Permission Form High School
The Ohio Department of Education and The CinDay Academy requires the following information on file for every student. It will be kept in your child’s permanent folder. Please complete and submit ASAP.
Child (ren) Names:
Class Rosters: I give my permission for my child to be included on the class roster & school directory which will include address, phone numbers, parent’s email and student allergies. This roster is distributed only to the parents at The CinDay Academy.
Yes
No
Photographs: I give my permission for photographs to be taken of my child for the purpose of school publicity. Photos will be used in social media, website, newspapers, marketing materials, App and portfolios throughout the school year. We will not include a last name with any photograph.
Yes
No
Field Studies/ Off Campus Activities: The school does not provide transportation. Thus, we rely on parent & staff drivers. I give my permission for my child to leave campus with other parents & staff. This releases the school, staff and the other parents from any liability associated with transportation. Student drivers may drive for off campus activities, but may not take another student in their car. (See Student Driver Policy in Handbook) In addition, if a parent drives, he/she agrees that they will assume chaperone duties. (See Chaperone Expectations in Handbook) Please REMIT a copy of your auto liability INSURANCE policy with this form that shows you are insured to transport others in your vehicle.
Yes
No
Are there any parents that you do not wish your child to ride with?
Leaving School Early: Students are allowed to leave the school campus early for prearranged activities. A note must be remitted to the advisor and the student must sign out prior to leaving.
Yes
No
Mediation: If a situation arises between students, they have the option to request mediation with our professional mediator to come to an agreement without involving adults or teachers. Is this acceptable?
Yes
No
Student Handbook I have read and understand the policies and procedures that are explained in the Student Handbook online
Yes
Parent Signature
Signature
Date
Submit
Should be Empty: