitinassignedseatsatthedriver’sdiscretion.3. Nothingmaybeextendedoutthewindowsatanytime.4. Emergencydoorsmaynotbeenteredorexitedexceptforemergencypurposes.5. Notypeofweapon,explosive,fireworks,sharporpointedarticleswillbepermitted.6. Notypeofalcoholicbeverage,controlleddrugorsubstancewillbepermitted. Notobacco

productswillbepermitted.7. Student’sMUSTfollowthedriver’sinstructionatalltimes.8. Cursing,obscenities,harassmentandscufflingareforbidden.9. Studentsmustnotdepartatunauthorizedstopsunlessaschooladministratorgrants

approval.10. Noobjectsmaybethrownfromthebuswindows.11. Driversarenotrequiredtowaitforstudentsatthebusstop,ortosoundthehornwhilestudentscomeoutoftheirresidence.Studentsmustbeatthestopbeforethebusarrives.12. ISDstudentsandstaffaretheonlyauthorizedpersonstoboardthebus.Parentsandguestsmustreceiveauthorizationfromadministratorstoboard.13. Notypeofanimal,birdorpetispermittedonthebus.14. Fightingisabsolutelyforbidden.15. Studentsmaynoteat,drink,orlitterwhileonthebus.16. Studentsmaybedeniedbusprivilegesandrequiredtopayforanydamagetoanypartofthebus,includingtheseats.17. Nocellphoneuseonbusrouteoronfieldtripbuses.18. NOGUESTBUSRIDERS.NOTESWILLNOTBEACCEPTED.

Parent’sSignature: Date:

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Krum Independent School DistrictFamily Educational Rights and Privacy Act (FERPA)

PLEASE CHECK ONLY ONE OF THE FOLLOWING THREE (3) BOXES:

I consent to the release of directory information for school-sponsored purposes only. *

I consent to the release of directory information for all other purposes, (including school- sponsored purposes). **

I object to the release of all directory information. PLEASE NOTE: IF YOU CHOOSE THIS OPTION YOUR CHILD WILL NOT APPEAR IN THE YEARBOOK and Krum ISD will not be able to include your in child in the school website, sports programs, concert programs, commencement programs, or the newspaper for awards or special recognition. ________________________________________________________________________________

HIGH SCHOOL STUDENTS ONLY: (CHECK ONLY IF OBJECTING TO THE RELEASE OFINFORMATION AS DESCRIBED BELOW)

Federal law requires districts receiving assistance under the Elementary and Secondary Education Act of 1965 (20 U.S.C. Sec. 6301 et seq.) to provide a military recruiter or an institution of higher education, on request, with the name, address and telephone number of a secondary student unless the parent has advised the district that the parent does not want the student’s information disclosed without the parent’s prior written consent.

c I choose to object to the release of directory information (name, address and telephone number) of my secondary student to a military recruiter or to an institution of higher education.

Parent Signature Parent Name Printed Student’s Name Campus Grade

Krum Independent School DistrictFamily Educational Rights and Privacy Act (FERPA)

PLEASE CHECK ONLY ONE OF THE FOLLOWING THREE (3) BOXES:

I consent to the release of directory information for school-sponsored purposes only. *

I consent to the release of directory information for all other purposes, (including school- sponsored purposes). **

I object to the release of all directory information. PLEASE NOTE: IF YOU CHOOSE THIS OPTION YOUR CHILD WILL NOT APPEAR IN THE YEARBOOK and Krum ISD will not be able to include your in child in the school website, sports programs, concert programs, commencement programs, or the newspaper for awards or special recognition. ________________________________________________________________________________

Parent Signature

Parent Name Printed

Student’s Name

Campus

Grade

!

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After printing, please bring the printed documents along with the following required items to the designated registration time and place for your child’s campus. Items to Bring (New Students):

! Registration forms

! Proof of Residency – utility bill (most current bill is required: credit card & cell phone bills, & driver’s license not accepted); lease agreement; closing documents on a home; tax or mortgage statement on a home, or a notarized letter stating that the family is living with a Krum ISD resident along with that resident’s proof of residency.

! Immunization Records (if you have proof that your student is coming

from another Texas school, we can request it from the previous school district; if this is the first time attending school or you are coming from out of state this must be provided)

! 2 forms of ID – These will need to be from the following list: original

birth certificate (required if under the age of 11); driver’s license; passport; report card from previous school; Social Security card; Military ID; hospital birth record; adoption records; shot records; Foster Care form 2085.

Items to Bring (Returning Students):

! Registration forms

! Proof of Residency – utility bill (most current bill is required: credit card & cell phone bills, & driver’s license not accepted); lease agreement; closing documents on a home; tax or mortgage statement on a home, or a notarized letter stating that the family is living with a Krum ISD resident along with that resident’s proof of residency.

Note: By default, only the required signature pages within this document will print. If you would like to print all pages for your own records, you must manually change the print settings during printing.