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Elem/JH Enrollment 2019-20
Welcome to the 2019-2020 school year! Please answer the following questions about your child. If you have any questions, let us know. Thank you and we hope you had a great summer! We are looking forward to a very exciting school year!
Email address *
Student Legal Full Name *
Your answer
Full Name Student goes by *
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What is your child's social security number? *
Your answer
What race is your child? (please pick all that apply) *
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Is your child Hispanic/Latino *
Is your child *
What is your child's date of birth? *
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Where was your child's place of birth? (City and State) *
Your answer
What is your child's primary language?
Your answer
What grade is your child? *
Your answer
Name of your child's previous school
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Do you live in our district?
Will student be riding the bus? *
What address will we be picking the student up from?
Your answer
Mother's Name
Your answer
Father's Name
Your answer
What is your physical address? (please include city, state and zip code) *
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What is your mailing address? (please include city, state and zip code) *
Your answer
What is your home phone number? *
Your answer
Student lives with *
Parent/Guardian Information
In the event of an illness or other emergency please list in order the best way to contact Parents and/or Guardians or other emergency contacts. Please list (including parents) home phone numbers, work phone numbers, cell numbers etc. Please put in order of who to call first.
1st Parent/Guardian (full name) *
Your answer
1st Parent/Guardian relationship to student *
1st Parent/Guardian Mailing address (include city, state and zip) *
Your answer
Cell Number *
Your answer
What is your email address? *
Your answer
Work phone number *
Your answer
Home phone number *
Your answer
Can 1st parent/guardian pick up student? *
2nd Parent/Guardian (full name)
Your answer
2nd Parent/Guardian relationship to student
2nd Parent/Guardian Mailing address (include city, state and zip)
Your answer
Cell Number
Your answer
What is your email address?
Your answer
Work phone number
Your answer
Home phone number
Your answer
Can 2nd parent/guardian pick up student?
3rd Contact person (full name)
Your answer
3rd Contact person's relationship to student
3rd Contact person's cell number
Your answer
3rd Contact person's work phone number
Your answer
3rd Contact person's work phone number
Your answer
Can 3rd contact person pick up student?
4th Contact person (full name)
Your answer
4th Contact person's relationship to student
4th Contact person's cell number
Your answer
4th Contact person's work phone number
Your answer
Can 4th contact person pick up student?
5th Contact person (full name)
Your answer
5th Contact person's relationship to student
5th Contact person's cell number
Your answer
5th Contact person's work phone number
Your answer
Can 5th contact person pick up student?
Parental Authorization to Administer Medicine
I am the parent with legal custody or the legal guardian of *
Your answer
I hereby give my consent and authorize the administrators of Copan Public School or those designated by the administrator to administer the following non-prescription medication the school district will supply *
Required
I hereby give my consent and authorize the administrators of Copan Public School or those designated by the administrator to administer the following non-prescription medication which I am hereby supplying you, in accordance with my written instructions or the written instructions of a physician.
Your answer
I hereby give my consent and authorize the administrators of Copan Public School or those designated by the administrator to administer the following prescription medication which I am hereby supplying you, in accordance with my written instructions or the written instructions of a physician.
Your answer
I understand that under state law the Board of Education, the School District or employees of the District shall not be liable to the student or the student or the student’s parent or guardian for civil damages for any personal injuries to the student which result from acts or omissions of school employees in administering the medicine I have hereby authorized.
One Call Automated Calling System
Copan Schools uses an automated calling system network to alert you of any weather related school closing, information from teachers and other general information calls. Text messages and emails are also options to receive messages. Soon after school starts you will receive a phone call asking if you would like to opt in for texts and/or emails and you can respond then.
Student Name and grade
Your answer
Contact names and phone numbers you want contacted
Your answer
Copan Public Schools Internet and Other Computer Networks Acceptable Use and Internet Policy
The Copan Public School District is pleased to make available to school board members, students, staff and patrons access to interconnected computer systems within the district and to the Internet, the worldwide
network that provides access to significant educational materials and opportunities. The Board is committed to providing a positive and productive learning and working environment. The Board is also committed to educating minors about appropriate online behavior including; interacting with other individuals on social networking Web sites; in chartrooms; Cyberbullying awareness and response. In order for the school district to ensure the continued accessibility of its computer network and the Internet, all school board members, students, staff and patrons must understand that one person’s misuse of the network and Internet access may jeopardize the ability of all school board members, students, staff and patrons to enjoy access. While the District’s staff will make reasonable efforts to supervise the use of network and Internet access, they must have everyone’s cooperation in exercising and promoting responsible use of this access. Below is the Acceptable Use and Internet Safety Policy (“policy”) of the school district and the Data Acquisition Site that provides Internet access to the school district. Upon reviewing, signing, and returning this policy as directed, each school board member, student, staff and patron will be given the opportunity to follow the policy and will be given the opportunity to enjoy Internet access at school. If a student is under 18 years of age, he or she must have his or her parents or guardians read and sign the policy. The school district shall not provide access to any student who, if 18 or older, fails to sign and submit the policy to the school as directed or, if under 18, does not return the policy as directed with the signatures of the student and his/her parents or guardians. Listed below are the provisions of your agreement regarding computer network and Internet use. Any questions should be directed to Kyle Mennenga, the Director of Information Technology at kmennegna@copan.k12.ok.us. If any user violates this policy, their access will be denied, or withdrawn. Students who violate this policy may also be subject to disciplinary action. Staff who violate this policy may be subject to disciplinary action, which can include termination, if the infraction is found to be severe.

Personal Responsibility
By signing this policy, you are agreeing not only to follow the rules in this policy, but are agreeing to report any misuse of the network to the person designated by the school for such reporting. Misuse means any violations of this policy or any other use that is not included in the policy, but has the effect of harming another or his or her property.

Term of the Permitted Use
A board member, student, staff or patron who submits to the school, as directed a properly signed policy and follows the policy to which she or he has agreed will have computer network and Internet access during the course of the school year. Board Members will be asked to sign a new policy upon taking their board seat. Students will be asked to sign a new policy when entering elementary school, middle school and high school. Staff members will be asked to sign a new policy upon employment in the school district and before they are given an access account. Patrons will be asked to sign a new policy once a year.

Acceptable Uses

1. Educational Purposes. The school district is providing access to its computer networks and the
Internet for educational purposes. The term "educational purpose" includes academic activities, career
development, and limited high-quality self-discovery activities. If you have any doubt about whether a
contemplated activity is educational, the user may consult with the person(s) designated by the school
to help you decide if a use is appropriate.
2. Unacceptable Uses of Network. Among the uses that are considered unacceptable and which
constitute a violation of this policy are the following:

A. Uses that violate the law or encourage others to violate the law. Don’t transmit offensive or
harassing messages; offer for sale or use any substance the possession or use of which is
prohibited by the school district’s student discipline policy; view, transmit or download pornographic materials or materials that encourage others to violate the law; intrude into the networks or computers of others; and download or transmit confidential, trade secret information, or copyrighted materials. Even if materials on the networks are not marked with the copyright symbol, you should assume that all materials are protected unless there is explicit permission on the materials to use them.
B. Uses that cause harm to others or damage to their property. For example, don’t engage in
defamation (harming another's reputation by lies); employ another’s password or some other user
identifier that misleads message recipients into believing that someone other than you is
communicating or otherwise using his/her access to the network or the Internet; upload a worm,
virus, “Trojan horse,” “time bomb,” or other harmful form of programming or vandalism; participate
in “hacking” activities or any form of unauthorized access to other computers, networks, or
information systems.
C. Uses that jeopardize the security of board member, student, staff and patron access and of the
computer network or other networks on the Internet. For example, do not disclose or share your
password with others; do not impersonate another user.

CYBERBULLYING
Any form of harassment using electronic devices, commonly known as Cyberbullying, by board members,
students, staff, or patrons is prohibited and will not be tolerated in the district. Cyberbullying is the use of any electronic communication device to convey a message in any form (text, image, audio, or video) that defames, intimidates, harasses, or is otherwise intended to harm, insult, or humiliate another in a deliberate, repeated, or hostile and unwanted manner under a person’s true or false identity. In addition, any communication of this form that disrupts or prevents a safe and positive educational or working environment may also be considered Cyberbullying. Board members, students, staff, and patrons will refrain from using personal communication devices or district property to harass or stalk another.
The district will take any report of Cyberbullying seriously and will investigate credible reports promptly.
Students are encouraged to report an incident immediately to a teacher or principal. Students who make a
report are requested to preserve evidence of Cyberbullying. For example, a student may save or bring a copy of an email, text message, picture or other electronic transmission that the student believes was intended to harm, insult, or humiliate.
Staff will take appropriate action and will bring it to the attention of the principal when students report an
incident of Cyberbullying. Staff will attempt to preserve evidence of the Cyberbullying and will submit any
evidence to the principal.
The district may revoke the privilege of a board members, students, staff, or patrons, who use district
equipment or electronic communication system to engage in Cyberbullying, The district may revoke the
privilege of a board members, students, staff, or patrons, who uses a personal communication device to
engage in Cyberbullying, to bring any personal communication device on district property or district-sponsored activities.
Students whose behavior is found to be in violation of this policy will be subject to loss of privileges, discipline, up to and including expulsion. Staff whose behavior is found to be in violation of this policy will be subject to discipline, up to and including dismissal. Patrons whose behavior is found to be in violation of this policy will be subject to appropriate sanctions as determined and imposed by the superintendent or Board. The district may also report individuals to law enforcement if necessary.

3. Netiquette. All users must abide by rules of network etiquette, which include the following:
A. Be polite. Use appropriate language. No swearing, vulgarities, suggestive, obscene, belligerent,
or threatening language.
B. Avoid language and uses which may be offensive to other users. Don’t use access to make,
distribute, or redistribute jokes, stories, or other material which is based upon slurs or
stereotypes relating to race, gender, ethnicity, nationality, religion, or sexual orientation.
C. Don’t assume that a sender of e-mail is giving his or her permission for you to forward or
redistribute the message to third parties or to give his/her e-mail address to third parties. This
should only be done with permission or when you know that the individual would have no
objection.
D. Be considerate when sending attachments with e-mail (where this is permitted). Be sure that the
file is not too large to be accommodated by the recipient’s system and is in a format which the
recipient can open.
Internet Safety
1. General Warning; Individual Responsibility of Parents and Users. All student users and their
parents/guardians are advised that access to the electronic network may include the potential for access
to materials inappropriate for school-aged students. Since the Internet constitutes an unregulated
collection of educational resources which change constantly, it is not possible to predict or control exactly
what resources users may locate. The school district makes no guarantees of the accuracy of the
information or the appropriateness of materials which a student may encounter. Students will be under
teacher supervision; however, it is not possible to constantly monitor individual students and what they
are accessing. Every user must take responsibility for his or her use of the computer network and Internet
and stay away from these sites. Parents of minors are the best guides to materials to shun. If a student
or staff member finds that other users are visiting offensive or harmful sites, he or she should report such
use to the appropriate school designee.
2. Personal Safety. Be safe. In using the computer network and Internet, the user should not reveal
personal information such as your home address or telephone number. The user should not use his/her
real last name or any other information which might allow a person to locate you without first obtaining
the permission of a supervising teacher. Do not arrange a face-to-face meeting with someone you
“meet” on the computer network or Internet without your parent’s permission (if you are under 18).
Regardless of your age, you should never agree to meet a person you have only communicated with on
the Internet in a secluded place or in a private setting.
3. “Hacking” and Other Illegal Activities. It is a violation of this policy to use the school’s computer
network or the Internet to gain unauthorized access to other computers or computer systems, or to
attempt to gain such unauthorized access. Any use which violates state or federal law relating to
copyright, trade secrets, the distribution of obscene or pornographic materials, or which violates any
other applicable law or municipal ordinance, is strictly prohibited.

4. Confidentiality of Student Information. Personally identifiable information concerning students may
not be disclosed or used in any way on the Internet without the permission of a parent or guardian or, if
the student is 18 or over, the permission of the student. Users should never give out private or
confidential information about students on the Internet, particularly credit card numbers and Social
for purposes of bona fide research or other educational projects being conducted by
students age 17 and older. District Staff is giving more access to the Internet then students; however, in
order to gain more access the schools administrator must request the permission from the Director of
Information Technology.
The term “harmful to minors” is defined by the Communications Act of 1934 (47 USC Section 254
[h][7]), as meaning any picture, image, graphic image file, or other visual depiction that
- taken as a whole and with respect to minors, appeals to a prurient interest in nudity, sex, or excretion;
- depicts, describes, or represents, in a patently offensive way with respect to what is suitable for
minors, an actual or simulated sexual act or sexual contact, actual or simulated normal or perverted
sexual acts, or a lewd exhibition of the genitals;
- taken as a whole, lacks serious literary, artistic, political, or scientific value as to minors.
Privacy
Network and Internet access is provided as a tool for your education. The school district reserves the right to monitor, inspect, copy, review and store at any time and without prior notice any and all usage of the computer network and Internet access and any and all information transmitted or received in connection with such usage. All such information files shall be and remain the property of the school district and no user shall have any expectation of privacy regarding such materials.

Failure to Follow Policy
The user’s use of the computer network and Internet is a privilege, not a right. A user violates this policy by his or her own action or by failing to report any violations by other users that come to the attention of the user. Further, a user violates this policy if he or she permits another to use his or her account or password to access the computer network and Internet, including any user whose access has been denied or terminated. The school district will also take other disciplinary action in such circumstances. A user who violates this policy, shall at a minimum, have his or her access to the computer network and Internet terminated, which the school district may refuse to reinstate for the remainder of the board members term, for the remainder of the student’s enrollment, for the remainder of the staff members employment in the school district, and forever for patron.
Warranties/Indemnification
The school district makes no warranties of any kind, either express or implied, in connection with its provision of access to and use of its computer networks and the Internet provided under this policy. It shall not be responsible for any claims, losses, damages, or costs (including attorney's fees) of any kind suffered, directly or indirectly, by any user (or his or her parent(s) or guardian(s)) arising out of the user’s use of its computer networks or the Internet under this policy. By signing this policy, users are taking full responsibility for their own use, and the user who is 18 or older or, the parent(s) or guardian(s) of a minor student are agreeing to indemnify and hold the school, the school district, the Data Acquisition Site that provides the computer and Internet access opportunity to the school district and all of their administrators, teachers, and staff harmless from any and all loss, costs, claims, or damages resulting from the user’s access to its computer network and the Internet, including but not limited to any fees or charges incurred through purchases of goods or services by the user. The user or the user’s parent(s) or guardian(s) of a minor agree to cooperate with the school in the event of the school’s initiating an investigation of a user’s misuse of school issued property regardless of physical location of said property.
Updates
Users, and if appropriate, the user’s parents/guardians, may be asked from time to time to provide new or
additional registration and account information or to sign a new policy, for example, to reflect developments in the law or technology. Such information must be provided by the user (or his/her parents or guardian) or such new policy must be signed if the user wishes to continue to receive service. If after you have provided your account information, some or all of the information changes, you must notify the person designated by the school to receive such information.
REFERENCE: 21 O.S. §1040.75, §1040.76


I agree to the Copan Public Schools Internet and Other Computer Networks Acceptable Use and Internet Policy *
Photo/Video Release
I give Copan Public Schools the right to use all still and moving images that my child appears in for all non-commercial use. This includes, but is not limited to: video, multimedia, web-based, print curriculum, training materials, video conferencing, distance learning, and all other forms of media. I give this right of the use of my child’s likeness for the useable life of the media.

I understand and agree that there will be no compensation for this use of my child's likeness and I will not request further compensation at a later date.

I agree that I will not hold Copan Public Schools liable for any reason if the image is used in accordance with the acceptable uses as stated above. In turn this institution promises and agrees to use all media in an appropriate educational manner
I hereby agree to this release *
Pre-Pay Meal Policy
All students must pre-pay for all meals. Students and parents can access cafeteria balances via the lunch room cashier, by calling the school, or through the online grade book. When a student’s bill reaches a zero ($0.00) balance, the student will only have the option of a peanut butter sandwich through the cafeteria. The peanut butter sandwich will fulfill all nutritional requirements and will be charged to the student’s account.

Additionally, any student who is disrespectful or uncooperative with any cafeteria worker attempting to enforce this policy will face disciplinary measures.

If financial changes or issues arise during the school year a Free and Reduced Lunch Application may be obtained from Mrs. Askew.
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