School Year Drivers License and Insurance Certification

Transcription

1 2012/2013 School Year Driver s License and Insurance Certification I certify that I am in possession of a valid driver s license and that the vehicle I am driving is insured. If my driver s license becomes invalid or my insurance coverage ceases, I will notify the Main Office secretary immediately and refrain from transporting other students to/from school or school events until both issues are resolved. The Driver s License and Insurance Certification form will be resubmitted once a valid driver s license or insurance is available to the Main Office secretary. A copy of the driver s license and insurance is not required. This form will be kept on file for the duration of the current school year. I also understand that my insurance will provide the primary coverage for all occupants in the vehicle. Driver s Signature Date Print Name Print Student Name Grade 5/2012

2 EMERGENCY INFORMATION FORM St. Anthony Junior-Senior High School Check box if information has not changed from last year. STUDENT INFORMATION Last Name: First Name: Middle: Grade: Gender: (circle) MALE FEMALE Home phone: Cell phone: Birth Date: Birth City/State: Home Address City: Zip: Mailing Address (Mark same as above if address is the same) Street: City: Zip: PARENT/GUARDIAN INFORMATION (Legal Guardian) Father s Name: Custody? (circle) YES NO Day Time Phone: Mailing Address( if different than above) City Zip: Address (for weekly blast): Employer: Position: Work Phone: Use Father s Day Time Phone as: (circle) Emergency Contact #1 or Emergency Contact #2 Mother s Name: Custody? (circle) YES NO Day Time Phone: Mailing Address( if different than above) City Zip: Employer: Position: Use Mother s Day Time Phone as: (circle) Emergency Contact #1 or Emergency Contact #2 EMERGENCY CONTACT #3 Last Name: First Name: Day Time Phone: Relationship to Student:

3 ADDITIONAL INFORMATION Student Lives With: Language(s) Spoken at Home: MEDICAL/DOCTOR INFORMATION Doctors Name: City: Office Phone: Call Doctor:(circle) YES NO *For Medical Alert Info (i.e. diabetes) and for Medical Comment info (i.e. allergies) please fill out below. MEDICAL ALERTS Please list ALL-SEVERE medical conditions and/or allergies MEDICAL COMMENTS Please list NON-SEVERE medical information (i.e. hay fever, mild allergies) Check box if Administration of Medicine Form is needed (Valid for one school year) Mahalo for your cooperation in ensuring that St. Anthony is well informed and well prepared to take care of your child in every way. 5/2012

4 Hawaii Catholic Schools Census Report Student Enrollment, Religion and Ethnic Report MANDATORY REPORT Student s Name: Student s Parish (Roman Catholic Church): Other Denomination: American Indian/Native Alaskan Black/African American Caucasian Chinese Filipino Hawaiian Hispanic (Spanish, Cuban, Mexican, Puerto Rican) Indo Chinese (Cambodian, Vietnamese, Laotian) Japanese Korean Pacific Islander Part Hawaiian Portuguese Samoan Tongan Multi Racial/Other

5 2012/2013 Dear Parent/Guardian, In an effort to improve our communication with you, we are implementing a telephone/ broadcast system that will enable school officials to notify all households and parents by cell phone, land line, and within minutes if there is an emergency. The ability to inform our families immediately will give you the assurance that the safety of our students is a top priority. The service may also be used from time-to-time to communicate unplanned changes, school closings/cancellations, and general announcements or reminders. This service is provided by SchoolReach, a company specializing in school-to-parent communications. We will continue to report school closings or early dismissals due to inclement weather or impending natural disasters on the local radio stations and will use this telephone/ broadcast system as an overlay to the public announcements. When used, the service will call all phone numbers that you provide and/or send s and will deliver a recorded message from the school. The service will deliver the message to both live answer and voice messaging systems. Calls that are not answered (ringing over 40 seconds) or calls that receive a busy signal will automatically be retried twice in fifteenminute intervals after the initial call. PLEASE NOTE THE FOLLOWING: 1) This requires NO registration by the parent on the SchoolReach website. 2) All information and contact numbers are strictly secure and confidential and are only used for the purposes described above. Here is some specific information you should know: Caller ID: The Caller ID will display the main office number, Live Answers: Answer your phone as you normally would: hello and wait for the message to begin. There is a short pause at the beginning of the message, usually a few seconds. Multiple hellos will delay the message. Inform all family members who may answer your phone of this process. Voice messaging: The system will detect and play the recording to your voice messaging system. Make sure that home answering machines answer after four rings or you may miss the message. Message Repeat: Attendance: At the end of the message you will be prompted to press any key to hear the message again. This is very helpful if a child answers the phone and hands it to a parent, who can then press any key at the end of the message to replay the message in its entirety. When being used to inform parents for daily attendance, you will be notified each day that your child misses a certain number of classes. To minimize these calls, make sure to inform the main office secretary when you are certain that your child will miss classes on a given day.

6 SchoolReach, our service provider, uses the best available technology in the industry to detect the difference between human answer and machine or voic answer. Here s how detection works: 1. The system detects and measures the voice energy when the phone is answered. 2. The system measures this energy in combination with the background noise and line impairments. 3. If the system determines that it is a live answer, it will immediately start playing the message. 4. If the system determines that it is a machine, it will wait for three full seconds of silence before playing the message with a maximum wait time of twenty seconds. 5. If the system cannot make a determination, it will default to answering machine thus requiring several seconds of silence for the message to play. In this case, you may hear a prompt to press any key to hear the message immediately. Some reasons for false detection: 1. Loud background noise; television, radio, general noisy environment. 2. A cordless phone that has static or other foreign noise. 3. Not saying hello or repeatedly saying hello. 4. Cellular phones which, when called, have the ringback tones music option. (If you have this, you may opt for other forms of contact such as or land line calls.) 5. Answering machine/voice mail greetings which are too long or have long pauses in speech. 6. For s, please add groupcast.com to your safe list or contact list. All important/emergency notifications will be generated by this sender. If this sender is not added to your safe/contact list, the notification may be sent to your junk mail folder and be deleted. What can be done to remedy this? 1. Do not say hello more than once. If the system detected your answer incorrectly, all noise will reset the three-second counter. 2. If, after you answer, the message does not immediately play, cover the mouthpiece of the phone to cutout all background noise. The message should begin after three seconds of silence. 3. Add groupcast.com to your safe/contact list to avoid s being sent to the junk mail folder. It is important to make every effort to provide the school with current and accurate information. If there is a change to any of the contact information, it is the responsibility of the parent/guardian to notify the main office of the changes to ensure that you receive emergency and/or important information. We thank you for your understanding and cooperation in this matter. We feel that the implementation of this service will greatly increase our communication and effectiveness here at the school and help ensure the safety of our students. If you have any questions, please contact Mosi Tafao (ext 247) or Karen Orth (ext 232). Respectfully, Karen Orth Admissions Director

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