Student Handbook English - Crosby ISD

CROSBY INDEPENDENT SCHOOL DISTRICT
Student and Parent Summary Signature Form 2012 – 2013
Student First Name Last Name Middle Name Grade & Campus
My child and I have been offered the option to receive a paper copy of or to electronically access at www.crosbyisd.org
the Crosby ISD Student Handbook (SH), the District Student Code of Conduct (SCoC) and the Campus Handbook.
I have chosen to:
_________ Receive a paper copy of the Student Handbook and the Student Code of Conduct.
_________ Accept responsibility for accessing the Student Handbook and the Student Code of
Conduct by visiting the Web address listed above.
I affirm I have read and received the District and Campus Handbooks and Code of Conduct including the following documents:
___Yes ___No Parent’s Release of Student Information – School Sponsored Purposes
___I do ___I do The district permission to release the information in this list(pg. 42 of SCoC) for the
give not give specified school‐sponsored purposes.
___Yes ___No Parent’s Release of Student Information – Purposes other than School‐Sponsored
Purposes
___I do
give
___I do
not give
The district permission to release the information in this list(pg. 43 of SCoC) in response
to a request unrelated to school‐sponsored purposes.
___Yes ___No Parent’s Release of Student Information – Military Recruiters & Institutions of Higher
Education – pg. 44 of SCoC
______
Release
_____
Not
Release
I request that the district (release / not release) my child’s name, address, and
telephone number to a military recruiter or institutions of higher education upon their
request without my prior written consent.
___Yes ___No Responsible Use Guidelines (for students) pg. 33 of SCoC
Place a check mark in the appropriate boxes below to complete permission for his or
her participation in activities involving the Crosby Electronic Network.
May Access the Internet ___Yes ___No
May have their work displayed on the Internet ___Yes ___No
May participate in distance learning activities ___Yes ___No
May access the Intranet ___Yes ___No
May have work displayed on the Intranet ___Yes ___No
I understand that the handbook contains information that my child and I may need during the school year and that all students
will be held accountable for their behavior and will be subject to the disciplinary consequences outlined in the Student Code of
Conduct. If I have any questions regarding this handbook or the Code, I should direct those questions to the principal.
___________________________________________ ___________________________________________ ___________________________
Print Student Name Student Signature Date
___________________________________________ ___________________________________________ ___________________________
Print Parent Name Parent Signature Date
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[E] applies to elementary school [M] applies to middle school [H] applies to high school