FRANKLIN REGIONAL SCHOOL DISTRICT STUDENT REGISTRATION 3210 SCHOOL ROAD MURRYSVILLE, PENNSYLVANIA 15668 http://www.franklinregional.k12.pa.us Fax number 724-327-6149 E-mail – [email protected]REGISTRATION PACKET Grade K Please call Sandy Stonebrook (724) 327-5456 x7622 with any questions and to make an appointment Appointments accepted Monday through Friday
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Franklin Regional School District is now accepting registration for children
who will be entering Kindergarten in the 2013-2014 school year. Children must be (5) five years of age on or prior to September 1, 2013 to enter
school this year.
In order to register your child, the papers in the enclosed registration packet
must be completed in entirety and returned in person. You will not be able to register your child without the following information:
~ Child’s original birth certificate (with raised seal) or passport
~ Completed immunization record or printout from pediatrician
~ Proof of residency – (2) Two are required Current tax receipt
Utility bill Sales/Lease agreement
Closing settlement agreement ~ Valid PA Driver’s License
Kindergarten registrations will be accepted, by appointment, the
evenings of April 3rd, 4th, & 5th from 5:00 PM-7:45 PM. Heritage and
Newlonsburg registrations will be held at the Administration Conference room on the ground floor of Heritage Elementary. Sloan registrations will be
held at Sloan Elementary.
At the registration appointment, your child will also be scheduled to participate in the Brigance and Vision screenings that will be held at each
building. Again, screenings will be by appointment on the following dates: Newlonburg: May 31 or June 3, 2013
Heritage: May 31, June 3 or June 4, 2013 Sloan: June 3, 4 or 5, 2013
Revised 2/7/13
Beginning April 8th, those who could not attend during one of the dates noted above, may make an appointment to register their child
by calling Mrs. Sandy Stonebrook at 724-327-5456 (Extension: 7622). Registrations will continue to be accepted at the Franklin Regional
Administration Office during daytime hours (8:00 a.m. to 2:30 p.m.), until Friday, April 26, 2013.
Families are strongly encouraged to register prior to the April 26,
2013 cut off for formal registration. Please be aware that placements for the neighborhood school may not be guaranteed for any
registration taken after April 26 as school assignments are based on the classroom capacity in each building.
Included in this registration packet are dental and physical forms which must be completed and returned to your school nurse by November 30, 2013.
Examinations by the school’s physician and the school’s dentist will be scheduled for your child if these forms are not returned by the due date.
The entire Franklin Regional School District staff looks forward to working
with you as your child begins this educational journey with us. If you have any questions, please call us at 724-327-5456 X7622, or X7625.
Sincerely,
Linda Miller
Assistant Director of Financial Services 724-327-5456 X7625
Timeline of Kindergarten Transition Events Preparation for 2013-2014
Franklin Regional School District
PHASE 1
Preschool Parents Meeting ~ Orientation for Kindergarten (Meet Staff, Program Intro, Q/A, Appointments for Registration)
Incoming preschoolers to Heritage or Newlonsburg Elementary
March 20, 2013 @ 7:00 pm, Newlonsburg Cafeteria
Incoming preschoolers to Sloan Elementary:
March 21, 2013 @ 7:00 pm, Sloan LGI
PHASE 2
Kindergarten Registration (by appointment) (Parents bring completed forms from Registration Packet, Immunization Records,
Appointments for Student Screenings)
Incoming preschoolers to Heritage or Newlonsburg Elementary
Evenings of April 3, 4, 5, 2013 @ Administration Building (lower level of Heritage)
Incoming preschoolers to Sloan Elementary:
Evenings of April 3, 4, 5, 2013 @ Sloan Elementary
PHASE 3
Preschool Visitation @ Franklin Regional
Preschoolers and Staff from local centers (Delmont, Export, Murrysville) will
visit Newlonsburg, Sloan and Heritage on May 6 and May 8, 2013
PHASE 5
Kindergarten Meet & Greet (Parents bring children for School/Class Tour, meet their assigned Teacher, Bus Experience)
Incoming preschoolers to Newlonsburg Elementary
Wednesday, August 14, 2013 @ Newlonsburg (Time: TBA)
Incoming preschoolers to Sloan Elementary:
Wednesday, August 14, 2013 @ Sloan Elementary (Times: TBA)
Incoming preschoolers to Heritage Elementary:
Wednesday, August 14, 2013 @ Heritage Elementary (Times: TBA)
PHASE 6
Staggered Start (sign up @ Meet & Greet) (Small Groups of Parents/Students attend an abbreviated day/Curriculum, School Routines)
One of the First Three Academic Days of 2013-2014
Tentatively: August 26, 27 or 28 of 2013
~ All students at their home building with their homeroom teacher ~
Abbreviated Day: 10:30 a.m. to 12:15 p.m.
PHASE 4
Kindergarten Screen (by appointment) (Parents bring children for Brigance and Vision Screenings)
Incoming preschoolers to Newlonsburg Elementary
May 31, 2013 or June 3, 2013
Incoming preschoolers to Sloan Elementary:
June 3, 4, 5, 2013 @ Sloan Elementary
Incoming preschoolers to Heritage Elementary:
May 31, June 3 & 4 @ Heritage Elementary
(Letters will be mailed to homes in the summer with
Teacher Assignments for each building as well as Meet & Greet details)
RESIDENCY QUALIFICATION In order for your child to attend school in the Franklin Regional School
District, you must reside in the Franklin Regional School District or be in the
process of building or buying a home within the boundaries of the District.
NON-RESIDENT/PRE-RESIDENT STATUS
Families not yet living in the District but who are in the process of building or buying a home in the district and would like to register their children to
begin school are required to pay tuition until their residency is established.
1. You must write a letter to the Superintendent attaching a copy of lease agreement or builder’s agreement to the letter.
2. The Business Office will then send you a letter stating the
amount of tuition due and the date it is due.
3. A copy of the District Policy #8304 is available on the
website.
MULTIPLE OCCUPANCY
If you are sharing a residence with another family within the Franklin Regional School District you must file a NOTARIZED Certificate of Multiple
Occupancy. Forms are available from Sandy Stonebrook at the Franklin Regional Administration Building or on the website.
To: Prospective Kindergarten Parent(s) and/or Guardian(s) From: The Franklin Regional Team
Re: Kindergarten Registration Forms
Date: School Year 2013-2014
PLEASE BRING THE COMPLETED FORMS AND REQUIRED
INFORMATION WITH YOU - ALL FORMS MUST BE COMPLETED IN FULL AND PRESENTED AT REGISTRATION.
District Forms – Included in Packet
Student Entry Information Form – Please complete and sign
Student Custody Form – (Complete only if applicable)
Special Services Form – Please complete and sign
Home Language Survey – Please complete this form in its entirety
Internet Use Agreement – You may sign for your child
Census Enumeration – Please complete this form in its entirety
Authorization for Verification of Address
Forms Parent(s) are to provide:
Your child’s ORIGINAL birth certificate or Passport
Proof of residency in the Franklin Regional School District (see below) - At least two of the following (must show CORRECT address)
Current tax receipt
Utility bill
Sales/Lease agreement
Closing settlement statement
Valid PA Driver’s license with Franklin Regional address
Most current well-visit report from the pediatrician
Immunization Record/Print Out from Pediatrician
Additional Forms (only as needed – available at Administration office or online)
Certification of Multiple Occupancy – Only if residing with another family within the Franklin Regional School District.
NOTE: We will not be able to register your child if any of this information is missing. Thank you.
Full /Half Day FRANKLIN REGIONAL SCHOOL DISTRICT Resident_________
Student ID_________ OFFICE OF CHILD ACCOUNTING Non- Resident_____
STUDENT ENTRY INFORMATION PLEASE PRINT OR TYPE ALL INFORMATION
STUDENT INFORMATION
Race Code: Please chose a code and enter above: A = Asia/Pacific Islander B = African American EI = Indian I = American Indian W = White O = Other Ethnicity: Please chose a code and enter above: H = Hispanic or Latino O = Not Hispanic or Latino
HOME ADDRESS______________________________________________________________________________ ( ) __________________ Street # Street Name City State Zip Area Code Phone # CITY OF BIRTH_________________________STATE OF BIRTH ____________________COUNTRY OF BIRTH ________________________ PREVIOUS PRESCHOOL/SCHOOL’S NAME_______________________________________________________________________________ PREVIOUS SCHOOLS ADDRESS___________________________________PHONE ( ) ________ FAX ( )_______________
Student lives with: (circle one) Both Parents Father Mother Other _________________
Parent(s)/Guardian that the student lives with:
LAST NAME_______________________ FIRST NAME____________________ (Father) LAST NAME_______________________ FIRST NAME____________________ (Mother) LAST NAME _______________________ FIRST NAME ____________________ (OTHER) (EXP: STEP FATHER, GUARDIAN ETC)
ADDRESS__________________________________________________________________________________________________ HOME PHONE ( ) ________________ WORK PHONE ( ) ________________(Father) CELL PHONE ( ) _______________(Father) WORK PHONE ( ) _______________(Mother) CELL PHONE ( ) _______________ (Mother)
EMAIL ADDRESS____________________________(Father) EMAIL ADDRESS________________________________________(Mother) If Student does not live with both parents, yet both parents are to receive mailings, please list additional mailing information below:
LAST NAME_________________________________ FIRST NAME_______________________ Relationship___________________ ADDRESS__________________________________________________________________________________________________ HOME PHONE ( ) __________________ WORK PHONE ( ) ____________________ CELL PHONE ( ) __________________ EMAIL ADDRESS______________________________________________
PARENT/GUARDIAN SIGNATURE___________________________DATE______________________________ CHILD ACCOUNTING USE ONLY:
PRIOR ATTENDANCE: Last year attended ________ SME # ___________ LUNCH/PIN # _____________ IMMUN. CERT. __________ BIRTH CERTIFICATE/PASSPORT PROOF OF RESIDENCY ___________ ___________ MULTIPLE OCCUPANCY _________________ IS THERE A CUSTODY ORDER? Yes________ No _______ IF YES, HAS A COPY OF THE ORDER BEEN PROVIDED? _____________ ENTRY DATE_______________ENTRY CODE__________ BUILDING ___________________________ GRADE_____________ AM BUS #____________PM BUS #______________ BUS STOP # _________ BUS STOP LOCATION ___________________
COPY SENT TO: SENIOR_____MIDDLE_____HERITAGE______NEWLONSBURG_______SLOAN_____ RECORDS REQUESTED______________RECORDS RECEIVED______________
LAST NAME
FIRST NAME
MIDDLE
GRADE
BIRTHDATE
SEX
RACE CODE
ETHNICITY
Student Custody Form Franklin Regional School District
3210 School Road Murrysville, PA 15668 Main: 724-327-5456 Fax: 724-327-6149
(This form must be completed if the student(s) parents reside at different residences)
Name of Enrolling Parent/Guardian___________________________________________ (Please print) Address _________________________________________________________________ (Please print) City ________________________State _________________ Zip ___________________ (Please print)
List full name(s) of child(ren) affected by this Student Custody Form. . Last name ____________________First name __________________School________________ Last name ____________________ First name _________________ School________________ Last name ____________________ First name _________________ School________________ Please check one: _____ I have full custody of the child(ren) listed on this form as described in the most recent Court Order of custody (attach Court Order). _____I have joint custody of the child(ren) listed on this form as described in the most recent Court Order of custody (attach Court Order) _____Parents do not have a legal custody agreement. Parent Signature _________________________________Date___________________
Franklin Regional School District
3210 School Road
Murrysville, Pennsylvania 15668
SPECIAL SERVICES – REGISTRATION FORM
My child has an I.E.P. or a 504 Service Agreement on file at the previous school
attended.
If your child currently has an IEP, please check area/areas of exceptionality.
Autistic Support
Learning Disability
Gifted
Vision
Physical Disability
Mental Retardation
Speech/Language
Hearing
Physical Therapy
Occupational Therapy
Special Transportation Needs (related to disability)
Emotionally Disturbed
Neurological Impairment
Other Health Impairment
Other (Please specify) _________________
Multidisciplinary Evaluation in Progress (MDE)
My child does not need any special education services.
_____________________________
Parent Signature
_____________________________
Date
*HOME LANGUAGE SURVEY*
The Office of Civil Rights (OCR) requires that school districts/charter schools/full day
AVTS identify limited English proficient (LEP) students in order to provide appropriate
language instructional programs for them. Pennsylvania has selected the Home
Language Survey as the method for the identification.
School District: ________________________ Date:___________________
The Franklin Regional School district makes every effort to provide a secure and productive computing environment. It supports confidentiality of information through the Family
Educational Rights and Privacy Act (FERPA) and Internet Content Filtering guidelines through
the Child Internet Protection Act (CIPA). In no way will the Franklin Regional School District assume responsibility for its students and staff for computer misconduct resulting from inappropriate use or redirection of bandwidth and unauthorized charges or fees. This Acceptable Use Policy will be reviewed annually with students and staff and revised as needed. 1. The Internet will be used to support the functions of the Franklin Regional School District,
its curriculum, the educational community, and projects between schools, communication and research for school district administrators, teachers and students. 2. The Internet and computer technology will not be used for illegal activity, transmitting offensive materials, hate mail, discriminatory remarks or obtaining, transmitting or otherwise communicating indecent, obscene or pornographic material. Sending harassing, abusive, intimidating, discriminatory or other offensive e-mails is strictly prohibited. 3. The Internet and computer network will not be used for sending or initiating chain-mail,
playing non-instructional games, downloading and storage of unauthorized multimedia files, and peer-to-peer file sharing systems such as KaZaa, Croakster, or similar systems. 4. The use of unauthorized chat, instant messaging systems, or discussion boards is strictly prohibited.
5. The Internet and computer technology will not be used for profit purposes, lobbying or advertising on behalf of any individual or employee of the Franklin Regional School District. 6. Use of the Franklin Regional School District’s computer technology or the Internet for
fraudulent or illegal copying, communication, taking or modification of material or any other activity in violation of the law is prohibited and will be referred to the proper authorities. 7. In no event shall the Franklin Regional School District be liable for any damage, whether direct, indirect, special or consequential, arising out of the use of the Internet, accuracy or correctness of databases or information contained therein or related directly or indirectly, to any failure or delay of access to the Internet.
8. The Franklin Regional School District may terminate the availability of the Internet and Network accessibility at its sole discretion. 9. From time to time, the Franklin Regional School District will make determination on whether specific uses of the Internet and Network are consistent with this policy and notify users of the same. 10. The Franklin Regional School District, in its discretion, reserves the right to log Internet use in terms of time and content and to monitor file server disk space utilization by users. It
also reserves the right to process grievances against individuals who use the Internet in a manner inconsistent with this policy. 11. The Franklin Regional School District reserves the right to remove a user account on the Internet and Network to prevent further unauthorized activity as specified in this document. 12. The Network shall not be used to disrupt the work of others; hardware or software shall not be destroyed, modified or abused in any way. 13. Network accounts are to be used only by the authorized owner of the account for the
authorized purpose. 14. Diligent effort must be made by the user to delete mail daily from personal mail directories to avoid unnecessary use of file server disk space. 15. Diligent effort must be made by the user to periodically delete obsolete files from the Network file server. 16. Users shall not intentionally seek information, obtain copies of or modify files, other data,
or passwords belonging to other users, or misrepresent other users in the Network. 17. Uploading, downloading, installation, or use of unauthorized games, programs, files or
other electronic media is prohibited. 18. The illegal use of copyrighted software is prohibited. 19. In order to maintain a high level of security on the Local Area Network, all Network users may need to update their passwords as needed. 20. The user shall be responsible for damages to the Franklin Regional School District’s
equipment, systems and software resulting from deliberate or willful acts. 21. The Internet, Network and e-mail are not guaranteed to be private. People who operate the systems do have access to all e-mail and files. Messages relating to, or in support of, illegal activities may be reported to the authorities. 22. Confidential information shall never be transmitted to unauthorized sources. This includes health records, academic records, financial information, social security numbers or passwords.
23. Failure to follow the procedures listed above by students of the Franklin Regional School District may result in suspension or loss of the right to access the Internet, to use the Franklin Regional School District’ s computer technology, and be subject to other disciplinary actions, including but not limited to, expulsion.
24. Violations of this policy and procedures by employees of the Franklin Regional School District may result in discipline, including but not limited to, dismissal. 25. All students in 7th grade and above who wish to use the Internet, Network, and computer
technology tools must sign an Internet Agreement form which will be kept on file. Parents or guardians must sign for all students who are under the age of 18. Such signed agreements will be stored in the student’s permanent file. 26. All staff must sign an Internet Agreement that will be kept on file.
27. Electronic e-mail messages will be stored by the District for the duration prescribed by law. This policy covers the use of all company-owned electronic communications systems: e-mail, Internet access, district Intranet, district-wide telephone systems and all licenses software programs, whether or not they are associated with any of the above mentioned systems. Applicable Laws and Regulations/Policy History Adopted: 2/28/05/Amended/Effective: 2/28/05
As a student user of the FRSD network, I hereby agree to comply with the terms and conditions listed above:
Student name (printed legibly) ________________________________
As a parent or legal guardian of the minor student signing above, I grant permission for my son/daughter to access networked
computer services such as email and the Internet. I understand that individuals and families may be held liable for violations. I understand that some materials on the Internet may be
objectionable, but I accept responsibility for guidance of Internet use, setting and conveying standards for my son/daughter to follow
when selecting, sharing or exploring information and media. Parent name (printed legibly)
You and your child are beginning an exciting thirteen-year journey and we would like to extend to you a special welcome and supply you with some information about the services we provide.
SCREENINGS; Vision: every year, K through 12
Hearing: K-3, 7, 11 - any time a problem is suspected; we can recheck hearing with the audiometer
and inspect the ear for wax blockage. Growth: every year, K through 12 Dental: K, 3, 7 (your dentist or at school) Physical: K, 6, 11 (your physician or at school) Scoliosis: 6-7
MEDICATIONS: At the beginning of each year we will furnish a list of available medications and treatments (standing orders by the school physician) for you to review. You may approve which medications and treatments that you would like your child to receive when needed for minor ailments such as upset stomach and headache.
If your child needs long or short-term medication other than those available at school, they must be approved IN WRITING BY YOUR PHYSICIAN. We have forms which must be completed before any other medication can be given. Otherwise we are not permitted to administer them.
ILLNESS: A sore throat; vomiting/diarrhea during the night; or a skin rash are reasons for keeping your child at home,
since these are things which may be passed on to others. If your child has had a fever (>100°F.), they should be
kept at home until their symptoms are gone and their temperature is normal for 24 hours without medication. Keep in mind that following a high fever the temperature sometimes falls below normal. IMMUNIZATIONS:
A record of the immunizations your child has received is required to enter school. Please keep us informed with SPECIFIC DATES of any boosters given after registration and we’ll note your child’s record. You will get the complete history when your child graduates.
HEALTH SERVICES STAFF;
Certified School Nurses: Health Room Assistants: Beth Frydrych, RN, CSN Paulette Wilson, RN