Student/Parent Handbook - Ysleta Independent School District

YSLETA INDEPENDENT SCHOOL DISTRICTADMISSIONSREQUEST FOR FOOD ALLERGY INFORMATIONPursuant to the Texas Education Code, Chapter 25, Sec. 25.0022, this form allows you todisclose whether your child has a food allergy or severe food allergy that you believe should bedisclosed to the district in order to enable the district to take necessary precautions for yourchild’s safety.“Severe food allergy” means a dangerous or life-threatening reaction of the human body to afood-borne allergen introduced by inhalation, ingestion, or skin contact that required immediatemedical attention.Please list any foods to which your child is allergic or severely allergic, as well as the nature ofyour child’s allergic reaction to the food.FoodNature of allergic reaction to the foodThe district will maintain the confidentiality of the information provided above and may disclosethe information to teacher, school counselors, school nurses, and other appropriate schoolpersonnel only within the limitations of the Family Educational Rights and Privacy Act and districtpolicy.You must see the school nurse if your child requires medication for any allergy.Student Name: Date of Birth: Grade:Name ofParent/Guardian:Work Phone:Home Phone:Signature of Parent/Guardian:Date:Date form was received by the school:VISION STATEMENTAll students who enroll in our schools will graduate from high school, fluent in two or more languages, prepared and inspired to continue their educationin a four year college, university or institution of higher education so that they become successful citizens in their community.Ysleta Independent School District does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs, activities or employment.Prepared by: Susie Hernandez Revised: 03/28/1213