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General Permissions

- 2024-2025 General Permission Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Information REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Parent/Guardian Information
  
  Name of Parent/Guardian Completing Form
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Permissions
  
  "Walking" Field Trip: I give permission for my child/ren to accompany BSS school staff to explore the neighborhood, the bike trail, and other points of interest, places or activities within walking distance of the school. REQUIRED Please fill out this field.
  
  Digital Recording: I give permission for my child/ren to be recorded at school individually and/or as part of a small group (three children or fewer). NOTE: Approval is presumed for large group (four students or more). REQUIRED Please fill out this field.
  
  It is presumed when you enroll your child that you understand school staff will occasionally take photos or otherwise record groups of children inside and outside of the classroom. This permission is for individual and/or small group recording.
  
  Use of Image/Voice: I give permission to the school to use individual or small group photos, videos and audio recordings in school as well as in social media and to identify child/ren as noted below. Approval is presumed for groups of four or more. REQUIRED Please fill out this field.
  
  Children may be identified by first and last name in internal media (eblast and school family newsletter) although we usually just use first name and the first letter of the surname. Children are typically not identified by name for external media (website, social media, etc.
  
  Prescription Medication: My child needs prescription or specialty over-the counter medication during the day. I authorize staff (and agree to hold harmless those acting within the scope of their duties) to dispense the medication as directed. REQUIRED Please fill out this field.
  
  Enter child's name and medication in the box above or "NA" if you will not be sending medication. Medication dispensed will be recorded and records will be viewable by parent/guardian. Medication must be in original packaging and labeled with student's name. All medications must be administered by school personnel.
  
  School-Supplied OTC Medications: I give permission to school staff (and agree to hold harmless) the following medications for comfort as needed. Check all that apply REQUIRED Acetaminophen Ibuprofen Antacid Cough Drops Allergy Medication (oral or spray) Antibiotic ointment Sunscreen NONE of the above Please fill out this field.
  
  Medication type and dosage will be recorded and records will be viewable by parent/guardian.
  
  School Counselor - Small Groups: I give permission for my child to meet in small groups to work with the school counselor or other staff on social-emotional topics as needed (parents will receive additional information if/when groups are formed). REQUIRED Please fill out this field.
  
  School Counselor - 1 x 1: I give permission for my child to meet with the school counselor one on one as needed (parents will be notified if regular check-ins are scheduled). REQUIRED Please fill out this field.
  
  Acknowledgement
  
  School Directory: I understand that my name/contact information, as well as my child/ren's, may be visible to the school community in the student information system unless I change my personal settings to restrict some/all of my information. REQUIRED Please fill out this field.
  
  We do not publish a hard copy of the directory for distribution outside of the school. Hard copies will be available to staff for use in case of emergency. Contact the office for more information on changing your personal settings.
  
  I have read the BSS Policy Handbook and agree to abide by its terms. I understand that acceptance of these terms and agreement to abide by them (by both parents and students) is required for continued enrollment. * REQUIRED Please fill out this field.
  
  If you check "no" on this, you will be contacted by the principal to discuss a transition plan for your student(s).
  
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