PJH Registration Form

PJH Registration Form

Each form is required by the State of Idaho.
Please fill out these documents and bring the following documentation to the school office. • Birth Certificate • Current Immunization Form • Proof of Residency (ex. power, water or gas bill)
Student's Full Legal Name *

First Name Middle Name Last Name
Grade *

6th Grade 7th Grade 8th Grade
Does student have an IEP or 504 plan? *

IEP 504 None Don't Know
Physical Address *

Street Address

Mailing Address (if different from street address)

City State

Zip Code
Home Phone Number *

Area Code Phone Number
Birthday *

Month Day Year
Gender *
Residency *
Ethnicity: Is this student Hispanic/Latino?
Race

Parent Contact Information
Lives With *
Mother's/Guardian Name *

First Name Last Name
Mother's Cell Phone *
Please enter a valid phone number.
Mother's Email
example@example.com
Mother's Employer
Father's/Guardian Name *

First Name Last Name
Father's Cell Phone *
Please enter a valid phone number.
Father's Email
example@example.com
Father's Employer
Guardian Alert
Is there someone who should NOT pickup or have access to your student?

Emergency Contact Information
Emergency Contact #1 (other than parent/guardian)
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Relationship *
Emergency Contact #2 (other than parent/guardian)
Name

First Name Last Name
Phone Number

Area Code Phone Number
Relationship
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.
** I realize that Preston School District does not provide health/accident insurance for students. (See District website.) ** All possible measures will be taken to contact guardians in an emergency. If deemed necessary, your child will be sent to the emergency room via ambulance, at guardian expense. I authorize medical personnel to render necessary medical treatment to my child. *

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Previous School Information
Previous School Name *
Previous School Address *

Street Address

Street Address Line 2

City State / Province

Zip Code
Previous School Phone Number *
Please enter a valid phone number.
Previous School Fax Number
Please enter a valid phone number.

Photo Release Form
As students participate in various school activites, opportunities arise to provide photos of students in newsworthy events or other school activities. Photos may appear in local newspapers, school publications, websites (including social media such as district/school sponsored Facebook pages, Twitter feeds, etc), and/or brochure or fliers.

The goal of Preston School District is to ensure the privacy and safety of all students. Please read the following release, indicate your level of comfort with the release of your student's photo, and sign the document below.

Conditions of Use
- This form is valid for the 2022-2023 school year. The consent will automatically expire after this time.
- Schools in Preston School District will not re-use any photographs after this time.
- Schools in Preston School District will not include personal email, addresses, telephone numbers of you or your students on our website or in our printed publications.
Please anser the questions below, then sign and date the form:
May Preston School District use your student's photograph in printed publications (yearbook, school, local newspaper, brochures, etc)? *

Yes No
May Preston School District use your student's photograph on district sponsored websites (Facebook, Twitter, etc)? *

Yes No
I have read and understood the conditions of this form:
Parent Name *

First Name Last Name
Parent Signature *

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Technology Acceptable Use Agreement

Student and Staff
I have read, understand and will follow the guidelines listed in this document. I understand that my use of the electronic services is a privilege, and inappropriate use may result in loss of privileges or disciplinary action up to and including expulsion and/or prosecution. I recognize that I will not be allowed to use the internet until I have read and signed this form.
Student Name *

First Name Last Name
Parent Name *

First Name Last Name
Student Signature *

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Parent Signature *

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Preston School District is pleased to offer access to a computer network for electronic information services. We strongly believe in the educational value of electronic services and recognize the potential to support curriculum and learning by facilitating resource sharing, innovation, and communication. Preston School District will make every effort to protect students and staff from any misuses or abuses as a result of their experience with an information service.
1. Acceptable Use-Access to the District's electronic networks must be (A) for the purpose of education or research and consistent with the educational objectives of the District, or (B) for other appropriate use.
2. Privileges-The use of the District's electronic networks is a privilege, not a right, and inappropriate use may result in a cancellation of those privileges. The building principal and technology director together will make all decisions regarding whether or not a use has violated these procedures, and may suspend access at any time.
3. Network Login - accounts shall be used only by the authorized owner of the account. No attempt to gain unauthorized access to accounts is permitted. Passwords must be kept private.
4. Never send, or encourage other to send, messages that are impolite or inappropriate. When online, staff and students are representatives of the district and as such must always act in a positive and appropriate manner. Use of vulgarities or any other inappropriate language is unacceptable.
5. Do not send any message that includes personal information, such as home address or phone number, for yourself or any other person without complete knowledge of the requesting entity. Email is not private and district representatives have the right to review your files at any time. Report to your administrator any unknown entity who asks for personal information. Do not read other people's mail or trespass into other people's files.
6. The District makes no guarantees of any kind about the accuracy of information found online. Transmission of any material in violation of any law is prohibited. This includes, but is not limited to: copyright material, threatening or obscene material, or material protected by trade secrets.
7. The introduction or use of copywritten material on district machines without the consent of rightful parties is expressly forbidden. This includes, but is not limited to, software from home, videos, downloaded applications, music, software from others even when given the disc, etc.
8. Do not damage, vandalize, or attempt to gain unauthorized access, to any school/district computer system (hardware or software). Never move, delete, modify, or damage any application or files that are not yours.
9. Any person found intentionally introducing a malicious virus into the system will be held accountable for incurred costs. Anyone who interferes with virus checking software on computers will also be held liable. All those using district computers should regularly check to see that the virus checking software icon is visible on the taskbar.
10. Do not load applications onto any computer without the permission of the Preston School District Technology Department. It is more efficient, and less problematic, for those with proper permission to install programs on the school computers.
11. It is forbidden to submit, display, publish, or access questionable material that may be considered locally unacceptable. These include, but are not limited to, obscenity, profanity, or any defamatory, inaccurate, abusive, threatening, racially offensive, sexually oriented, or illegal materials.
12. The District makes no warranties of any kind, whether expressed or implied, for the service it is providing. The District will not be responsible for any damages or charges you incur while on this system.
13. Violation of this policy may incur consequences up to and including:
  1. Expulsion from school or work
  2. Revocation of passwords and user accounts and ban from using computer or network equipment
  3. Revocation of teaching certificate in the state of Idaho
  4. Notification of law enforcement authorities for possible civil or criminal penalties
District officials reserve the right to review any and all computer use within the scope of district networking, hardware, and software.

Laptop Policies, Procedures, and Laptop Protection Fund
- Laptop is on loan to the student and the property of Preston School District.
- Use of this laptop, as well as access to the laptop network, the Internet, and email is a privilege.
- Laptops are provided for educational purposes only.
- The use of any school technology is a privilege and not a right. Failure to use this laptop in an appropriate manner will result in consequences.
- Students are responsible for charging the laptop either at school or at home daily.
- Students are responsible for running updates in settings on the laptop at least once a month.
- We make every attempt to block access to inappropriate material while the student is at school and will make every effort to block inappropriate material while at home. The student may be able to access inappropriate material while on their home network.
- The laptop is the property of Preston School District and should always be kept clean and free of marks. Writing, drawing on, engraving, stickers or otherwise defacing the laptop is not allowed and will result in loss of privileges and/or restitution will be assessed.
- Laptops should be protected from the weather, water, liquids, food, and pets.
- Heavy objects should never be placed or stacked on top of the laptop.
- All files should be stored in the students one drive file, not on the laptop.
- All software will be installed by Preston School District Technology Department. You are not allowed to install your own software. Any software that is not approved to run on the laptop will be removed once it is detected.
- Each computer will come with a student name tage on the top of the laptop and an asset tag on the bottom. They shall always remain in place. If they are not removed, a fee will be assessed to cover replacement costs.
- Laptops must be returned to Preston Schools in good, working condition.
Preston School District offers a Laptop Protection Plan for a yearly fee of $15
- Coverage and benefits of this agreement will cover the first two incidents of such things as a cracked or broken screen. After two incidents of the district replacing the screen, the repair cost will be the responsibility of the parent and/or student. You will be notified of the damage and be expected to pay the cost for the device to be repaired and returned. A fee will be charged for complete replacement. The protection plan does not cover intentional damage.
- Examples of an "incident" and/or device malfunction: cracked screens, non-working keyboards, non-working track pad, battery not charging properly.
- Examples of "intentional" damage: drawing on laptop, purposely taking keys off, running over laptop, throwing laptop, installing VPN's or extensions to bypass system.
Please complete the following regarding laptop protection coverage:
I would like to participate in the Laptop Protection Fund for $15 *

Yes No
Student Signature *

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Parent Signature *

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Statewide Home Language Survey
Our school district along with the Idaho State Department of Education and the Office for Civil Rights require that students' language(s) are identified. This survey's purpose is to determine whether they are potentially eligible for language services.
Student Name *

First Name Last Name
What language(s) are spoken in the home? *
What language(s) does your student speak most often? *
What language(s) did your student first learn? *
Which language does your child speak with you? *
Which language do you use when speaking with your child? *
Which language do you want phone calls and letters? *
What is your relationship to the child? *

Mother Father Guardian

Idaho Migrant Education Program

Parent Employment Survey
The information provided below is used to identify students who may qualify to receive additional educational services. A program employee may contact you for further information if needed. All information is kept confidential.
Student Name *

First Name Last Name
1. In the past three years, has your family lived in another school district? This includes other school districts in Idaho, or another state or country. *

Yes No
2. In the past three years, has anyone in your household had a job working with any of these products or activities listed below (not including on your own property)? *

Yes No
Please check all that apply (from question #2)

Crops-examples: corn, potatoes, beans, wheat, sugar beets, fruits, hops, alfalfa, etc. or field preparations Any Livestock-examples: cattle, pigs, sheep, chickens, dairy Processing Agricultural Products-examples: sorting, packing, cutting onions, potatoes, meat, fruit, trees, etc. Other Agriculture-examples: forestry, nursery, plant care, fishing
If you have answered yes to the question above, how many children in the household are less than 22 years of age (include children under 5)?
Should be Empty:

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PJH Registration Form

Parent Contact Information

Emergency Contact Information

Previous School Information

Photo Release Form

Technology Acceptable Use Agreement

Laptop Policies, Procedures, and Laptop Protection Fund

Statewide Home Language Survey

Idaho Migrant Education Program