St. Barnabas Family Authorization

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All families are required to acknowledge the terms outlined below; one form is required PER family. The Family Authorization is an agreement between the school and all parents/guardians and students.

Thank you for your prompt attention. Inquiries may be sent to Mrs. Sue Connolly at sconnolly@stbarnabasparish.org; 773-445-7711

Email *

Family Last Name *

Student Name(s) and Grade *

Handbook Agreement
It is essential that students and parents/guardians familiarize themselves with the policies in the St. Barnabas School Parent-Student Handbook. After reviewing the handbook completely, please verify your agreement to the policies within the document.
*

Yes, we have reviewed and acknowledged the policies within the handbook.

Other:

Technology Responsible Use Policy
Students of St. Barnabas School are expected to handle personal and school-owned technology with the utmost care. After reviewing the Technology Responsible Use Policy, please verify all students and parents/guardians in the household agree to the policies outlined throughout the document.
*

Yes, we have reviewed and acknowledged the policies within the Technology Responsible Use Policy.

Other:

Universal Permission Form
We anticipate our teachers taking walks with the students, as needed, around the immediate area, from 103rd Street to 96th Street, Longwood to Seeley. Walking trips will serve an educational or play-based purpose. Students will be supervised by a St. Barnabas teacher or staff member at all times.

Yes, my child may accompany their St. Barnabas teacher/staff member off campus, as specified above.

No, my child may not accompany their St. Barnabas teacher/staff member off campus as specified above. If their class is leaving campus, the students will remain on campus with adult supervision.

Family Volunteer Commitment
St. Barnabas is blessed to have many events that form a community that sets our school apart and brings joy to families. These events are only possible due to families sharing their time and talent. Families are expected to volunteer throughout the school year to ensure the continuation of events and activities. Opportunities are on our website. Your acknowledgment below indicates that you understand the expectation of volunteer participation.

Yes, we have reviewed the opportunities and agree to volunteer at St. Barnabas School.

Other:

School Directory Publication
To build and maintain and sense of community, St. Barnabas School will publish an annual online directory through www.directoryspot.net. In a password-protected format, the school will share students’ name along with parent/guardian email and cell phone number. *

Yes, we agree to have our information published in the School Directory Publication

No, thank you. We prefer to exclude our parent/guardian email and cell phone from the School Directory Publication.

Other:

Photo/Media Release
On occasion, St. Barnabas publishes photos/videos of our students on the school/parish website, social media page, print publications, in the local newspaper, and in other forms of communication. We do this to share information about our school and to keep parents and our community up-to-date on our many offerings and student accomplishments.
*

Yes, we agree to the use of photos.

No, please do not share any photos that include our child.

Asbestos Release
Please review the notification letter about Asbestos Content & Management Plan at St. Barnabas School. Should you wish to review the inspection report and management plan on file at our school, please contact Mr. Jonathan Stack at jstack@stbarnabasparish.org. *

Yes, we have reviewed and acknowledged the letter regarding Asbestos Content and Management at St. Barnabas School.

Other:

Opioid Antagonist Policy
Under Public Act 103-0348, which took effect January 1, 2024, public and private schools, including St. Barnabas School, are now required to keep a supply of an opioid antagonist on hand to be used in the event of an overdose. Please review this new policy HERE.

Yes, we have reviewed and acknowledged the letter regarding opioid antagonist at St. Barnabas School.

Other:

Concussion screening
St. Barnabas follows the concussion protocol of the Illinois Elementary School Association (IESA). Per our Athletic Board By-Laws, at the start of each school year, all students in Grades 3 -8 must participate in the free-of-charge concussion screening. Screenings are conducted during the school day, and results are accessible to parents/guardians through the screening evaluators.
*

We give permission for our child(ren) to participate in a free concussion screening

We do not have any children in St. Barnabas, grades 3-8, and are not required to complete the screening.

Other:

Signature Authorization
Each party agrees, that typing their parent/guardian signature below will serve as their digital electronic signature, and authenticate the documents and policies detailed above.

A copy of your responses will be emailed to the address you provided.

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