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2020-2021 REGISTRATION

DATE: ________________

Grade: ________________________

Age: ___________________________

ELECTRONIC DISTRIBUTION AGREEMENTS

STUDENT:___________________________________

Birthday:_____________________________________

Campus: ____________________________________

My child and I have been offered the option to check out a paper copy or to electronically access at

https://www.keeneisd.org/keeneisd-agreements/ the campus Student Handbook, Student Code of Conduct,

udent/Parent/School Compact, and all Technology agreements.

I have chosen to:

❑ I ACCEPT responsibility for accessing the Student Handbook, Code of Conduct, Student/Parent/

School Compact, and all Technology agreements by visiting the Web address listed above or checking

out a

paper copy from the campus library.

I understand that these documents contain information that my child and I may need during the school year and that

all students will be held accountable for the contents. If I have any questions, a copy may be checked out through

the campus library and I should direct questions to the campus principal.

___________________________________________

Signature of Parent/Guardian

___________________________________________

Signature of Student if Grades 9-12

_______________________________

Date

_______________________________

Date

Thro

ughout the school year, classes of every grade level in the Keene ISD will be going on

field trips. If you desire your child to participate in these learning experiences, we are

asking that you sign this permission slip. This will be a blanket approval for the entire

school year both transported and walking trips. Your cooperation in giving blanket

approval will help us service your child.

You

will be informed of all field trips

Plea

se realize that all precautions will be taken to ensure the safety of the students. By

signing this, you will not hold Keene ISD, the teachers, administrators or trip sponsors

responsible should any accident occur.

I grant permission for my child to go on all

(Student’s Name)

field trips this school year.

(Parent/Guardian Signature) (Date)

Revised June 2020

Keene ISD

2020 – 2021

Field Trip Permission

PLEASECOMPLETETHISFORMONLYIFYOURCHILDMEETSONEOF

THECRITERIABELOW

THELEGISLATUREOFTHESTATEOFTEXAShasenactedanamendmenton

SECTION1Section7.029,EducationCodeto includethefollo

wing:

Thislegislation(SenateBill833)requiresschoolstorecognizeandcollectdataas

tothefostercarestatusofallst udents.

ParentName:_____________________________

StudentName: DateofBirth:

IfKnown:StudentID:_______Grade:____Campus:_____________

Pleasecheckoneboxbelowtoindicateifthefollowingappliestoyourchild:

Forallstudents:

StudentiscurrentlyintheconservatorshipoftheDepartmentofFamilyand

ProtectiveServices.PleaseattachacopyoftheTexasDFPSPlacement

AuthorizationForm(Form2085)oracourtorderthatdesignatesthe

studentisinfostercare.

ForPre‐KindergartenstudentsONLY:

Pre‐kindergartenstudentwaspreviouslyintheconservatorshipofthe

DepartmentofFamilyandProtectiveServicesfollowinganadversary

hearingheldasprovidedbySection262.201,FamilyCode.Pleaseattacha

copyoftheverificationletteryoureceivedfromtheTexasDFPSandCPS.

RevisedJune 2020

KeeneISD

2020–2021

FosterCareForm

Keene Independent School District

HOUSEHOLD INFORMATION SURVEY/ Cuestionario sobre Información

del Hogar

2020-2021 School Year

Parent Name (Nombre del padre/madre)

City, State, Zip (Ciudad, Estado, Código postal)Street Address (Dirección)

Signature: An adult household member must sign the survey

FIRMA: Un miembro adulto del hogar debe firmar el cuestionario

I certify (promise) that all information on this application is true and that all income is reported. I understand that the school will receive federal and state funding

based on the information provided.

Prometo que toda la información en este cuestionario es verdadera y que he reportado todos los ingresos. Entiendo que la escuela recibirá fondos federales y

estatales basados en la información que he ofrecido en el cuestionario

Sign Here:

Firme aquí:

Date:

Fecha:

Enter the total annual household income. Include income from all household members, including children, and from all sources.

Escriba el total de los ingresos familiares anuales. Incluya los ingresos de todos los miembros de la familia, incluyendo a los niños, y de todas las fuentes.

Number in Household / Número de personas en el hogar:

, .

Enter the total number of household members, including all adults and children.

Escriba el número total de miembros del hogar, incluyendo a todos los adultos y a los niños.

Annual Gross Income / Ingreso Bruto Anual:

SECTION B (Complete only if all answers in SECTION A are NO -- Complete solamente si todas las respuestas en la SECCIÓN A son NO)

Yes / Si No

Do you or anyone in your household receive Supplemental Nutrition Assistance (SNAP) or Temporary Assistance to Needy Families (TANF)?

¿Recibe usted, o alguien en su hogar, Asistencia de Nutrición Suplementaria (SNAP) o Ayuda Temporera para Familias Necesitadas (TANF)?

If you answered YES to either of the above, skip SECTION B and continue to the SIGNATURE section.

Si usted contestó SI a cualquiera de las preguntas anteriores, sáltese la SECCIÓN B y continúe a la sección de la FIRMA

SECTION A

/ /

Student's Legal Name (As on Birth Certificate)

Nombre del estudiante (Como está en el Acta de Nacimiento)

Student's

Date of Birth

GradeSchool NameFirst, MI, Last NameStudent ID Number

(Fecha de Nacimiento) (Grado)(Nombre de la Escuela)(Nombre, Inicial del Segundo Nombre, Primer apellido)(Número de ID del Estudiante)

1066355433

Texas

Please Select Grade

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