2025-2026 Beginning of School Documents

EMERGENCY STUDENT DATA FORM
School No. / Name
Student ID No.*
Grade*
Student's Last Name*
Student's First Name*
Student's Middle Name
Home Address (No City Needed)
Zip Code
Main contact phone number to be used for emergencies and automated messaging:*
REGISTERING PARENT / GUARDIAN
Registering Parent / Guardian's Name*
Registering Parent / Guardian's Relation:*
Registering Parent / Guardian's Place of Employment:
Registering Parent / Guardian's Telephone Number:*
Registering Parent / Guardian's Cellphone Number:*
Registering Parent / Guardian's Email:*
example@example.com
NON-REGISTERING PARENT / GUARDIAN
Non-Registering Parent / Guardians Name:
Non-Registering Parent / Guardians Relation:
Non-Registering Parent / Guardians Place of Employment:
Non-Registering Parent / Guardians Telephone Number:
Non-Registering Parent / Guardians Cellphone Number:
Non-Registering Parent / Guardians Email:
example@example.com
Is either parent in the Military?

YesNo
What Branch
EMERGENCY CONTACT INFORMATION: I authorize the school district to provide or secure any necessary emergency care for my child. It is the parent's legal responsibility to assume medical and transportation expenses for your child. In the event that parents of child cannot be reached, provide contact information below of two persons, by order of priority.
FIRST EMERGENCY CONTACT
Full Name of the first person to contact in case of emergency that the parents cannot be reached*
Relation to Student*
Full Address*
Phone Number*
Please enter a valid phone number.
SECOND EMERGENCY CONTACT
Full Name of the second person to contact in case of emergency that the parents cannot be reached.*
Relation to Student*
Address*
Phone Number *
FAMILY DOCTOR
Family Doctor*
Phone Number *
HOSPITAL INFORMATION
Preference of Hospital*
Hospital Phone Number*
Student health/allergy data which should be known in an emergency:*
AUTHORIZATION FOR RELEASE OF STUDENTS FROM SCHOOL: Please provide the names of persons authorized or not authorized to take your child from school during the school day. Note that persons listed as emergency contacts are not authorized to pick up your child, unless listed in this section. Any person verified as a parent above and in the District's Student Information System is presumed to be authorized to pick up the student unless otherwise indicated.
Authorized *
Authorized *
Authorized
Authorized
Authorized
Authorized
Not authorized
Not authorized
Not authorized
Not authorized
Not authorized
Not authorized
IT IS THE PARENT'S RESPONSIBILITY to inform the school in person of any changes in the information listed on this form. Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true.
Date

MonthDayYear
Date
Printed Registering ParentGuardians Name
Parents/guardians have the right to review the professional qualifications of their child's classroom teacher(s) including the licensing status, degree major, graduate degree(s) and the field of certification. This "right to know", available from your child's school, includes whether your child is receiving services provided by paraprofessionals and, if so, their qualifications.

The Emergency Student Data Form governs early release withdraw of the student. The registering parent/guardian must sign/verify this form and is responsible for providing truthful and accurate information. If the student's parents are divorced or separated, the enrolling parent is responsible for providing information that is consistent with the most recent court order governing such matters as divorce, separation or custody. Additionally, please be advised that early release does not constitute an excused absence from class, students must bring a note in for their absences from any class even if they were picked up early.

Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his/her official duty shall be guilty of a misdemeanor of the second degree under Fla. Stat § 837.06, or whoever makes a false verified declaration is guilty of the crime of perjury, a felony of the third degree, under Fla. Stat. § 95.525, which are punishable as provided in Fla. Stat., §§ 775.082, 775.083 and 775.084
Registering Parent/Guardian's Signature

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Behavior / Attendance Contract

2025-2026
BEHAVIOR

To maintain student safety and a safe learning environment, all students at Palmetto Middle School are required to follow the following student behavior contract. Participation in school sponsored activities is contingent upon students demonstrating appropriate behavior and attitude. All students must abide by the rules and regulations set forth by the Miami-Dade County Public Schools Code of Student Conduct and the schoolwide guidelines and procedures which include:
- A signed contract with parent and student signature must be on file.
- Student must adhere to Palmetto Middle School’s uniform policy and dress code.
- Student must not have a 3 in effort on a report card during the school year.
- Student must not have a D or F in conduct on a report card during the school year.
- Student must always wear PMS ID on their person while on the school campus.
- Student must not have any financial obligations to the school, such as overdue books, lost textbooks, etc.
- Student must not have a history (HISTORY = 3 or more) of written warnings or detentions given by any teacher.
- Student must display proper cafeteria behavior consistently (i.e., remaining in seat, correct table manners, etc.).
- Students who earned 6 or more indoor suspensions (CSI) and/or any outdoor suspensions will not partake in the 2nd nine-week activities, such as the dance, Turkey Bowl game tryouts, Turkey Bowl Day, and the Panther for a Day field trip to Palmetto High School, among other events.
- In line with our commitment to a spirit of second chances, students who are interested in attending future activities (school and local field trips) must have zero outdoor suspensions and/or may not exceed 5 days of indoor suspension (CSI).
- Additionally, for out-of-county or state field trips, students with outdoor suspensions at any point in the year will not be eligible to participate. These measures aim to encourage positive behavior and ensure a conducive and safe environment for all our students.
ATTENDANCE

The following attendance guidelines are in place based on Miami-Dade County Public School's Board Policy:
1. Students in grades 6-12 who have 10 or more unexcused absences in an annual course or five or more unexcused absences in a semester course will be subject to the withholding of passing final grade(s).
2. A student who has 20 or more cumulative tardies will not be allowed to participate in interscholastic competitions or performances for the remainder of the school year.
3. The early release of students causes disruption to the academic performance of all students and may create safety and security concerns. No students shall be released within the final 30 minutes of the school day.
Students that fail to comply with the Code of Student Conduct & have a Level 2 infraction and/or have referrals leading to Outdoor Suspension may result in being prohibited from participating in extracurricular activities & school functions.
Student Name:
Student ID Number:
Student Signature

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Parent Name:
Parent Signature:

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Date

MonthDayYear
Date

Code of Student Conduct

Acknowledgement and Receipt
Each parent/guardian of a student and each student enrolled in Miami-Dade County Public Schools must sign and return this page to the student's school to acknowledge that he/she has accessed the online version or obtained a copy of the Code of Student Conduct. In addition, this page serves as acknowledgement that you have reviewed the Code of Student Conduct with your child. Each school will maintain records of such signed statements.

The online version of the Code of Student Conduct in English, Spanish, and Haitian-Creole can be located in the Parent Portal or by accessing through the following website address:

codeofconduct.dadeschools.net

If you do not have internet access to obtain a copy of the Code of Student Conduct, please visit your child's school to obtain a copy.

I acknowledge receipt of the notification regarding accessing or obtaining a copy of the Code of Student Conduct through the Parent Portal or via the internet web address and that I have read and discussed the Code of Student Conduct with my child.
Parent/Guardian Signature

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Date

MonthDayYear
Date
Student Name
Date

MonthDayYear
Date

Media Release Parental Consent Form
Date

MonthDayYear
Please be advised that during the year your child may be photographed, videotaped, or interviewed at various school sponsored events. With your consent, the photograph, video or interview may be reproduced and released for use in the media, i.e., newspapers, brochures, videos, television, the internet, and Miami-Dade County Public Schools websites and social media platforms such as Facebook, Twitter, etc.

Please indicate your preference below.
Student Name
Student's ID
Yes. My child's photograph/video/interview may be reproduced and released for use in the media.No. My child's photograph/video/interview may not be reproduced and released for use in the media.
Parent/Guardian Signature

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Date

MonthDayYear
Should be Empty:

EMERGENCY STUDENT DATA FORM

REGISTERING PARENT / GUARDIAN

NON-REGISTERING PARENT / GUARDIAN

FIRST EMERGENCY CONTACT

SECOND EMERGENCY CONTACT

FAMILY DOCTOR

HOSPITAL INFORMATION

Behavior / Attendance Contract

Code of Student Conduct

Media Release Parental Consent Form