Main Office Form*

Skip Navigation

Main Office Form 2023-2024

PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD.
Student Information
First Name
Last Name
Date of Birth
Gender
Male Female
Grade * (1 required)
Preschool Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade
T-Shirt Size *
Address Label
Address 1
Address 2

City

State

Zip
Home Phone
Parent/Guardian 1 Information
First Name
Last Name
Cell Phone Number
Email Address
Parent/Guardian 2 Information
First Name
Last Name
Cell Phone
Email Address
Emergency Dismissal Information
In an emergency situation, it may become necessary for us to dismiss students prior to the end of the school day. Please fill in the following information that will assist us in contacting someone other than you, who would be responsible for your child's care, should it be necessary. We will attempt to contact you via phone and e-mail.
Emergency Contact 1
First Name
Last Name
Relationship
Cell Phone
Email Label
Emergency Contact 2
First Name
Last Name
Relationship
Cell Phone
Email Label
By checking this box, I give permission to release my child into the custody of the person above
Checkbox
Dismissal/Transportation Home
In each box, please describe how your child will be leaving school each day. Please be specific.
If you indicate that your child will go to Aftercare, please be sure you have enrolled him or her in the Aftercare program with the appropriate forms via the main office.
Options (PS, Pre K and K)
Name of person picking up
Bus
SJS Aftercare

Options (Grades 1-8)
Walker
Carline
Busline
SJS Aftercare
Monday
Tuesday
Wednesday
Thursday
Friday
Emergency Procedures
In case of accident or serious illness, I authorize the school to call the physician indicated below and follow instructions. If it is impossible to contact this physician, the school may take whatever arrangements seem necessary.
Emergency Procedures* By checking this box I agree with the above instructions
Checkbox
Initials *
Local Physician's Name
Address Label
Address 1
Address 2

City

State

Zip
Office Phone
Allergies (please select)
None Plant Animal Food Bee/Insect Medication Environmental
Allergies (please describe)
Medical Conditions
Asthma Attention/Learning Bleeding Bone/Muscle/Joints Dental Dietary Restrictions Diabetes Emotional/Behavioral Headaches/migraines Hearing Heart Problems Seizures Skin Speech Special Equipment Stomach (bladder/bowel) Vision
Medication permission: Tylenol may be given to my child at school* *
Yes No
General Permissions

Video Taping and Photographing Students
Can your child's phot be used for marketing purposes? Names of students will NEVER be used. Please indicate below if you are willing or unwilling to have your child participate.
Photo/Video Permission *
Yes No
Initials *
Permission for Family Contact Information to be published in the Online Directory available only to SJS Families.
I give permission for our information to be published *
Yes No
Initials *
Parent/Student Handbook
By checking this box, I acknowledge I have read the SJS Parent/Student Handbook (on the school's website in the School Life Section) with my child, and agree to support the school in following the policies and procedures cited therein.
SJS Handbook Acknowledgement* * (1 required)
Checkbox
Parent Signature *
Student Signature
Technology User Agreement
Computer Hardware Usage/General Guidelines
No classroom, lab, library computer or iPad is to be used without a teacher present.
Students may not alter any settings (i.e. Control Panel, Printers, desktop icons etc.) without specific permission from a teacher.
Students must inform the teacher if he/she is using a memory device from home on a school computer.
In order to comply with copyright laws, students agree not to copy pages from the Internet or a CD reference into their own document. On occasion, with the permission of the teacher, a picture or chart may be borrowed.
The Internet
It is the philosophy of Saint Joseph School that the Internet be used as an educational tool in the learning process. To protect and support the moral, Christian environment of the school, Saint Joseph School has purchased and installed on all computers a program that blocks undesirable sites from the Internet. Although closely supervised, individuals are expected to act responsibly and morally by adhering to the following guidelines:
Use of Internet for educational purposes only.
Comply with Federal, state and local copyright laws while accessing information from the Internet.
IMPORTANT REMINDERS:
Students should never supply personal information on the Internet
Students should never make dates to meet someone
Students should notify a teacher immediately if he/she should find something questionable or harmful on the Internet
Inappropriate use of the Internet could result in the loss of student computer privileges until the matter is resolved by the appropriate school personnel.
I have read and agree to comply with the technology regulations stated above. * (1 required)
Checkbox
Initials *
Enter Your Email Address: *

Now Enrolling

Main Office Form 2023-2024

Student Information

Parent/Guardian 1 Information

Parent/Guardian 2 Information

Emergency Dismissal Information

Emergency Contact 1

Emergency Contact 2

Dismissal/Transportation Home

Emergency Procedures

General Permissions

Video Taping and Photographing Students

Permission for Family Contact Information to be published in the Online Directory available only to SJS Families.

Parent/Student Handbook

Technology User Agreement