BACK TO SCHOOL paperwork Back to School Paperwork 2021-2022Please enable JavaScript in your browser to complete this form. - Step 1 of 4Student's Name *Grade Entering for the 2021-2022 School Year: *Pre-KKindergartenFirstSecondThirdFourthFifthSixthSeventhChild's Date of Birth *(MM/DD/YYYY)Parent/Guardian 1 Name *FirstLastParent / Guardian 1 Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParent/Guardian 1 Phone *Parent/Guardian 1 Email Address *EmailConfirm EmailParent/Guardian 2 NameFirstLastParent/Guardian 2 AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParent/Guardian 2 PhoneParent/Guardian 2 Email AddressLiving Arrangements: Who does the child live with (please describe any custody arrangements, living arrangements, guardianship, etc.). Please provide the front office with a court order where necessary. *Tell us a little bit about your family. Are there any specialized skills you would like to be able to share with the school for work hours or as a volunteer? *NextDoes your child have any allergies? If yes, please describe in detail. *Does your child take any medication regularly? If yes, please describe in detail. If your child needs to take medication during the school day, you will need to come to the office to pick up a permission to administer medication form. *Does your child have any medical conditions or concerns that the school needs to know about or that may impact their full participation in all school activities? If yes, please describe in detail. *Student's Preferred Physician *Physician's Phone Number *Student's Preferred Dentist *Preferred Hospital *Insurance Carrier *Policy Holder *ID # *Next1. Emergency Contact Name (EC1) *Phone Number (EC1) *Relationship to Child (EC1) *2. Emergency Contact Name (EC2) *Phone Number (EC2) *Relationship to Child (EC2) *3. Emergency Contact Name (EC3) *Phone Number (EC3) *Relationship to Child (EC3) *Who will have regular permission to pickup your child? These people may pick up your student without prior notification to school personnel. Authorized person(s)/relationship to child. *Who DOES NOT have permission to pickup your child? These people will be included in a do not pickup list that is distributed to all school personnel. Please provide a recent photo for the front office if possible. Person(s) not authorized to pickup my child/relationship to child.Whom, other than parent/guardian 1 and 2, should be include in school newsletters? Please provide name, relationship to child, address, email and phone number.Next1. I hereby grant permission for my child to use all of the play equipment and participate in all activities of the school. *Please enter your initials if you agree.2. I hereby grant permission for my child to leave school premises under the supervision of a Redwood faculty and/or staff member for neighborhood outings and walking field trips. *Please enter your initials if you agree.3. I hereby grant permission for the name and/or likeness of my child to be included in communication and marketing initiatives of the school. Internal and external marketing initiatives may include but are not limited to promotional literature published by Redwood Cooperative School, articles and/or photographs to be published in area newspapers and magazines, photographs and video featured on the Redwood Cooperative School website and on Redwood Cooperative School social media sites, and filmed segments to be aired on local television stations. *Please enter your initials if you agree.4. I hereby grant permission for the Head of School or authorized school personnel to take any steps necessary to obtain emergency medical care for my child, if warranted. These steps may include but are not limited to attempting to contact a parent, guardian, the child's physician or any of the persons mentioned cannot be contacted, school personnel may do any or all of the following: call another physician, call an ambulance, have the child taken to an emergency hospital in the company of a staff member. In the case of emergency, a physician and/or emergency and medical professionals may examine my child and administer such emergency medical treatment as deemed necessary. Without such permission, the school assumes no responsibility for emergency medical attention. Any expense incurred while enlisting the help of a medical personnel as listed above with be borne by the child's family. *Please enter your initials if you agree.5. In consideration of Redwood Cooperative School permitting my child to engage in extracurricular activities and/or athletic events, I hereby voluntarily assume the risk of accident, injury or damage to person or property. Furthermore, I voluntarily release and discharge Redwood Cooperative School, its employees, agents, representatives, coaches and volunteers from, without limitation, any and all actions, causes of action, claims, or suits relating to my participation in such activity. *Please enter your initials if you agree.6. I hereby grant permission for my child to participate in activities utilizing school technology. I also grant permission for them to utilize Zoom, Google Classroom and other platforms as needed to participate in virtual school activities. *Please enter your initials if you agree.7. I will ensure that my child uses information and technology in safe, legal, and responsible ways. Redwood is released of liability and responsibility related to safe technology use in the home. *Please enter your initials if you agree.Parent/Guardian 1 Signature *Parent/Guardian 2 SignatureSubmit READY TO TAKE THE first step? Schedule Your Tour of Redwood
