EL RANCHO HIGH SCHOOL STUDENT CHECK OFF LIST

Transcripción

EL RANCHO HIGH SCHOOL
STUDENT CHECK OFF LIST
Make sure to bring the following items with you when you pickpick-up your schedule. Thank you
Asegurar de traer los siguientes documentos con usted cuando usted recoge su programa. Gracias
Emergency Cards – All grades
(Tarjetas de Emergencia)
Publicity and Photo Release Form – All grades
(Publicidad y Publicación de Fotos)
Notice of Guidance Office Guidelines & Procedures – All grades
(Aviso de Normas y Procedimientos de la Oficina de Orientación)
CaliforniaColleges.edu Online Portal Consent – All grades
(Portal de Internet de CaliforniaColleges.edu Consentimiento)
Request to withhold Directory Information Form – 11th & 12th gr only
(Petición par no revelar información en el directorio)
Diploma Card - 12th gr only
(Tarjeta de diploma)
12th
11th gr
10th gr
9th gr
Wed, Aug 13, 2014 . . . . . . . . . . . . .8:30 – 10:30 a.m.
Thur, Aug 14, 2014 . . . . . . . . . . . . 8:30 – 10:30 a.m.
Thur, Aug 14, 2014 . . . . . . . . . . . 10:30 – 12:30 p.m.
Wed, Aug 13, 2014 . . . . . . . . . . . .10:30 – 12:30 p.m.
In order to receive their class schedule, freshmen must bring in all registration
materials on August 13.
Freshmen will receive class schedules on Tuesday, August 19 at Freshman First Day.
El Rancho High School
6501 S. Passons Blvd.
Pico Rivera, California 90660
(562)801-5355
REGISTRATION HOURS: MONDAY-FRIDAY 8AM TO 11AM
___________________________________________
Student Name
___________
Grade
_____________________________________________________
__________________________
Home Phone
_______________________________________________________________
Parent’s Name
Home Address
In order for your child to be enrolled at El Rancho High School, the following forms
must be completed:
PLEASE CHECK AS YOU COMPLETE EACH ITEM:
Three (3) emergency cards
Ethnicity Form
Expulsion/Suspension Form
Registration Form
Health Form (D-878)
Statement of Residence
Home Language Survey
Publicity and Photo Release Form
In addition to filling out all the above forms we will need for you to provide the
following information:
Birth Certificate (i.e. hospital record or passport)
Proof of Residence (two forms verifying address such as, gas company or electrical bills, property tax receipts,
escrow papers, letter of address verification from current employer)
Drivers License or I.D. (must have the same address as utility bill. If the student and/or legal guardian are living with
another family, please ask for additional information.)
Student's transcript from previous school/Withdrawal grades.
Immunization Records
District Expulsion Release Letter.
(if applicable)
I have truthfully completed the various forms, required materials, and have read the enclosed packet pertaining to rules on student
behavior/attendance. I will make a diligent effort to monitor my child's behavior and attendance while at El Rancho High School.
_______________________________________________________
Parent Signature
__________________________________
Date
No stud ent w il l b e en ro ll e d if a ny of th e abo v e re qu i red
fo rm s a r e not in clu ded .
ERUSD STUDENT EMERGENCY INFORMATION
INFORMACION DEL ALUMNO EN CASO DE EMERGENCIA
PLEASE PRINT
Favor de escribir en la letra de molde
Last Name/Apellido
First Name/ ombre
Primary Phone #/Teléfono Pimario
Middle Name/Segundo Nombre
Address/Domicilio
DOB/Fecha de nacimiento
E-Mail Address
School/Escuela
Teacher/Maestro/a
HomePhone/Teléfono de la casa
Grade/Grado
Father/Guardian/ adre/Tutor
Room/Salón
Employer & Address/Empleo y Ubicacion
Mother/Guardian/Madre/Tutor
Authorized adults to pick-up child/Adultos autorizados para recoger el
Name/Nombre
niño :
Relation to student/Parentesco
Cell Phone/ Teléfono de celular
Phone & Ext./Teléfono y Ext.
Other children in the district/Otros niños en este distrito:
Phone/Teléfono
Name/Nombre
1
1
2
2
3
3
Age/Edad
School/Escuela
Mark the highest level reached by either parent
Does this child have any medical problems? Su Hijo/a tiene algun problema de salud?
Please explain/Favor de Explicar:
Name of Doctor/ Phone/Nombre del medico y teléfono:
Yes/Si
Not a High School Graduate
Some High School
High School Graduate with diploma
High School Graduate with some vocational or technical school
Some College
Associate Arts/Science degree (A.A. or A.S.)
Bachelor of Arts/Science degree (B.A. or B.S.)
Postgraduate Work
Decline to state or unknown
No/No
Does your child have health insurance/Tiene su hijo/a
seguro médico?
Yes/Si
No/No
Occasionally a pupil becomes ill or has an accident, and although first aid is given, it is necessary to contact the parents/guardian
immediately, or to call for emergency assistance. I realize that the school district cannot assume responsibility for the payment of
medical fees or expenses incurred. En ocación los niños se enferman o sufren algún accidente y aunque se les brinda los primeros
auxilios, es necesario contactar a los padres de inmediato o llamar a la asistencia médica de emergencia. Tengo entendido que el
Distrito Escolar no assume la responsabilidad de pago de los servicios médicos que se administran a mi hijo/a.
Father/Padre, Mother/Madre/Tutor Signature/Firma
D-1109
Marque el nivel más alto alcanzado por cualquiera de los padres
No terminó la preparatoria
Algo de preparaoria, terminó secundaria
Graduado o terminó la preparatoria con diploma
Graduado de la preparatoria con algo de escuela vocacional o técnica
Algunos años de universidad
Titulo de asociado en artes o ciencias (AA o AC)
Graduado de la Universidad con licenciatura (4 años)
Algo de postgrado
Rehusó a declarer o desconocido
Date/Fecha
Rev. 03/14
PLEASE PRINT
Last Name/Apellido
First Name/ ombre
Address/Domicilio
E-Mail Address
School/Escuela
Teacher/Maestro/a
Grade/Grado
Room/Salón
Name/Nombre
niño/ :
Phone/Teléfono
Name/Nombre
1
1
2
2
3
3
Age/Edad
School/Escuela
Does this child have any medical problems? Su Hijo/a tiene algun problema de salud? Yes/Si
Yes/Si
No/No
No/No
seguro médico? Yes/Si
Yes/Si
No/No No/No
D-1109
Rev. 03/14
Date/Fecha
Some High School
Some College
Postgraduate Work
Algo de postgrado
PLEASE PRINT
Last Name/Apellido
First Name/ ombre
Address/Domicilio
E-Mail Address
School/Escuela
Teacher/Maestro/a
Grade/Grado
Room/Salón
Name/Nombre
niño :
Phone/Teléfono
Name/Nombre
1
1
2
2
3
3
Age/Edad
School/Escuela
Does this child have any medical problems? Su Hijo/a tiene algun problema de salud?
Yes/Si
Some High School
Some College
Postgraduate Work
No/No
seguro médico?
Yes/Si
No/No
D-1109
Algo de postgrado
Date/Fecha
Rev. 03/14
PLEASE PRINT
Last Name/Apellido
First Name/ ombre
Address/Domicilio
E-Mail Address
School/Escuela
Teacher/Maestro/a
Grade/Grado
Room/Salón
Name/Nombre
niño/ :
Phone/Teléfono
Name/Nombre
1
1
2
2
3
3
Age/Edad
School/Escuela
Does this child have any medical problems? Su Hijo/a tiene algun problema de salud? Yes/Si
Yes/Si
No/No
No/No
seguro médico? Yes/Si
Yes/Si
No/No No/No
D-1109
Rev. 03/14
Date/Fecha
Some High School
Some College
Postgraduate Work
Algo de postgrado
Name
White- Cum record
Yr of Birth
Relationship to Pupil
Yellow- Health Record
Living at Home
Y/N
Name
Yr of Birth
Pink- Office Copy
Relationship to
Pupil
Living at Home
Y/N
D-878 - rev. 3/14
EL RANCHO UNIFIED SCHOOL DISTRICT
HOME LANGUAGE SURVEY
English
Student Name: _______________________
Birthdate: __________
School Name: ________________________
Grade: ____________
Dear Parent or Guardian:
California Education Code (52164.1 sec. a) requires that schools determine the
primary language spoken at home of all students enrolled in the school district. The
information provided will help provide the most effective instruction for your child.
Your cooperation in helping us meet this important requirement is requested. Please
answer the following questions.
1.
Which language did your child learn when he or she began to
speak?
__________________________________________________________
2.
Which language does your child most frequently speak at home?
__________________________________________________________
3.
Which language do you (the parents or guardians) most
frequently use when speaking with your child?
__________________________________________________________
4.
Which language is most often spoken by adults in the home
(parents, guardians, grandparents, or any other adults)?
__________________________________________________________
_______________________________
Parent Signature
WHITE = Student CUM
CSIS Number:
________________
Date
OFFICE USE ONLY
YELLOW = Student Bil. Folder
Received by:
____________________
Telephone Number
PINK = CELDT Assessor
Date received:
ETHNICITY FORM/FORMULARIO DE ORIGEN ÉTNICO
Student Name/Nombre: ____________________________________ Grade/Grado: _______
ENGLISH
Is this student Hispanic or Latino?
(Select One)

No, not Hispanic or Latino

Yes, Hispanic or Latino
ESPAÑOL
¿Es el estudiante hispano o latino? (seleccione
uno)

No, no es hispano ni Latino

Si, es Hispano o Latino
The above part of the question is about ethnicity,
not race. Regardless of what you selected above,
please continue to answer the following by
marking one or more boxes to indicate what you
consider the student’s race to be.
La porción de la pregunta localizada arriba es
tocante el origen étnico, no la raza. Indiferente de
lo que usted escoja arriba, por favor de continuar
de contestar lo siguiente con una marca en la caja
indicando lo que considera la raza del estudiante.
What is the student’s race? (Select one or more)

American Indian or Alaska Native
Asian
 Asian Indian
 Cambodian
 Chinese
 Filipino
 Hmong
 Japanese
 Korean
 Laotian
 Other Asian
 Vietnamese
Native Hawaiian or other Pacific Islander
 Guamanian
 Hawaiian
 Other Pacific Islander
 Samoan
 Tahitian

Black or African American

White
¿Qué es la raza del estudiante? (Seleccione uno o más)

Indio Americano o Nativo de Alaska
Asiático
 Indio asiático
 Camboyano
 Chino
 Filipino
 Hmong
 Japonés
 Coreano
 Laosiano
 Otro Asiático
 Vietnamita
Nativo Hawaiano u otro Isleño del Pacifico
 Guam
 Hawaiano
 Otro Isleño Pacifico
 Samoano
 Tahitiano

Negro o Afro Americano

Blanco
HEALTH HISTORY
!
STUDENT’S NAME:
BIRTHDATE:
Information provided by:
Mom
School:
Grade:
Today’s Date:
Gender:
Dad
Guardian
Female
Male
PLEASE CHECK THE FOLLOWING HEALTH CONCERNS THAT APPLY:
ALLERGIES:
Bee/Insect sting:
Call 911 if stung
swells at site only
Medicine:
Reaction:
Food:
Reaction:
Environmental:
Reaction:
ASTHMA: What starts an attack?
Exercise
colds
allergies, list
Smoke
other, list
List asthma medications
VISION:
contacts
glasses
vision loss
color blind
Other
Date of last exam
HEARING:
hearing loss, describe
DIABETES:
insulin dependent
frequent ear infections
hearing aids
non-insulin dependent
HEART PROBLEMS: list
EATING/DIGESTION PROBLEMS:
MUSCLE/JOINT/BONE PROBLEMS:
KIDNEY/BLADDER CONCERNS:
SEIZURES: type
frequency
ATTENTION DEFICIT DISORDER:
medication
in counseling
on medication, list
EMOTIONAL CONCERNS: list
PHYSICAL EDUCATION LIMITATIONS:
no
yes, explain
Do you have a doctor’s note:
no
yes
SPEECH/LANGUAGE DIFFICULTIES OR DELAYS:
HEADACHES/MIGRAINES: frequency
treatment
PAST SURGERIES
PAST MAJOR ILLNESSES/INJURIES
MEDICATIONS:
Taken at home, list
Taken at school, list
Times
Amounts
OTHER:
We hereby consent to the treatment of our minor child by a medical physician or medical personnel at any hospital OR to
temporary treatment by a registered nurse, licensed practical nurse or emergency medical technician until a medical physician
can be obtained for any illness or injury to our minor child while on or adjacent to any school grounds of the El Rancho
Unified School District. This consent shall include, but not to be limited to, any surgery deemed required or desirable for
immediate health or medical treatment of our child.
Parent/Guardian Signature
Date
Student Services Department
9333 Loch Lomond Drive
Pico Rivera, CA 90660
(562) 801-4810, FAX (562) 801-5170
March 2014
Student Use of Medication at School
Dear Parents:
In an effort to maintain the health and safety of our students, it is very important that
school staff be made aware of ALL medication being taken during school hours.
There is a simple procedure in place which requires written permission by a parent and
physician prior to administering ANY medication to a student. The required forms are
available at each school site.
Certain medications such as inhalers for asthmatic conditions can be carried by the
student; however, a permission form must first be completed. Breathing machines for
asthmatic conditions can also be utilized while at school. Please contact the Health
Clerk or Secretarial staff in the office of your child’s school for the necessary forms. Our
District Nurses are also available to answer any questions at (562) 801-4810.
If your child is currently taking daily medication at school, please be aware that the
appropriate documentation must be renewed on a yearly basis.
Thank you for helping us keep your child safe and healthy.
Sincerely,
Larry Brunson,
Director of Student Services
PUBLICITY AND PHOTO RELEASE FORM
El Rancho High School is making a concentrated effort to promote positive activities, honors,
and work of our staff and students. This includes working with the local newspapers, radio, and
television stations and also developing our own publications. These publications include
information, likenesses, and images, which may appear on the district web site as well as in
other publications.
As we go about this project there will be opportunities for various students to be interviewed
and/or photographed and identified by name and classroom or school. However, we
understand that some parents may request that we do not identify their child(ren). Please fill
out the form below to inform us of your wishes regarding publicity.
Please note, however, that your child’s image or likeness may appear in occasional
candid photos without any type of name identification and the use of these candid
photos of your child is permissible. This photo release form does not apply to
photographs taken during extracurricular activities. Students who attend extracurricular
activities forfeit their rights to retain authority over the publication of photos taken.
(Please print. Use a separate form for each child)
Student Name _______________________________________
Grade __________
Parent/Guardian Name ________________________________________________________
[ ] I give permission for my child to be interviewed, identified, and/or photographed/filmed
for use in district publications, including, but not limited to , publication via web site or
other technological publications, videos, newspapers, radio or television.
[ ] I request that you do not interview or photograph my child.
Parent/Guardian Signature _____________________________________
Date ____________
*** Please return this form to the school when student picks up his/her program. ***
If we do not receive this form back, we assume that you wish for your child to be interviewed or photographed.
This form will be kept on file at your child’s school. If a situation arises that may change your child’s status
regarding publicity, please notify the Activities Office in writing as soon as possible.
El Rancho Unified School District c/o El Rancho High School, 6501 S. Passons Blvd.,
Pico Rivera California 90660 (562) 801-5355
Rev 6/12
New Student Registration Requirement
Pursuant to Board policy: Expulsion
The following questions are to be answered by parent/guardian at the time of
registration of their student.
1. Has your student ever been expelled/suspended from another school district?
Yes _________
No ___________
School__________________________________________
District__________________________________________
2. Has your student ever been expelled/suspended by another school in the El
Rancho Unified School District?
Yes _________
No ___________
School__________________________________________
3. If answer is Yes to #1 or #2, please state reason(s).
________________________________________________________
________________________________________________________
________________________________________________________
______________________________________________________________________
Student Name_______________________________________
Grade_______
I certify to the best of my knowledge, that the information provided is correct and true.
Any false information may change my student’s status at this school.
Parent/Guardian Signature________________________________________________
Date____________________________
PUPIL SERVICES
STATEMENT OF RESIDENCE
Must be renewed yearly or upon request
TO THE BOARD OF EDUCATION:
DATE:________________________
Parent/Legal Guardian
I swear under penalty of perjury that the foregoing is true and correct:
(Perjury may be punishable by imprisonment in the state prison for two, three, or four years.)
That I, ____________________________________
__________________________________________
Parent/Guardian’s Name
__________________________________________________
Student’s Name
Grade
Student’s Name
and
Grade
__________________________________________________
Student’s Name
Grade
reside at the address stated below. My child(ren) will attend ________________________________________
_____________________________ and ___________________________ School(s) from the stated address.
I understand that three (3) or more home visits may be made at the discretion of the school to verify residence.
If my family is not found at the residence stated below my child will be checked out. I further understand that I
may be held liable for the costs incurred by the District to educate my child(ren) if this information is false.
Signature of Parent/Guardian
Previous Address
Address
City, State, Zip Code
Previous Phone Number
Phone Number
Last School of Attendance
LEGAL RESIDENT OF EL RANCHO UNIFIED SCHOOL DISTRICT:
I swear or certify under penalty of perjury that the foregoing is true and correct and that I am a bona fide legal
resident of the El Rancho Unified School District and offer the required proof. I understand that three (3) or
more home visits may be made at the discretion of the school to verify residence of the above family. I further
understand that I may be held liable for the costs incurred by the District to educate the student(s) if this
information is false.
Signature of Legal Resident
Address
Phone Number
SEE REVERSE SIDE FOR DOCUMENTATION REQUIRED
Rev. 06/04
PROCEDURES FOR STATEMENT OF RESIDENCE
PLEASE FOLLOW THE STEPS BELOW AS LISTED
1. Fully complete the Statement of Residence form (on the reverse of this form) and gather the required
documentation.
2. Take the completed form to the school with the following proof of residence:
A.
Homeowner/renter’s proof of residence with whom you are living:
_________ 1.
The current month’s utility bill; either gas or electric
(telephone and water bills are not accepted).
AND
Home tax statement or rental agreement listing names of all residents and/or
letter from property owner.
B.
Parent/legal guardian proof of residence:
_________ 1.
Current California driver’s license hard card.
OR
Current California I.D. hard card.
AND
TWO (2) OF THE FOLLOWING:
A.
Mail that you have received at your residence from a business agreement
(car insurance bill, VISA bill, etc.)
OR
B.
Mail that has been forwarded by the post office.
OR
C.
Address verification from social worker (welfare).
OR
D.
Bank statement/imprinted checks from bank.
OR
E.
Automobile insurance papers or card with address.
THE SCHOOL WILL ADMIT YOUR STUDENT(S) ONLY AFTER ALL THE STEPS HAVE BEEN
COMPLETED.
NOTE: A PUPIL SERVICES SPECIALIST MAY VERIFY YOUR RESIDENCE AT ANY TIME.
Your signature below indicates that you have read, understand, and
agree with the El Rancho High School
Policies and Procedures found on the PDF document at the
El Rancho High School url:
http://www.erusd.k12.ca.us/elrancho/guidance/Handbook2014.pdf
PLEASE SIGN, DETACH, AND RETURN TO
NOTICE OF GUIDANCE OFFICE GUIDELINES AND PROCEDURES
Dear Parent or Guardian:
Please complete and return this form, acknowledging that you have been notified of
Guidance and Procedures guidelines. Please discuss all pages of the rules on behavior and
discipline with your child(ren).
Parent or Guardian Signature:
Student’s Signature:
Print Student’s Name:
DOB:
Address:
Home Phone #:
Date:
Grade:
A separate form must be completed for each child attending El Rancho High School.
BOARD OF EDUCATION
9333 Loch Lomond Drive, Pico Rivera, California 90660
Tel: (562) 942-1500 • Fax: (562) 949-2821
Delia Alvidrez
Rachel Canchola
Jose Lara
Alfred Renteria, Jr.
Aurora Villon, Ed.D.
SUPERINTENDENT
Martin Galindo
El Rancho Unified School District
CaliforniaColleges.edu Online Portal
Consent to Release Student Records
The El Rancho Unified School District is working with the California College Guidance Initiative, which
operates under the auspices of the Foundation for California Community Colleges (CCGI/Foundation) to
provide each student with a free web-based account that will help your child track his or her academic progress
and identify college and university opportunities for which he or she may be qualified. This effort also will help
the El Rancho Unified School District monitor and improve the programs that support your child. And it will
help us conduct research to study the impact of programs on student learning.
Student data in the online accounts will be stored securely, with all appropriate safeguards provided by federal
and state law. Your student's data will only be released to the Foundation/CCGI after we have received this
signed consent form from you. The Foundation/CCGI later may release certain data to an individual public or
nonprofit college or university or a scholarship provider that may offer an opportunity for your child – but only
if your child is notified of the specific request and permits the Foundation/CCGI to release this information.
Additionally, the El Rancho Unified School District may release data to nonprofit organizations that already
provide college access services to the district and its students but only where the data released relates to the
service being provided.
Pursuant to the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232g, we are requesting
your consent to disclose the following individually identifiable information from your child's education records
to the Foundation/CCGI and to the subsequent disclosure of that information to individual public or nonprofit
colleges or universities or scholarship providers that may offer opportunities for your child, with the approval of
your child. This information will be included in your student's individual online account. (To comply with
FERPA and privacy requirements regarding the Free and Reduced Price Meals (FRPM) program, this form
should be signed both by the student's parent or guardian and, if the student is 18 years or above, by the
student.)
ADMINISTRATION
Roxane Fuentes
Assistant Superintendent
Educational Services
Mark Matthews
Director
Human Resources
Ruben Frutos
Business Services
Katherine Aguirre
Director
Special Education
BOARD OF EDUCATION
9333 Loch Lomond Drive, Pico Rivera, California 90660
Tel: (562) 942-1500 • Fax: (562) 949-2821
Delia Alvidrez
Rachel Canchola
Jose Lara
Alfred Renteria, Jr.
Aurora Villon, Ed.D.
SUPERINTENDENT
Martin Galindo
CONSENT
I, _______________________________ (insert your name(s)), hereby agree to allow the El Rancho Unified
District to disclose to the CCGI the following records:
 student demographic information (i.e. name, date of birth, gender, grade level,
school name)
 student coursework, grades received, GPA
 student test records (i.e. SAT and ACT scores)
 student ethnicity information, and free and reduced lunch status
I also consent to the subsequent disclosure of such information to public or private non-profit colleges or
universities or scholarship providers that may offer services for my child. Such subsequent disclosures may be
made only with the approval of the student.
For:
Student Information
Student Full Name:
Home Address:
Student Number:
School: El Rancho High School
Grade:
Birth Date (mm/dd/yy):
Parent Information
Are you the legal guardian of this student? Yes / No
Are you a member of the student's household? Yes/ No
Parent/Guardian's Full Name:
Signature
PARENT/GUARDIAN SIGNATURE:
X
Eligible Student Signature (if age 18 or older):
Relationship to student:
Phone Number:
Date (mm/dd/yy):
Date (mm/dd/yy):
This authorization is valid until six months after your child graduates from high school or withdraws from El
Rancho Unified School District. You may revoke this authorization at any time by submitting a letter to the El
Rancho Unified School District.
With respect to any individually identifiable information regarding your child's eligibility for free or reduced
price meals or free milk under the FRPM program, failing to provide consent will not affect your child's
eligibility for free or reduced price meals or free milk.
NONCONSENT – Sign this box if the parent/eligible student does NOT consent
PARENT/GUARDIAN SIGNATURE:
Date (mm/dd/yy):
X
Eligible Student Signature (if age 18 or older):
Date (mm/dd/yy):
If you have any questions about this form, please contact your child’s counselor.
ADMINISTRATION
Roxane Fuentes
Educational Services
Mark Matthews
Director
Human Resources
Ruben Frutos
Business Services
Katherine Aguirre
Director
Special Education
BUSINESS & ACTIVITIES
(562) 801-5314
2014-2015 School Year
Business & Activities
(A) MAKE UP ID PICTURES AND ID CARDS… Every student must have an ID Card on them
everyday to conduct any school business. Replacement fee for an ID Card is $5.00. You will receive
your ID card when you pick up your program. If you did not take an ID picture, Make up ID pictures
will be taken on September 3, 4, 2014.
(B) ASB CARDS are always on sale. The price is $35.00. The ASB Card admits you to all league and
some non-league games free, to all dances and activities at a reduced price, and allows a discount for
both formal dances and the yearbook and is HIGHLY RECOMMENDED for all students.
(C) PE Clothes will be available….CASH ONLY
Shorts and T-Shirt Set
$20.00 set
Shorts
$10.00 each
T- Shirt
$10.00 each
XX
3X
4X
SURCHARGE
$2.00 per item
$3.00 per item
$4.00 per item
(D) The following cards and letters (sports packet) must be completed and turned into the Activities
Office before any student can participate in practice for sports:
RETURN ALL COMPLETED FORMS TO THE CASHIER’S OFFICE WINDOWS
Item No. Form
1. Physical Examination Form (2 pages)
2. Voluntary Activities Participation Form (signed by student and parent)
3. Emergency Information Form
4. CIF/Del Rio League Code of Ethics Form
5. Responsibility Statement/Insurance Verification Form
(must be completed even if you have insurance)
6. Parent/Athlete Concussion Sheet
7. Hazing Policy
PLEASE DO NOT TURN IN ATHLETIC PACKET WITH SCHOOL REGISTRATION PACKET. Athletic packet is
to be turned in to the cashier’s office (before school, during lunch or after school) prior to your first day of practice!
Lockers
El Rancho High School does not have outside lockers. Lockers will be provided for P.E. classes only. P.E. Locks are
available in the Locker Room for $5.00.
Attention Parents of Seniors:
Please be aware that orders for Senior Announcements and Cap & Gowns will take place in the Fall. Participation in the
graduation ceremony is not mandatory. If a cap & gown is not ordered, we will assume that your student does not wish to
participate. Do not be left without a cap & gown on graduation day. We cannot accommodate last minute orders. Orders
will be given directly to the Jostens Representative.
El Rancho High Scool
California High School Exit Exam (CAHSEE)
Test Dates
2014-2015
Goal: Proficient Score of 380
12th Grade
English
November 4, 2014
February 3, 2015
March 17, 2015
May 12, 2015-Results will not be
MATH
November 5, 2014
February 4, 2015
March 18, 2015
May 13, 2015- Results will not be
available until the end of July 2014
available until the end of July 2014
11th Grade
English
MATH
November 4, 2014
November 5, 2014
February 3, 2015
February 4, 2015
May 12, 2015 (make up only) May 13, 2015 (make up only)
10th Grade
English
MATH
March 17, 2015
March 18, 2015
May 12, 2015 (make up only) May 13, 2015 (make up only)

EL RANCHO HIGH SCHOOL STUDENT CHECK OFF LIST

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