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Required Parental Rights Form - Senate Bill 12

Required Parental Rights Form - Senate Bill 12

9 Questions

Each district is required to provide the parental rights form to parents upon their child’s enrollment in the district for the first time and to the parent of each child enrolled in the district at the beginning of each school year.

1) Email*

Answer required for "1) Email"

2) Student's Name*

Answer required for "2) Student's Name"

3) Student's Date of Birth*

Answer required for "3) Student's Date of Birth"

Section 1: Health Services Provided by the District

The following health-related services may be provided to students at our campuses during the school year:

Routine health screenings and nursing assessments (vision, hearing, spinal, growth assessments, and evaluation of student health concerns)
First aid, emergency care, and medical response (minor injuries and illnesses, wound care, allergic reactions, asthma care, and emergency treatment until EMS arrival)
Administration of medications (prescription/non-prescription; separate authorization required)
Management of chronic health conditions (such as diabetes, asthma, seizures, allergies)
Health counseling and education (nutrition, hygiene, disease prevention, general wellness)

4) I consent to ALL health-related services in Section 1 provided by the school district this school year.*

Answer required for "4) I consent to ALL health-related services in Section 1 provided by the school district this school year."

Yes

5) I consent to all health-related services in Section 1 EXCEPT the services listed below:

Answer required for "5) I consent to all health-related services in Section 1 EXCEPT the services listed below:"

Section 2: Counseling and Support Services Provided by the District

The following counseling and support services may be provided to students at our campuses during the school year:

School Guidance Curriculum –This curriculum consists of structured lessons designed to help students achieve the desired competencies and to provide all students with the knowledge and skills appropriate for their developmental level. The school guidance curriculum is delivered throughout the school's overall curriculum and is systematically presented by school counselors in collaboration with other professional educators in K-12 classroom and group activities.
Responsive Services – Responsive services are preventative and/or intervention activities meeting students’ immediate and future needs. These needs can be necessitated by events and conditions in students’ lives and may require any of the following: individual or group counseling, consultation with parents, teachers and other educators, referrals to other school support services or community resources, peer helping.
Individual Student Planning - School counselors coordinate ongoing systemic activities designed to help all students plan, monitor and manage their own academic achievement, as well as establish personal goals and future career plans.
System Support – System support consists of management activities, establishing, maintaining, and enhancing the total school counseling program. These activities include professional development, consultation, collaboration, program management and operations. Professional school counselors are committed to continual personal and professional development and are proactively involved in professional organizations promoting school counseling at the local, state and national levels.

6) I consent to All counseling and support services in Section 2 provided by she school district this school year.*

Answer required for "6) I consent to All counseling and support services in Section 2 provided by she school district this school year."

Yes

7) I consent to All counseling and support services in Section 2 EXCEPT the services listed below:

Answer required for "7) I consent to All counseling and support services in Section 2 EXCEPT the services listed below:"

Section 3: School Sponsored Clubs

Your child may be offered to join the following school sponsored clubs at our campuses during the school year:

National Honor Society
Spanish National Honor Society
National Elementary Honor Society
AVID
FFA
Student Council
FCA
FCCLA
Class Officers
One Act Play
UIL Academics

8) I consent to ALL school sponsored clubs in Section 3 being offered to my child this school year.*

Answer required for "8) I consent to ALL school sponsored clubs in Section 3 being offered to my child this school year."

Yes

9) I consent to all school sponsored clubs being offered to my child in Section 3 EXCEPT the clubs listed below:

Answer required for "9) I consent to all school sponsored clubs being offered to my child in Section 3 EXCEPT the clubs listed below:"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"