2024-2025 Family Consent Form

Family Consent/Acknowledgment Form

2025 / 2026
Parent/Guardian #1's Last Name*
Parent/Guardian #1's First Name*
Parent/Guardian #1's Relationship to the student(s)*
Parent/Guardian #2's Last Name
Parent/Guardian #2's First Name
Parent/Guardian #2's Relationship to the student(s)

Parent/Student Handbook

ASCS Parent/Student Handbook (found on the allsaintskenosha.org website: https://www.allsaintskenosha.org/ascs-hub/policies-procedures/#toc_Handbooks
I acknowledge that I am aware of the online copy of the All Saints Catholic School Handbook. I understand that it is my responsibility to read it with my child(ren) and to follow the rules and regulations it contains:*

YES

Hot Lunch

The hot lunch information can be found on our website

https://www.allsaintskenosha.org/ascs-hub/2025-2026-school-year/#toc_Hot_Lunch

Some families might qualify for free or reduce lunch depending on household income.
I understand that it is my responsibility to read the rules and regulations about the Hot Lunch program and abide by them.*

YES

PG Movie Permission

Parental permission is required to show PG rated movies. Teachers will notify parents beforehand the title of the movie.
Movies and videos shown during the school day will have an educational value and genuinely fit into the lesson plan. Teachers will be aware of the ratings established by the Motion Picture industry, and only show G or PG rated movies. Teachers will notify parents before any showing of PG movies. As parent/guardian I give consent for my child(ren) to watch PG movies.*

YES

Calendar and Newsletters

The ASCS Calendar is displayed on our website and parents can see the events and happenings listed in it.

https://www.allsaintskenosha.org/calendar/

The ASCS newsletters are sent to parents/guardians each Wednesday via email. These newsletters can also be found on our website.

https://www.allsaintskenosha.org/ascs-hub/2025-2026-school-year/#toc_Newsletters
I acknowledge that the calendar can be viewed on the ASCS website and calendar updates will be announced regularly in the weekly newsletters. I will notify the school as soon as possible if I don't receive newsletters via email.*

YES

School Directory
We will share parent names, phone numbers, emails, student names, and grade levels with ASCS families in a form of School Directory.*

I acknowledge that I'll be added to the Directory. To opt out, I need to send a written and signed letter to the school office.

Student Acceptable Use Policy - Computer and Internet

I acknowledge that I am aware of the Archdiocese of Milwaukee Student Acceptable Use Policy. I understand that it is my responsibility to read it with my child(ren) and to follow the rules and regulations it contains:
Copies of this form can be found on the Archdiocese of Milwaukee website https://www.archmil.org/Resources-2.0/6161.2-a-Student-Acceptable-Use-Policy-Form-2022-12-14T085610997.htm
Acknowledgment from each student named at the beginning of this form.*

YES. I have read the rules for acceptable online behavior, understand the rules, and agree to comply with the above stated rules. Should I violate the rules, I understand that I may lose privileges at the school.
As the parent or legal guardian of the above named student(s) at the beginning of this form, I grant permission for her/him/them to use the school technology and to access the network or computer services such as Google for Education email, files, cloud storage, websites, and other Internet resources used for educational purposes. I understand that all students use a filtered connection to the Internet that is designed to protect them from inappropriate materials. I understand that no filter can catch 100% of these sites, but the school makes a good faith attempt in this area. I understand there could be disciplinary action if the student(s) previously named in this form do(es) not follow the guidelines set for acceptable use of the school technology.*

Yes.
Acknowledgment from Parent/Guardian*

YES. Clicking yes on this form indicates my intent to adopt the content of this form and communicate such information and consent electronically to my school.

Parent/Student Equipment Agreement

Student(s) in all grades use ASCS chromebooks, tablets, desktop computers and other devices for learning activities in school. The student must handle the equipment properly and respectfully. The parent/guardian will be responsible for the cost of the repair or the full replacement of damaged equipment caused by the student(s) misuse, neglect or intentional damage of this equipment.
I accept full responsibility for the payment of fees imposed by ASCS for the cost of the repair or the full replacement of the damaged equipment caused by student misuse, neglect or intentional damage of this equipment.*

Yes

Home & School Information Consent
The room parent for each classroom/grade will coordinate with the teacher(s) and then email parents to organize activities.*

I give my consent to share my name & email address for room parent use.

Volunteer Procedure

All our school volunteers must meet the requirements listed on the allsaintskenosha.org website. Click the following link: https://www.allsaintskenosha.org/ascs-hub/policies-procedures/#toc_Volunteering
I am aware that all volunteers must meet the requirements listed on the allsaintskenosha.org website listed above.*

Yes

Family Income Survey ESEA

This information is confidential. Some of our families may qualify for participation in Federal Elementary and Secondary Education Act (ESEA) programs designed to support academic achievement. Below are a few areas supported and our school has benefited from in the past:
- Academic interventions and assistance (Mrs. Kok - Title I)
- Professional development activities for our staff members
- Purchase of instructional materials (Chromebooks and carts; Teacher computers)
- Support for English language learners
- Safe and Drug Free Schools Programs
- Family Engagement
- Covid or other illness outbreak- Materials to sanitize, disinfect, purify, etc
Our school facilitates participation in ESEA programs for our students in partnership with Kenosha Unified School District. In order to qualify for full funding under ESEA, we need to collect family income data. Students from a family whose income falls below U. S. Department of Agriculture (USDA) guidelines for free and reduced price meals are counted for each participating school. Both the numbers and the concentrations of students from economically disadvantaged families help to determine allocation amounts.

Collection of income data from our families will greatly facilitate our ability to respond accurately and promptly when ESEA Participation Surveys are sent each year. While such data has a profound effect on both our access to and our level of ESEA funding, it has nothing to do with the placement of individual students in ESEA programs. While we need to keep income verification statements on file in our school office, such statements will be kept confidential and used only to enable us to accurately count students from families who fall below the income guidelines found below.
Family Name (Family's Last Name(s))*
Number of members in your household*
Our household income is:*

Household of 2 members - equal or less than Monthly $3,261 or Annual $39,128Household of 3 members - equal or less than Monthly $4,109 or Annual $49,303Household of 4 members - equal or less than Monthly $4,957 or Annual $59,478Household of 5 members- equal or less than Monthly $5,805 or Annual $69,653Household of 6 members - equal or less than Monthly $6,653 or Annual $79,828Household of 7 members- equal or less than Monthly $7,501 or Annual $90,003Household of 8 members - equal or less than Monthly $8,349 or Annual $100,178Household of more than 8 members - equal or less than ($848 per each household member monthly) or equal or less than ($10,175 per each household annual)Our household income is greater than the income specified in any of the options above for the number of members in our household

Electronic Signature of Consent/Acknowledgment Forms

You are about to submit your response. This will complete your responsibility for filling out your Parent/Student Handbook, Hot Lunch Notice, PG Movie Permission, Calendar and Newsletters Notice, School Directory, Student Acceptable Computer Use Policy, Parent-Student School Equipment Agreement, Home & School Information Consent, Volunteer Procedure, and Family Income Survey ESEA. By entering my name and last name below, I attest that this constitutes my legal electronic signature on this form.
Snack Milk

If you indicated that you will buy snack milk for your student(s) in SIT/K4/K5, you can pay:

-with credit card (includes credit card fee) on our website https://www.allsaintskenosha.org/ascs-hub/payments/#toc_Family_Payment_Form

or

-bring a check for the total amount at Supply Drop Of day or pay online. Checks should be write out to ASCS and include Snack Milk on the memo line.

Reminder: Snack milk for the year is optional and is $90 per each student. (example: 1 student $90, 2 students $180, 3 students $270, etc)

Any questions about Snack Milk, please email Lesley Feudner at lfeudner@allsaintskenosha.org or call 262-925-4003.

Thank you.
Enter your Last Name*
Your First Name*
Your Email*
Relationship to student(s)*
Should be Empty:

Family Consent/Acknowledgment Form

'Snack Milk' for students in SIT, K4, and K5

'Snack Milk' for students in SIT, K4, and K5

'Snack Milk' for students in SIT, K4, and K5

'Snack Milk' for students in SIT, K4, and K5

'Snack Milk' for students in SIT, K4, and K5

'Snack Milk' for students in SIT, K4, and K5

Parent/Student Handbook

Hot Lunch

PG Movie Permission

Calendar and Newsletters

School Directory

Student Acceptable Use Policy - Computer and Internet

Parent/Student Equipment Agreement

Home & School Information Consent

Volunteer Procedure

Family Income Survey ESEA

Electronic Signature of Consent/Acknowledgment Forms

Snack Milk