Fillable ASD Registration Forms Packet English

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ASD Registration Forms Packet English

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Auburn School District
VERIFICATION OF RESIDENCY STATEMENT
I
n order to verify residency within the Auburn School District, ONE current document from the following list MUST be
provided. The document must be dated within the last thirty days showing parent/guardian name and address (P.O. Box
numbers are not acceptable as a residential address).
Escrow papers, mortgage book or statement, or homeowner’s association fees statement
Lease Agreement and current rent receipt
Rental contract and current rent receipt
Letter on apartment complex or mobile home park letterhead, signed by the landlord, stating that
parent/guardian lives at the stated address
Gas bill
Electric bill
Water bill
Cable TV bill
Garbage bill
Phone bill for a land line at the stated address
Residence insurance statement
Verification of social services
Verification of living with . Must complete and attach Co-Residency Form.
(Name)
If you are unable to provide any of the above items, please request a meeting with the school administrator to complete
Residency Agreement. This Agreement will give you extra time to collect the needed documents.
A Residency Agreement is requested
Student’s Name:
Parent/Guardian’s Name:
Resident Address:
I
declare that the above‐named student resides at the address shown on one of the documents indicated above and
attached to this enrollment packet. I will notify the school within two weeks of residency changes and agree to provide a
new proof of residency and updated signed statement at that time. If I move outside of the school district boundaries, I
understand an inter‐district attendance release must be filed in order to request continued attendance for this student.
F
alsification of any information or document required for residency verification, or the use of the address of another person
without actually residing there, may result in revocation of student’s enrollment in the Auburn School District (see Policy
3131).
Parent/Guardian Signature: Date:
Auburn School District
CO-RESIDENCY FORM
This form is required for families who share a home with another individual or family member (e.g. rent a room in a
house). A completed Residency Verification Form is also required.
This form accompanies the Residency Verification Form of the following student(s):
Please print student(s) name(s) (first and last)
The PARENT/GUARDIAN must present to the school:
A completed Residency Verification Form
A completed, notarized original of this form
The PRIMARY RESIDENT/OWNER of the shared home is required to complete this section and present a copy to the
school, of the items below:
His or her driver’s license, government issued ID, or passport with photo ID
Two (2) bulleted items on the Establishing and Verifying Residency Checklist
I, (please print) (primary resident/owner) declare that I am the primary
resident/owner of the address listed below and on the attached Residency Verification Form (RVF) and that the person(s)
claiming the address on the RVF reside(s) with me at least four (4) days per week. I further declare that the information
provided in the RVF including information provided by the parent(s)/guardian(s), is true and correct. I understand that
home visitation and/or residency verification is a part of a periodic process to confirm residency established by a Residency
Verification Form. I will submit the required pieces of evidence to verify my residency. I agree to notify the Auburn School
District if there is any change in the status of the residency of the persons listed on the RVF or myself.
I certify the foregoing information to be true and recognize that falsification or omission of information could result in
modification of the school or program placement for this student including withdrawal from school. Address Number
Street Unit # City/State ZIP code A Residency Agreement is attached.
Address
Number Street Unit # City/State ZIP code
Signature of Primary Resident/Owner (witnessed by notary) Date
Section below to be completed by Notary Public:
STATE OF WASHINGTON COUNTY OF
On this day personally appeared before me ______________________________, to me known to be the individual(s)
described in and who executed the within and foregoing instrument, and acknowledged that he/she/they signed the same
as his/her/their free and voluntary act and deed, for the uses and purposes therein mentioned.
Given under my hand and seal of office this day of , 20 .
Printed Name:
Notary Public residing at
My Commission Expires:
4-30-20 Dept. of Tech – Data Services – CIS Inst Page 1 of 1
INSTRUCTIONS: How to Obtain Immunization Records for School Entry
Starting August 1, 2020, medically verified immunization records are required for school entry. Medically
verified records include either printing the Certificate of Immunization from MyIR or filling out a Certificate of
Immunization Status form and attaching one of the required additional documents listed below.
➢ Printing a Certificate of Immunization printed from MyIR is the first option for obtaining student
immunization records:
Create a MyIR account
To obtain Washington State immunization information register under “Washington”
Follow the steps, complete the required information Add your child’s information then confirm and register
Download and print the Certificate of Immunization
OR
➢ Another option is filling out the Certificate of Immunization Status (CIS) form and attaching:
o A healthcare provider signature OR
o Official lifetime immunization record with provider stamp or signature OR
o Official Immigration immunization record OR
o Immunization record printed from a healthcare provider, clinic, or hospital OR
o Written immunization record with a provider stamp or signature
The above items also work for a prior to August 1 start date.
▲Required for School
● Required Child Care/Preschool
Date
MM/DD/YY
Date
MM/DD/YY
Date
MM/DD/YY
Date
MM/DD/YY
Date
MM/DD/YY
Date
MM/DD/YY
Required Vaccines for School or Child Care Entry
●▲ DTaP (Diphtheria, Tetanus, Pertussis)
▲ Tdap (Tetanus, Diphtheria, Pertussis) (grade 7+)
●▲ DT or Td (Tetanus, Diphtheria)
●▲ Hepatitis B
● Hib (Haemophilus influenzae type b)
●▲ IPV (Polio) (any combination of IPV/OPV)
●▲ OPV (Polio)
●▲ MMR (Measles, Mumps, Rubella)
● PCV/PPSV (Pneumococcal)
●▲ Varicella (Chickenpox)
History of disease verified by IIS
Recommended Vaccines (Not Required for School or Child Care Entry)
Flu
(Influenza)
Hepatitis A
HPV
(Human Papillomavirus)
MCV/MPSV
(Meningococcal Disease types A, C, W, Y)
MenB
(Meningococcal Disease type B)
Rotavirus
Certificate of Immunization Status (CIS)
Reviewed by: Date:
Signed COE on File? Yes No
Please print. See back for instructions on how to fill out this form or get it printed from the Washington State Immunization Information System.
Child’s Last Name: First Name: Middle Initial: Birthdate (MM/DD/YYYY):
I give permission to my child’s school/child care to add immunization information into the
Immunization Information System to help the school maintain my child’s record.
Conditional Status Only: I acknowledge that my child is entering school/child care in
conditional status. For my child to remain in school, I must provide required documentation
of immunization by established deadlines. See back for guidance on conditional status.
Parent/Guardian Signature Date Parent/Guardian Signature Required if Starting in Conditional Status Date
Documentation of Disease Immunity
(Health care provider use only)
If the child named in this CIS has a history of
varicella (chickenpox) disease or can show
immunity by blood test (titer), it must be veri-
fied by a health care provider.
I certify that the child named on this CIS has:
A verified history of varicella (chickenpox)
disease.
Laboratory evidence of immunity (titer) to
disease(s) marked below.
Diphtheria Hepatitis A Hepatitis B
Hib Measles Mumps
Rubella Tetanus Varicella
Polio (all 3 serotypes must show immunity)
►
Licensed Health Care Provider Signature Date
►
Printed Name
I certify that the information provided
on this form is correct and verifiable.
Health Care Provider or School Official Name: ______________________________ Signature: ______________________ Date:___________
If verified by school or child care staff the medical immunization records must be attached to this document.
X
X
Reference guide for vaccine trade names in alphabetical order For updated list, visit https://www.cdc.gov/vaccines/ter ms/usvaccines.html
Trade Name Vaccine Trade Name Vaccine Trade Name Vaccine Trade Name Vaccine Trade Name Vaccine
ActHIB Hib Fluarix Flu Havrix Hep A Menveo Meningococcal Rotarix Rotavirus (RV1)
Adacel Tdap Flucelvax Flu Hiberix Hib Pediarix DTaP + Hep B + IPV RotaTeq Rotavirus (PV5)
Afluria Flu FluLaval Flu HibTITER Hib PedvaxHIB Hib Tenivac Td
Bexsero MenB FluMist Flu Ipol IPV Pentacel DTaP + Hib +IPV Trumenba MenB
Boostrix Tdap Fluvirin Flu Infanrix DTaP Pneumovax PPSV Twinrix Hep A + Hep B
Cervarix 2vHPV Fluzone Flu Kinrix DTaP + IPV Prevnar PCV Vaqta Hep A
Daptacel DTaP Gardasil 4vHPV Menactra MCV or MCV4 ProQuad MMR + Varicella Varivax Varicella
Engerix-B Hep B Gardasil 9 9vHPV Menomune MPSV4 Recombivax HB Hep B
If you have a disability and need this document in another format, please call 1-800-525-0127 (TDD/TTY call 711). DOH 348-013 November 2019
Instructions for completing the Certificate of Immunization Status (CIS): Print the from the Immunization Information System (IIS) or fill it in by hand.
To print with the immunization information filled in:
Ask if your health care provider’s office enters immunizations into the WA Immunization Information System (Washington’s statewide registry). If they do, ask them to print the CIS from the IIS and your
child’s immunization information will fill in automatically. You can also print a CIS at home by signing up and logging into MyIR at https://wa.myir.net. If your provider doesn’t use the IIS, email or call the
Department of Health to get a copy of your child’s CIS: waiisrecords@doh.wa.gov or 1-866-397-0337.
To fill out the form by hand:
1. Print your child’s name and birthdate, and sign your name where indicated on page one.
2. Write the date of each vaccine dose received in the date columns (as MM/DD/YY). If your child receives a combination vaccine (one shot that protects against several diseases), use the Reference Guides
below to record each vaccine correctly. For example, record Pediatix under Diphtheria, Tetanus, Pertussis as DTaP, Hepatitis B as Hep B, and Polio as IPV.
3. If your child had chickenpox (varicella) disease and not the vaccine, a health care provider must verify chickenpox disease to meet school requirements.
If your health care provider can verify that your child had chickenpox, ask your provider to check the box in the Documentation of Disease Immunity section and sign the form.
If school staff access the IIS and see verification that your child had chickenpox, they will check the box under Varicella in the vaccines section.
4. If your child can show positive immunity by blood test (titer), have your health care provider check the boxes for the appropriate disease in the Documentation of Disease Immunity section, and sign and
date the form. You must provide lab reports with this CIS.
5. Provide proof of medically verified records, following the guidelines below.
Acceptable Medical Records
All vaccination records must be medically verified. Examples include:
A Certificate of Immunization Status (CIS) form printed with the vaccination dates from the Washington State Immunization Information System (IIS), MyIR, or another state’s IIS.
A completed hardcopy CIS with a health care provider validation signature.
A completed hardcopy CIS with attached vaccination records printed from a health care provider’s electronic health record with a health care provider signature or stamp. The school administrator,
nurse, or designee must verify the dates on the CIS have been accurately transcribed and provide a signature on the form.
Conditional Status
Children can enter and stay in school or child care in conditional status if they are catching up on required vaccines for school or child care entry. (Vaccine series doses are spread out among minimum
intervals, so some children may have to wait a period of time before finishing their vaccinations. This means they may enter school while waiting for their next required vaccine dose). To enter school or
child care in conditional status, a child must have all the vaccine doses they are eligible to receive before starting school or child care.
Students in conditional status may remain in school while waiting for the minimum valid date of the next vaccine dose plus another 30 days time to turn in documentation of vaccination. If a student is
catching up on multiple vaccines, conditional status continues in a similar manner until all of the required vaccines are complete.
If the 30-day conditional period expires and documentation has not been given to the school or child care, then the student must be excluded from further attendance, per RCW 28A.210.120. Valid
documentation includes evidence of immunity to the disease in question, medical records showing vaccination, or a completed certificate of exemption (COE) form.
Student Health History
Student Name (Last,First)
Birthdate: _______________Grade:________ Gender:_______
v4-2020
State law requires that students with life-threatening conditions such as anaphylaxis, severe asthma, diabetes or
seizures have a care plan completed along with any required medication prior to the first day of school. Contact the
school nurse as soon as possible to complete the proper forms.
Does your student have a LIFE-THREATENING health condition? ☐ Yes ☐ No
MEDICAL HISTORY (check all that apply)
Nervous System
☐
NB
☐ ADHD
/
ADD diagnosed by:
Allergic to
NC
☐ Autism Spectrum Disorder
NE
☐ Cerebral Palsy
Type:
NF
☐ Developmental Disability
NH
☐ Migraines
NI
☐ Headaches, Recurring
NP
☐ Seizure Disorder ☐ Current ☐ History Type:
NU
☐ Traumatic Brain Injury
Congenital
/
Genetic
☐ Other Neurological Condition:
AH
☐ Down Syndrome
AJ
☐ Fetal Alcohol Spectrum Disorder
Transplant
☐
Other conditions, please describe:
OD
☐ List organ:
Blood
/
Hematology
Mental or Behavioral Health
BA
☐ Anemia
PA
☐ Anxiety
BB
☐ Hemophilia
PC
☐ Depression
BC
☐ Sickle Cell Disease Trait
PH
☐ Sleep Disorder
OJ
☐ History of Severe Nosebleeds
☐ Other Mental or Behavioral Health Condition
☐
Other Blood Condition:
Cardiac
/
Heart
Respiratory
/
Breathing
CC
☐ Heart Birth Defect
RG
☐ Asthma – Current
CD
☐ Heart Murmur
RH
☐ Asthma – Ever Diagnosed
☐
Other Cardiovascular Condition:
RA
☐ Asthma – Exercised Induced
RE
☐ Reactive Airway Disease
Allergy, Immune, Endocrine, Metabolic and Nutritional
☐
Other Respiratory Condition:
ED
☐ Allergy – Food:
EE
☐ Allergy – Insect:
Skin
SB
☐ Eczema or Contact Dermatitis or Psoriasis
EL
☐
Other Skin Condition:
☐
Allergy – Other List:
☐
Diabetes Type 2
☐
Other Endocrine, Immune, Nutritional or Metabolic:
Renal
/
Kidney
Gastrointestinal, Dental and Oral
☐
Please list:
GA
☐ Celiac
GG
☐ Food Intolerance / Religious Preference
List:
Ear
/
Hearing
GL
☐ Lactose Intolerance
YA
☐ Chronic Ear Infections ☐ Currently ☐ Historically
GF
☐ Encopresis
YB
☐ Hearing Impaired Hearing Aid/s Cochlear Implant
GO
☐ Chronic Constipation
☐
Other Ear Condition:
GH
☐ Gastric Reflux
GJ
☐ Inflammatory Bowel Disease
Eye
/
Vision
GK
☐ Irritable Bowel Syndrome
YF
☐ Wears glasses
/
contacts
☐
Other Gastrointestinal, Liver, Dental, Oral Condition:
YE
☐ Color Vision Deficit
YD
☐ Visually Impaired
Musculoskeletal
☐
Other Eye Condition:
MC
☐ Juvenile Rheumatoid
/
Idiopathic Arthritis
☐
Please list:
Other Health Concerns
☐
Please list:
Cancer
/
Tumor
No Known Health Concerns
☐
Please list:
OC
☐ Please Initial:
(See reverse – complete information on page 2)
Student Health History
Student Name (Last,First)
Birthdate: _______________Grade:________ Gender:_______
v4-2020
MEDICATIONS
Please report all medications that your student takes at home and/or at school.
Is medication needed at home?
☐
No
☐
Yes Please list:
Is medication needed at school?
☐
No
☐
Yes Please list:
Complete REQUIRED paperwork
for medication at school.
State law requires written permission from guardian and a health care provider before any medication (prescription and over-
the-counter) may be taken at school. Forms are available from your school office or on our district website and must be
completed annually.
Medical Devices / Equipment / Procedures
Example: Gastrostomy tube, VP Shunt, Catheterization, Vagal
Nerve Stimulator, or Other
Physical Activity or Mobility Issues / Assistive Equipment
Example: wheelchair, braces, or Other
Please Describe:
Please Describe:
To he
lp us better understand your child, please complete the following
:
Health/Developmental History:
Birth and Infancy: Birth Weight______ Was pregnancy Full Term? ☐ Yes ☐ No Duration of pregnancy_________________________________
At what age was your child: Toilet trained?___________________Walking?_______________________ Talking?________________________
Hospitalizations?______________________________________________________________________________________________________
Serious Injuries?_______________________________________________________________________________________________________
Specialist?____________________________________________________________________________________________________________
What other information would be helpful for us to know regarding your child? Please share. _________________________________________
_____________________________________________________________________________________________________________________
I understand that the information I provided will be shared with appropriate school staff who need to know in order to provide for the health and
safety of my student. If parents/guardians or authorized emergency contacts cannot be reached at the time of a medical emergency, and if
immediate care is urgent in the judgement of school authorities, I authorize and direct the school authorities to send the student to the hospital or
doctor most easily accessible. I understand that I will assume full responsibility for the payment of any services rendered. I understand that
Washington law requires that my student’s immunizations are complete or conditional before starting school. I give permission to my child’s
school to add immunization information to the Immunization Information System to help the school maintain my child’s school record.
Par
ent/Legal Guardian Signature: _______________________________________________ Date: _______________________
Par
ent/Guardian phone/cell________________________________________________________Work _________________________________
Em
ergency contact/relationship_____________________________________________________Phone_________________________________
Health Care Provider Name_________________________________________________________Phone_________________________________
For Office Use only: Complete Immunization Records
Complete IIS #__________________ IIS Copy Provided___ Medically verifiable records provided_____ COE_____
or Conditional status________ Parent signed acknowledgment
or Out of compliance______
■
English/November 201
Office of Superintendent of Public Instruction (OSPI)
Home Language Survey
The Home Language Survey is given to all students enrolling in Washington schools.
Student Name:
Grade:
Date:
Parent/Guardian Name Parent/Guardian Signature
Right to Translation and
Interpretation Services
Indicate your language preference so
we can provide an interpreter or
translated documents, free of
charge, when you need them.
All parents have the right to information about their child’s
education in a language they understand.
1. In what language(s) would your family prefer to communicate
with the school?
__________________________________
Eligibility for Language
Development Support
Information about the student’s
language helps us identify students
who qualify for support to develop
the language skills necessary for
success in school. Testing may be
necessary to determine if language
supports are needed.
2. What language did your child learn first?
__________________________________
3. What language does your child use the most at home?
__________________________________
4. What is the primary language used in the home, regardless of
the language spoken by your child?
__________________________________
5. Has your child received English language development support
in a previous school? Yes___ No___ Don’t Know___
Prior Education
Your responses about your child’s
birth country and previous
education:
Give us information about the
knowledge and skills your child is
bringing to school.
May enable the school district to
receive additional federal funding
to provide support to your child.
This form is not used to identify
students’ immigration status.
6. In what country was your child born? ___________________
7. Has your child ever received formal education outside of the
United States? (Kindergarten – 12
th
grade) ____Yes ____No
If yes: Number of months: ______________
Language of instruction: ______________
8. When did your child first attend a school in the United States?
(Kindergarten – 12
th
grade)
_______________________
Month Day Year
Thank you for providing the information needed on the Home Language Survey. Contact your school
district if you have further questions about this form or about services available at your child’s school.
Note to district: This form is available in multiple languages on http://www.k12.wa.us/MigrantBilingual/HomeLanguage.aspx. A response that
includes a language other than English to question #2 OR question #3 triggers English language proficiency placement testing. Responses to
questions #1 or #4 of a language other than English could prompt further conversation with the family to ensure that #2 and #3 were clearly
understood. ”Formal education” in #7 does not include refugee camps or other unaccredited educational programs for children.
Forms and Translated Material from the Bilingual Education Office of the Office of Superintendent of Public Instruction are licensed under a Creative
Commons Attribution 4.0 International License.
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Student Housing Questionnaire
Auburn School District #408 • 915 4
th
St NE • Auburn, WA 98002 • 253-931-4900
Rev. 9/2019
The answers to the following questions can help determine the services this student may be eligible to receive under the
McKinney-Vento Act 42 U.S.C. 11435. The McKinney-Vento Act provides services and supports for children and youth
experiencing homelessness.
Do you own/rent your own home? Yes No If yes, you do not need to complete this form.
If you do not own/rent your own home, please check all that apply below. (Submit to your school counselor or the District
Homeless Liaison. Contact information can be found at the bottom of the page).
In a motel A car, park, campsite, or similar location
In a shelter Transitional Housing
Moving from place to place/ “couch surfing” Other ________________________________
In someone else’s house or apartment with another family
In a residence with inadequate facilities (no water, heat, electricity, etc.)
Name of Student: _________________________ ____________________ _____________________
First Middle Last
Name of School: __________________________ Grade: _________ Birthday: _______________ Age: _________
Month/Day/Year
Gender: _________ Student is unaccompanied (not living with a parent or legal guardian)
Student is living with a parent or legal guardian
Student is in foster care
ADDRESS OF CURRENT RESIDENCE: ______________________________________________________
PHONE NUMBER OR CONTACT NUMBER: __________________ NAME OF CONTACT: _______________________
Print name of parent(s)/legal guardians: _________________________________________________________________
(or unaccompanied youth)
*Signature of parent/legal guardian: ________________________________________ Date: _______________
(or unaccompanied youth)
*I declare under penalty of perjury under the laws of the State of Washington that the information provided here is true
and correct.
Please return the completed form to: School Counselor or
Dennis Grad (253) 931-4938 ASD Transportation: 615 15
th
Street SW, Auburn, WA 98001
For School Personnel Only: For data collection purposes and student information system coding
(N) Not Homeless (B) Doubled-Up (C) Unsheltered (D) Hotels/Motels (E) Foster Care
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Dear Parent/Guardian,
This year, Auburn School District is making a special effort to ensure that all students fully benefit from their education
by attending school regularly. Attending school regularly helps children feel better about school—and themselves. Your
student can start building this habit in preschool so they learn right away that going to school on time, every day is
important. Consistent attendance will help children do well in high school, college, and at work.
DID YOU KNOW?
Starting in kindergarten, too many absences (excused and unexcused) can cause children to fall behind in school.
Missing 10 percent (or about 18 days) increases the chance that your student will not read or master math at
the same level as their peers.
Students can still fall behind if they miss just a day or two days every few weeks.
Being late to school may lead to poor attendance.
Absences can affect the whole classroom if the teacher has to slow down learning to help children catch up.
By 6th grade, absenteeism is one of three signs that a student may drop out of high school.
By being present at school, your child learns valuable social skills and has the opportunity to develop meaningful
relationships with other students and school staff.
Absences can be a sign that a student is losing interest in school, struggling with school work, dealing with a
bully or facing some other potentially serious difficulty.
By 9th grade, regular and high attendance is a better predictor of graduation rates than 8th grade test scores.
WHAT WE NEED FROM YOU
We miss your student when they are gone and we value their contributions to our school. We would like you to help
ensure that your student attends regularly and is successful in school. If your student is going to be absent, please
contact the attendance office at your child’s school.
OUR PROMISE TO YOU
We know that there are a wide variety of reasons that students are absent from school, from health concerns to
transportation challenges. There are many people in our building prepared to help you if you or your student face
challenges in getting to school regularly or on time. We promise to track attendance daily, to notice when your student
is missing from class, communicate with you to understand why they were absent, and to identify barriers and supports
available to overcome challenges you may face in helping your student attend school.
SCHOOL POLICIES AND STATE LAWS
It is important that you understand our school policies and procedures, as well as Washington State Law, to ensure your
child is successful in school. State law for mandatory attendance, called the Becca Bill, requires children from age 8 to 17
to attend a public school, private school, or a district-approved home school program. Children that are 6- or 7-years-old
are not required to be enrolled in school. However, if parents enroll their 6- or 7-year-old, the student must attend full-
time. Youth who are 16 or older may be excused from attending public school if they meet certain requirements.
http://apps.leg.wa.gov/rcw/default.aspx?cite=28A.225
We, the school, are required to take daily attendance and notify you when your student has an unexcused absence.
If your student has three unexcused absences in one month, state law (RCW 28A.225.020) requires we schedule a
conference with you and your student to identify the barriers and supports available to ensure regular attendance. The
district is obligated to develop a plan that may require an assessment to determine how to best meet the needs of your
student and reduce absenteeism.
Portions of this letter are attributable to Attendance Works http://www.attendanceworks.org/
In elementary school after five excused absences in any month, or ten or more excused absences in the school year, the
school district is required to contact you to schedule a conference at a mutually agreeable, reasonable time with at least
one district employee, to identify the barriers and supports available to you and your student. A conference is not
required if your student has provided a doctor’s note, or pre-arranged the absence in writing, and the parent, student
and school have made plan so your student does not fall behind academically. If your student has an Individualized
Education Plan or a 504 Plan the team that created the plan needs to reconvene.
If your student has seven unexcused absences in any month or ten unexcused absences within the school year, we are
required to file a petition with the Juvenile court, alleging a violation of RCW 28A.225.010, the mandatory attendance
laws. If your student continues to be truant you may need to go to court.
At Auburn, we have established the following rules on attendance that will help you ensure your student is attending
regularly. Students absent without valid parent excuse will be counted as truant. Auburn School District Policy 3121
identifies valid excuses for absences and clarifies the school principal’s authority to determine if an absence meets the
district’s criteria.
WHAT YOU CAN DO
Set a regular bed time and morning routine.
Prepare for school the night before, finishing homework and getting a good night’s sleep.
Find out what day school starts and make sure your child has the required immunizations.
Don’t let your student stay home unless they are truly sick. Keep in mind complaints of a stomach ache or
headache can be a sign of anxiety and not a reason to stay home.
Avoid appointments and extended trips when school is in session.
Develop back-up plans for getting to school if something comes up. Call on a family member, a neighbor, or
another parent.
Keep track of your student’s attendance. Missing more than 9 days could put your student at risk of falling
behind.
Talk to your student about the importance of attendance.
Talk to your students’ teachers if you notice sudden changes in behavior. These could be tied to something going
on at school.
Encourage meaningful afterschool activities, including sports and clubs.
Sincerely,
Rhonda Larson
Assistant Superintendent, Family Engagement and Student Success
Auburn School District
Please remove and return the bottom portion of this letter.
Student Name: _______________________________ Grade: ________ School: _______________________________
Your signature below indicates that you have read and understand the attendance policies and procedures of the
Auburn School District.
________________________________________________________ Date _____________________
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ASD Registration Forms Packet English

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Completed 18 July 2020

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