Admissions packet: text reading copy

1. Student information

Kindergarten and new student admissions packet. A parent or legal guardian should complete this packet. Please review each agreement before signing.

Student legal name

Home and mailing addresses

2. Student background

Complete every applicable section. Write N/A when a question does not apply.

Previous school information

3. Language race and ethnicity

Complete every applicable section. Write N/A when a question does not apply.

Race and ethnicity

Select all applicable race categories. Select one answer for Hispanic or Latino ethnicity.

Home language

Kindergarten students only

Use the program guide on page 7 if helpful. Contact the school office for any additional program forms needed.

4. Student services and history

Complete every applicable section. Write N/A when a question does not apply.

Student services and history

Provide relevant documents or additional details to the school office.

Other programs

5. Family and authorized contacts

List four contacts. Only a parent, guardian or person acting in a parental or supervisory role may update emergency contacts.

Contact 1

Contact 2

6. Authorized contacts continued

Complete every applicable section. Write N/A when a question does not apply.

Contact 3

Contact 4

Residency and confirmation

I confirm that the information I provided in the enrollment sections is accurate.

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

7. Kindergarten program guide

Write the program name on page 3. Contact the school office if you need help identifying your child’s previous program.

Title I Pre-K - Federally funded preschool for three- and four-year-olds who live in Title I attendance zones and are educationally disadvantaged.

Pre-K for children with disabilities - Federal and state funded program within the Florida Education Finance Program for three- and four-year-olds with disabilities.

Fee for service - A pre-K program operated by a local school district in which parents pay tuition.

Head Start - Federally funded preschool for eligible three- and four-year-olds; may be operated by a school district or community agency.

Local coalition readiness program - Program supported through state or federal funds and/or a sliding fee scale based on parent income. Includes programs formerly called Subsidized Child Care and Pre-K Early Intervention.

Migrant Pre-K - A program for eligible children of migratory agricultural, fishing or forestry laborers.

Private Pre-K - A child placed by the parent in a private preschool.

Teenage Parent Program - District child care for children of parents enrolled in or who completed a Teenage Parent Program and are enrolled full-time in a public school in the district.

Other funding source - A district pre-K program funded through sources other than those listed above.

Voluntary Pre-Kindergarten Education Program - A public-school program for children age four on or before September 1 of the eligible school year.

None or not applicable - Select none if the child did not attend pre-K. Select not applicable if the student is not entering kindergarten.

8. Student promises

Parent or guardian: read these promises with your child. Discuss what each promise looks like at school and at home.

My promises

1. I promise to be the very best young person I can be.

2. I promise to be a good learner, to ask questions when I do not understand something, and to share what I know with others.

3. I promise to be respectful, kind and helpful to my schoolmates, my teachers, my family, and the people I meet wherever I go.

4. I promise to pay attention to how I am feeling and behaving. I promise to try to understand how other people are feeling and why they act the way they do.

5. I promise to be responsible for my behavior, to think before I act, and to choose the best solution to a problem without fighting or yelling. I promise to listen to other people's opinions.

6. I promise to eat healthy foods, get a good night's sleep, do my homework, and play.

7. I promise to take good care of my mind and my body.

8. I promise to remember that I am a good person and that I like myself.

I have read and discussed these promises with my child.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

Student signature or mark: Optional student signature on the application.

9. Parent agreement

Please read the responsibilities below and sign the acknowledgment on the following page.

Parent responsibilities

• Give 30 hours of volunteer service that will benefit the school, help my child, and help others learn.

• Ensure that my child arrives on time and ready to learn.

• Ensure that my child wears the appropriate school uniform: red shirt; blue pants or a blue skirt; black shoes; and navy blue or black socks. Boys may not wear earrings. Hair beads are not allowed for VPK students.

• Ensure that my child arrives each day with homework completed.

• Attend at least one parent-teacher meeting in each nine-week school period.

• Attend the parent training session at the beginning of the school year.

• Have conflicts concerning this parent agreement resolved by a committee of two parents and a school staff member.

• Abide by other rules and regulations established by the school committee with approval of the governing board.

10. Parent agreement continued

Review the school commitments below. Your signature confirms the parent responsibilities on the preceding page and the agreement below.

School responsibilities

• Be nonsectarian and nondiscriminatory in programs, admissions policies, employment practices and operations.

• Be accountable to the Indian River County School District for performance.

• Not charge tuition and/or fees.

• Meet applicable health, safety and civil requirements.

• Be subject to an annual financial audit.

• Be accountable to students, parents or guardians, and the community through continuous planning, evaluation and refinement.

I agree to do my best to follow the school rules and regulations and fulfill the parent responsibilities above.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

11. Emergency information

Provide current contact information. Notify the school office when these details change.

Parent or guardian work contacts

Two people who may temporarily care for the child

12. Emergency authorization

Read and sign this authorization. Keep the emergency contacts on the previous page current.

Medical information

Authorization for emergency care

In an emergency, such as an accident or serious illness, I understand that the school will attempt to contact me. If I cannot be reached, I authorize the school to contact the doctor listed on the emergency information form and follow the doctor's directions. If the doctor cannot be contacted, I authorize the school to take whatever steps are deemed necessary.

In case of emergency, the school will call 911.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

Additional information for emergency care

13. Volunteer service hours

Each family is strongly urged to contribute a minimum of 30 volunteer service hours per year.

Service hours may be earned in many ways, in and out of the school building. They help build a partnership among students, parents and teachers. Everyone has talents to share, and these hours help our school succeed.

Areas where I can help

Work and business skills

Commitment

I understand the importance of service hours for my child's education and will try to give at least 30 service hours per year.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

14. Video web and photo release

Please read this release and indicate whether you grant permission before signing.

School and district productions

Saint Peter's Academy and the School District of Indian River County sponsor public information programs for educational access television on Indian River County cable systems and webcasts through the district website. These programs feature student activities and may be developed by district or school staff. I agree to allow my child to participate in these productions and allow the school district to use my child's photograph on its website and in district publications.

Website and broadcast release

I understand that the district website may be accessed worldwide. I agree to release Saint Peter's Academy, the School District of Indian River County, and their employees from liability or loss of privacy that may result from use of the picture or video on the web or cable television. This permission is effective from the date signed through summer school of the current school year.

News media release

Occasionally, local newspapers or television stations photograph or record students for publications or broadcasts. I allow my child to be photographed, published or broadcast by news media and agree to release the school, district and their employees from liability or loss of privacy resulting from those pictures or videos.

I understand that I have the right not to sign this release and that my privacy rights will be protected. Students without permission will not be recorded. Their parent's wishes will receive full consideration.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

15. Rules for bus riders

Complete this page if your child will ride the school bus. Read the rules with your child.

Bus safety rules

1. Stand off the roadway while waiting for the bus.

2. Remain in your seat whenever the bus is moving.

3. Keep arms and head inside the windows.

4. When crossing the road, walk 10 feet in front of the bus and wait for the driver's signal before crossing.

5. Avoid unnecessary conversation with the driver. Please remain quiet.

6. Use classroom behavior on the bus; ordinary conversation is allowed unless silence is required.

7. Remain completely silent at all railroad crossings.

8. The driver is in charge of the bus and students. Follow the driver's directions.

9. The driver may assign seats to maintain order.

10. Do not eat or drink on the bus.

11. Be on time. The bus cannot wait for students who are late.

12. Riding the bus is a privilege. Do not abuse it.

Consequences: The driver will report violations to the administrator, who may temporarily or permanently suspend the student from riding the bus.

I understand the rules above and agree to follow them.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

Student signature or mark: Optional student signature on the application.

16. Family handbook

Please review these school policies together and keep them available for reference throughout the school year.

Welcome

Dear Parents and Students: This handbook explains school policies and procedures. Review it together and keep it available to refer to throughout the year.

Mission

The school's vision and purpose is to demonstrate student learning at high levels through an academically rigorous and innovative curriculum that develops good character. Academic objectives include a well-rounded education and mastery in mathematics, reading and science.

Nondiscrimination

The school's policy is that no person shall, on the basis of race, color, national origin, marital status or handicap, be excluded from participation in, denied benefits of, or subjected to discrimination under any program or activity receiving state financial assistance, or be treated on the basis of sex under educational programs or activities receiving state assistance.

Behavior expectations

Students are expected to develop self-discipline and be good citizens. Families should discuss appropriate behavior and a good attitude toward school. Fighting, disrespect, obscene language and destruction of school property break the rules. Students who break rules will be sent to the office and may be held academically accountable. Parents will be called to a conference when appropriate. Failure to follow rules or honor commitments may result in reassignment to the student's home zoned school.

School hours and meals

The school opens at 7:15 a.m. Children report to the cafeteria, and the school day runs from 7:15 a.m. to 3:30 p.m. Students are late after 7:45 a.m. Pickup is due by 3:45 p.m. Saint Peter’s Academy follows its own school calendar, which can be found on the school website.

Breakfast: 7:15-8:30 a.m. Lunch: 11:30 a.m.-1:00 p.m. Any food from the cafeteria must be eaten there. Parents may eat lunch with their child; this does not count as volunteer time. Students should converse at their tables in a conversational tone.

17. Family handbook continued

Review the attendance, transportation, pickup and campus procedures below.

Enrollment agreement

Parents and students share a contractual agreement upon enrollment. A violation by either parent or student may result in dismissal and reassignment to the home zoned school.

Tardiness and attendance

Students arriving after 7:45 a.m. are late and must report to the office with a written explanation. If a child is absent, call the school and notify staff of the reason. Without a call, the absence will be marked unexcused. Children should attend each day unless ill or there is a family emergency. Send a written explanation when the child returns. Ball games, circuses and shopping trips are considered unexcused. Please schedule appointments after 3:30 p.m. when possible.

Signing out and dismissal

Any change to your child’s transportation arrangements must be submitted to the school office, or communicated by calling the office, before 2:45 p.m. The school cannot guarantee transportation changes received after 2:45 p.m.

Parents must report to the office to sign out a child. Staff will collect the child from the classroom or call the classroom to send the child to the office. Dismissal is at 3:30 p.m. All students must be picked up by 3:45 p.m.

Visitors and volunteer time

All visitors must report to the office. To volunteer, visit a classroom or attend a child's appointment, sign in first. Parents must not go directly to the classroom to collect a child. Classroom visitors receive a pass and must sign out at the end of the visit to receive credit for volunteer time.

Leaving campus

Early dismissal is discouraged. When unavoidable, sign your child out through the office. Staff may request identification. Unless the school is notified differently, a child will be released only to people listed on the emergency card. All students must be picked up by 3:45 p.m.

Fire and tornado drills

Drills help protect students and staff. Everyone should know the exit routes. Fire drills occur at least monthly, and students are taught to report to the exit routes.

18. Student screening permission

A parent or legal guardian must complete and sign this page. Select one choice for each screening.

Permission for school screenings

I authorize Saint Peter’s Academy to arrange the screenings for which I select Permission below. Screenings help identify possible concerns or areas where a child may need support. A screening is not a diagnosis. This permission does not authorize treatment or a comprehensive evaluation.

Hearing - Checks for possible hearing concerns.

Hearing screening: Choose permission or decline on the application.

Vision - Checks for possible vision concerns.

Vision screening: Choose permission or decline on the application.

Body mass index (BMI) - Uses height and weight to calculate body mass index.

Body mass index (BMI) screening: Choose permission or decline on the application.

Kindergarten readiness - Reviews skills related to beginning kindergarten, when applicable.

Kindergarten readiness screening: Choose permission or decline on the application.

Speech - Checks for possible speech and communication concerns.

Speech screening: Choose permission or decline on the application.

For questions about a screening or its results, contact the school office at (772) 562-1963.

I am the student’s parent or legal guardian. My signature confirms the permission choices marked above for the school year listed on this page.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

19. Immunization and health records

Complete this page and submit the applicable official health records to the school office.

Immunization documents

Submit Form DH 680 (Florida Certification of Immunization) or an applicable official exemption. A Florida health care provider or county health department prepares DH 680, including transfer of out-of-state shot records.

Medical exemptions use DH 680. Religious exemptions use DH 681 issued by a county health department. This page does not replace these official documents.

School-entry health examination

For initial entry into a Florida school, submit a school-entry health exam completed within one year before enrollment and signed by a licensed U.S. provider. DH 3040 is recommended; a comparable exam record may be accepted. Ask the office about an existing record or applicable exemption.

Parent or guardian acknowledgment

I will provide the applicable official records and notify the school of updates. This acknowledgment does not certify immunization compliance or authorize vaccination. For help obtaining records, call (772) 562-1963.

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

20. Family document checklist

Use this checklist to gather records. Contact the office if a document is missing or you need help.

Documents to provide as applicable

Check the records you are including or have already provided. The office will help confirm which records apply to your child; this checklist is not an admission decision.

Records still being gathered

Family checklist reminders

Review the emergency contacts and authorized pickup list. Complete the screening and media permission choices. Read the parent agreement, handbook and bus rules if your child will ride the bus. Sign every applicable acknowledgment.

For transfer students, include the latest report card and any available learning-support records. Use the records request on the next page to help the school obtain official records.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

21. Previous school records request

Complete for a student transferring from another school. If not applicable, mark below.

Parent or guardian authorization

I authorize the previous school named above to send my child’s educational records to Saint Peter’s Academy for enrollment, placement and educational planning. Requested records include enrollment and withdrawal information, attendance, report cards, assessment results, and applicable IEP, Section 504, language-support and school health records.

Please send records securely to Saint Peter’s Academy, 4250 38th Avenue, Vero Beach, FL 32967. Call (772) 562-1963 to arrange secure electronic delivery.

This request concerns school records. It is not a general release of records from outside medical providers.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

22. Custody and pickup information

Complete this supplement and keep the authorized contact list on pages 5-6 current.

Guardianship and court documents

Restrictions and pickup details

Describe any restrictions and provide the relevant current court order or guardianship documents. Listing a restriction here does not replace supporting legal documents. Contact the office promptly about urgent concerns.

Transportation changes must reach the office before 2:45 p.m. Later changes cannot be guaranteed. Dismissal is at 3:30 p.m.; pickup is due by 3:45 p.m.

I will notify the school of changes and provide updated documents when applicable.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

23. Medication authorization

Complete one page for each medication needed at school. A health care provider must complete the instructions.

Health care provider instructions

Health care provider signature: Health care provider signature required on the provider authorization.

Parent or guardian permission

I request administration according to the provider’s instructions and school procedures. I will arrange delivery with the office and provide updates. Parent completion alone does not authorize administration or self-carry.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.

24. Medical support and action plans

Complete if your child needs medical support at school. Attach the provider’s current plan when applicable.

Conditions and support needs

Provider plans and instructions

Attach the provider’s current action plan with emergency steps and medication directions. This page does not replace provider orders. Complete a medication authorization for each medication needed at school.

In an emergency, the school will call 911. I will notify the office of changes and provide updated plans or instructions as needed.

Acknowledgment and signature

Parent or guardian signature: Parent or legal guardian acknowledgment and signature on the application.