MATERIALS NEEDED TO REGISTER

MATERIALS NEEDED TO REGISTER

The following must be presented at the time of registration:

1. Copy of Birth certificate

2. Copy of Baptismal certificate

3. Copy of Immunization and Health records

4. Copy of Social Security Card

5. Copy of latest report card (grades K-6)

6. Non-refundable Registration/Book Fee

(If we are unable to accept your child, the fee will be refunded.)

Registration acceptance into the school is not formally complete until all records are received, reviewed, and evaluated from prior school of attendance.

STUDENT PERSONNEL POLICIES

A. ADMISSION POLICY:

Holy Cross Elementary School accepts students of any race, color or religion who want a Catholic education and who are willing to participate in the program it offers. All students are required to take part in the religious program of the school. Every effort will be made to accommodate all students desiring a Catholic education; however, Holy Cross Elementary is a parochial school, and it will strive to meet the needs of the members of Holy Cross Parish before extending its' services to those outside the parish. For this reason the following priorities shall be adhered to:

I. Admit the students of presently enrolled families and the children of Holy Cross faculty and staff.

II. Admit the children of Catholic parents who are members of Holy Cross Parish and its' mission St. Rosalie (Stephensville).

III. Admit the children of Catholic parents on a first come first serve basis.

IV. Admit the children of non-Catholic parents on a first come first serve basis.

B. PRE-SCHOOL AND KINDERGARTEN ADMISSION REQUIREMENTS

This policy was adopted by the Holy Cross School Board, and is to be effective as follows:

Early Learners (3 yr. Old): A student must be 3 years of age on or before Sept. 30 of the current year

Pre-K: A student must be 4 years of age on or before Sept. 30 of the current year

K: A student must be 5 years of age on or before Sept. 30 of the current year

Grade 1: A student must be 6 years of age on or before Sept. 30 of the current year

NOTE FOR Pre K3 & Pre K4:

I understand that Pre K 3 & 4 students must be potty trained.

HOLY CROSS ELEMENTARY SCHOOL

2010-2011

APPLICATION FOR REGISTRATION

New Students PK3- Grade 6

* Children becoming 3 before Sept. 30, 2010 are eligible for PK3.

** Children becoming 4 before Sept. 30, 2010 are eligible for PK4.

*** Children becoming 5 before Sept. 30, 2010 are eligible for K.

**** Children becoming 6 before Sept. 30, 2010 are eligible for 1^st grade.

Parent Name________________________________________________________________________

(As you wish it to appear on the mailing list)

Phone:____________________ (hm) ______________________(wk) _____________________(cell)

Home Address: City & Zip___________________________________

Mailing Address: _City & Zip __________________________________

e-mail address ________________________________________________

Baptized Catholic____Church Parish in which you are registered Non-Catholic ____

Student/Students Names Grade next year

___________________________________________________ _______________________

Registration/Book Fee is $200. This fee must be paid at the time of registration, and it is non-refundable. (If we are unable to accept your child, registration fee will be refunded.)

I understand that it is the responsibility of all parents to work together toward the success of the development annual fund, fundraisers & maintenance upkeep of the school. I pledge to do my part through participation.

Signature: ________________________________

Date: _____________________________________

STUDENT INFORMATION

Student Name___________________________________________________________________________________

(last) (first) (middle)

Mailing Address_________________________________________________________________________________

(street) (city) (state) (zip code)

Home Address_________________________________________________________________________________________________________________

(street) (city) (state) (zip code)

Entering Grade_____________________ Date of Birth__________________________________

Social Security #_____________________________Male/Female____________Ethnic Group__________________

Birth Certificate Number & State___________________________ ______________________

(Number) (State)

Religion ______________________Present Church Parish in which you are registered________________________

Parish of Baptism_____________________________________________________Date______________________

(Church) (City,State)

Parish of Communion__________________________________________________Date______________________

(Church) (City,State)

STUDENT RESIDES WITH _____________________________________________________________________

Last School attended prior to Holy Cross Elem________________________________________________________

PARENT/GUARDIAN INFORMATION

Father’s Name__________________________________________________________________________________

Address (if different from student)__________________________________________________________________

Home Phone_______________________Work Phone____________________Cell Phone______________________

Employer______________________________________Occupation_______________________________________

Marital Status_________________________________Religion___________________________________________

(S=single;M= married;R=remarried;W=widowed;D=divorced;SEP=separated)

Alumnus of Holy Cross: Yes No (please circle)

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Mother’s Name_____________________________________Mother’s Maiden Name ________________________

Address (if different from student)__________________________________________________________________

Home Phone______________________Work Phone______________________ Cell Phone____________________

Employer_________________________________________ Occupation___________________________________

Marital Status____________________________ Religion_______________________________________________

(S=single;M= married;R=remarried;W=widowed;D=divorced;SEP=separated)

Alumnus of Holy Cross: Yes No (please circle)

CHILD'S NAME___________________________________________________________

PARENT SIGNATURE______________________________________________________

GRADE FOR WHICH YOU ARE APPLYING__________ PREVIOUS GRADE__________

PREVIOUS SCHOOL_______________________________________________________

Please check and explain any special condition that your child has that needs to be addressed in his/her education.

_____ academic weakness in __________________________________

_____ behavioral needs

_____ dyslexia

_____ speech

_____ ADD

_____ ADHD

_____ Other

Explanation:

Is your child on medication at this time:____yes _____no

If yes, please state reason for medication and name of medication.

Is your child receiving or has your child received special educational services or tutoring services? _____yes _____no

If yes, please explain.

AUTHORIZATION FOR THE RELEASE OF

STUDENT RECORDS

The Supreme Court decision requires schools to have written consent from parents or legal guardians before student records may be released.

This form provided below will authorize your last school to provide us with transcripts and records. Please complete the following information and sign this form.

LAST SCHOOL ______________________________________________

ADDRESS ___________________________________________________

CITY, STATE, ZIP CODE ______________________________________

TO WHOM IT MAY CONCERN:

I do hereby authorize you to release all medical, psychological, social and educational records and information on _____________________________________ to HOLY CROSS ELEMENTARY SCHOOL, 2100 Cedar St- Unit 2, Morgan City, La. 70380.

Student’s Birth date______________ Grade ________________

Signature ________________________________Date________________

HOLY CROSS ELEMENTARY SCHOOL

Dear Parents,

Please read this agreement with your child, sign and return to school. Please call on any questions or concerns. This signed agreement will be kept on file and is valid for as long as your child is a student of H.C.E.S. Thank you!

Jane Bernard Mamie Bergeron

Technology Coordinator Principal

INTERNET AND NETWORK USE AGREEMENT

The Internet is a vast source of information for teachers and students. Some of the information on the Internet may not be of educational value and may be considered controversial. Some of the material may contain items that are illegal, defamatory, inaccurate, or potentially offensive. Holy Cross Elementary will take precautions to restrict access to those materials, but because of the nature of the internet and the phenomenal increase of information on it, it is virtually impossible to know of all controversial materials, let alone control all access to them. However, we believe the tremendous educational potential for our students and teachers far exceed the disadvantages.

Access to the Internet and the Holy Cross Elementary network is not a right, but a privilege. The Holy Cross Elementary network is provided to those who agree to act in a considerate and responsible manner. Students are responsible for good behavior on school computer networks just as they are in a classroom. Any user violating the rules stated in this Internet and Network Agreement or any applicable state or federal laws is subject to loss of network privileges and any other Holy Cross Elementary disciplinary options. School administrators will make the final determination as to what constitutes unacceptable use and their decisions will be final.

RULES AND NET ETIQUETTE:

A. You may not attempt to go beyond your authorized access.

B. You may not post personal information about yourself or other people. This includes addresses, telephone numbers, and passwords.

C. You will promptly disclose to your teacher any message that you receive that is inappropriate or makes you feel uncomfortable.

D. You must respect and care for the equipment.

E. You will limit the use of the system to educational activities.

F. You may not download files without approval.

G. You must use your real name. Impersonation is not permitted.

H. When students use the work of others, they must use appropriate Internet documentation to give credit where it is due.

I. Because of copyright law, only programs purchased by Holy Cross will be used on Holy Cross machines. No copies of programs may be given out.

The signatures at the end of this document indicate that the parties who signed have read the terms and conditions and understand their significance.

As a student of Holy Cross Elementary, I have read and agree to the terms set forth in the Holy Cross Elementary Internet and Network Use agreement. I also know that violation of the rules that govern the use of the Holy Cross Elementary network may result in the revoking of my access privileges and that use deemed offensive or illegal will be dealt with by school disciplinary action.

Name (print): ________________________________________________

Signature of Student: ___________________________________Date______________

As a parent or guardian of this student, I have read the above agreement and agree that the Internet access provided by the Holy Cross Elementary network is to be used for educational purposes. It is impossible for Holy Cross Elementary to control all access to the internet and I will not hold them responsible for materials obtained from the Internet that are inappropriate for school use. I give my permission for my child to access the Holy Cross Elementary network for as long as my child is a student at H.C.E.S.

Parent or Guardian’s Name (Print): _____________________________

Signature of Parent or Guardian: __________________________________Date _____________

Dear Parent:

Our school is a member of Artsonia.com (www.artsonia.com), the largest online student art museum. Artsonia showcases artwork from thousands of schools around the world. Artsonia’s goals are to develop students’ pride and self-esteem, increase their multicultural understanding through art and involve parents and relatives in student education and accomplishments.

In accordance with our school policy, I am writing you to seek your permission for showcasing your child’s artwork on our school’s web gallery on Artsonia. The permission will cover their tenure at our school.

Please read the note below, sign this form and return it to me so that I may publish your child’s artwork. This is a unique, safe and exciting educational opportunity for the students. Let’s join the millions of other famous child artists on the Internet!

Comments on your child’s artwork: One of the most exciting features about being published on Artsonia’s Art Museum is that friends and family can leave a nice comment for the artist and become a fan club member of the artist.

As a security feature, Artsonia requires the parent to pre-approve all comments before they are posted on the website. This is one of many examples of how important your child’s safety and privacy are to Artsonia.

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Parental Permission Form:

I give my permission to display my child’s artwork on Artsonia, in accordance with Artsonia’s terms and conditions of use***.

I understand that Artsonia preserves students’ privacy and anonymity by listing the artwork only under the student’s first name and a number – last names are never revealed. I also understand that Artsonia will only display comments on student artwork with parental permission, and therefore grant Artsonia permission to email notifications to me when new comments are available for review. NOTE: This permission will cover the entire tenure of my child at this school.

*** Complete details on Artsonia’s terms and conditions can be found at www.artsonia.com/terms

Student’s Name:___________________________________________ Student’s Grade: ___________

Parent’s Name: ___________________________________________ Relationship: ______________

Email Address: _____________________________________________________________________

Emails are required for parents to approve comments posted on the website. Artsonia will never sell or share your email address with anyone, nor will they contact you on behalf of other companies. If you do not have an email address, you may leave this field blank, but your child’s artwork will not have comments displayed.

Parent Signature:__________________________________________ Today’s Date: ______________

Volunteers! Publishing student artwork online is a time-consuming project for the teacher. If you are familiar with digital cameras and would like to help the teacher, please check below:

Yes, I would like to volunteer and help with this exciting project. Call me at ______________