Woodland Middle School Student Information 2020-2021
Click in each box to enter your response.
Email address *
Student Name *
Student Date of Birth *
Grade your student will be in *
Required
Address *
Street Address (if different) *
(If it is the same, enter NA.)
Home Phone *
(If no you do not have a home phone, enter NA.)
Phone number you want for all-calls *
(If you do not have a cell phone, enter NA.)
Do you have internet access at home? *
Required
Person Student lives with: *
Mother's Name *
(If mother is not involved, enter NA)
Mother's Cell *
(If you do not have a cell phone, enter NA.)
Mother's Employer and Phone Number *
(If not employed, enter NA.)
Father's Name *
(If father is not involved, enter NA.)
Father's Cell *
(If you do not have a cell phone, enter NA.)
Father's Employer and Phone Number *
(If not employed, enter NA.)
Emergency Contact Person (1) and Phone Number *
Emergency Contact Person (2) and Phone Number *
Blanket Field Trip Permission *
I understand the school/teacher(s) will notify me with additional information before the trip(s).
Required
Consent for Medical Treatment *
Required
If you did not give permission for medical treatment above, describe what should be done in case of an emergency when personal and/or religious beliefs prohibit any emergency medical attention for accident, sickness, or injury. *
(If you gave permission for medical treatment, enter NA.)
I understand these permissions remain in effect for as long as my child is a student at Woodland Public Schools or until such time that a written request for change is given to the principal. *
Required
EpiPen (epinephrine) Auto-Injector *
(An additional form may be required from the Woodland Elementary Office.)
Required
Where is your child's EpiPen (epinephrine) located? *
(If your child does not have one, enter NA.)
Diabetes Medical Management *
(An additional form may be required from the Woodland Elementary Office.)
Required
Student Self-Management Asthma *
(An additional form may be required from the Woodland Elementary Office.)
Required
Where is your child's inhaler located? *
(If your child does not have one, enter NA)
Food Allergy Substitutions *
(An additional form may be required from the Woodland Elementary Office.)
Required
Please let us know any other medical information we may need to know about your child. *
(If there is nothing more we need to know, enter NA.)
Release for Publication on the Website *
(This form is required by law. By checking the box, you are signing the form.)
Required
Student Handbook *
Required
Directory Information *
Regarding student records, certain information about my child is considered directory information and may be released by the District to a recognized organization that requests it unless I object. Building principals will not release ANY information to non-recognized requisitions. Information is generally released for honors, awards and scholarships. *Please check the appropriate box or boxes for directory information you DO NOT want released.
Required
Internet Access Conduct Agreement (Student) *
Every student of Woodland Public Schools, regardless of age, must read and sign this Agreement I have read, understood and agree to abide by the terms of the School District's Acceptable Use and Internet Safety Policy. Should I commit any violations or in any way misuse my access to the School District's computer network and the Internet, I understand and agree that my access privileges may be revoked and school disciplinary action may be taken against me. I understand I have no expectation of privacy with regard to my use of the School District's technology.
Required
Internet Access Conduct Agreement (Parent) *
As the parent/guardian of the above student, I have read, understood and agree that my child or ward shall comply with the terms of the School District's Acceptable Use and Internet Safety Policy for the student's access to the School District's computer network and the Internet. I understand that access is being provided to the students for educational purposes only. However, I also understand that it is impossible for the school to restrict access to all offensive and controversial materials and understand my child's or ward's responsibility for abiding by the policy. I am, therefore, signing this policy and agree to indemnify and hold harmless the school, the School District and the Data Acquisition Site that provides the opportunity to the School District for computer network and Internet access against all claims, damages, losses, and costs, of whatever kind that may result from my child's or ward's use of his/her access to such networks and/or his/her violation of the policy. Further, I accept full responsibility for supervision of my child's or ward's use of his/her access account if and when such access is not in the school setting. I hereby give my permission for my child or ward to use the building-approved account to access the School District's computer network and the Internet.
Required
Internet Access Conduct Agreement (All) *
Required
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