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Back to School Forms & Signatures

Please complete the form below. Required fields marked with an asterisk *
In the 2023-2024 school year, my student will be at
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Address, Parent and Emergency Contact Info

Parent/Guardian #1 Contact Information

Relationship to Student
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Is this person an Emergency Contact? By adding an emergency contact, you are agreeing that this person can pick up your student from school.
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Parent/ Guardian #2 Contact Information

Relationship to Student
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Is this person an Emergency Contact? By adding an emergency contact, you are agreeing that this person can pick up your student from school.
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Additional Emergency Contact

By adding an emergency contact, you are agreeing that this person can pick up your student from school.

Transportation Request

Do you need bus transportation?
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Grades 6-12 Students' Chromebook Contract

Only parents/guardians of students at Thomasville Middle or Thomasville High School need to fill out the Chromebook Contract section.

Additional Technology Requested
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In this agreement, “you” and “your” means the parent/guardian and the student enrolled in Thomasville City Schools (TCS). The “equipment” available to checkout is a Chromebook, case, power cord/charger, T-Mobile Hotspot Device with charging cable +block.

Terms: You will be issued a TCS Chromebook, case, power cord/charger, and/or hotspot and charger. You will need to comply with the TCS’s Policies 3255/4312/7520 Technology Responsible Use, 3226/4205 Internet Safety and 3230/7330 Copyright Compliance.

Title: Legal title to the equipment belongs to the district and shall at all times remain with the district. Your right to use the equipment is limited to and conditioned upon your full compliance with this Agreement. Loan of the equipment terminates on the collection date set by the school unless terminated earlier by the district or upon withdrawal from the district.

Equipment: You must report any lost, stolen, or damaged equipment to the school immediately. For stolen equipment, you must also file a police report and provide a copy to the school. If the equipment is lost or damaged, either intentionally or due to negligence, the student may be subject to discipline and you may be responsible for repair or replacement costs.

Sanctions for Violations: Any activity that violates school board policy should be reported to a school administrator. Disciplinary action, if any, for the students and other users shall be consistent with the district’s standard policies and procedures. Violations of the policy can constitute cause for revocation of access privileges, suspension of access to Thomasville City Schools’ electronic resources, other school disciplinary action, and/or other appropriate legal or criminal action including restitution, if appropriate. Sanctions may be imposed for violations that occur on or off school grounds.

Damage Costs:

Chromebook, Power Adapter, Carrying Case, Hotspot

Costs for Accidental Damage:

Chromebook, Power Adapter, Carrying Case, Hotspot

Costs for Intentional Damage: 

 Non-Warranty Damaged, Lost or Stolen Items:
1st Occurrence: Warning=$0 Each Occurrence: $50 Power Adapter (brick and cord): $20
2nd Occurrence: $25   Protective Carrying Case: $20
3rd Occurrence: $50   T-Mobile Hotspot Mifi Device and Charger: $72
    Chromebook $128

 

Acceptance of Terms

By signing this form, you confirm that you understand the information in this agreement and agree to allow your student to participate in being issued technology to take home.

You also confirm that you have read, understand, and accept the terms of TCS Policies 3255/4312/7520 Technology Responsible Use, 3226/4205 Internet Safety and 3230/7330 Copyright Compliance and the TCS Student-Parent Handbook. 

Additionally, you hereby acknowledge and agree that you may incur a fee for damage(s) to the equipment pursuant to the schedule of damages below.

This Hold Harmless Agreement is in consideration for being allowed to use a Chromebook computer and hotspot for the purpose of enhancing delivery of instruction through advanced technology, I (parent/guardian) hereby agree to waive and to indemnify, defend and hold harmless the Thomasville City Schools Board of Education and its employees from and against all claims, demands, suits, liabilities, damages, losses, and expenses resulting from or arising out of the use of the property as described in this agreement, which causes bodily injury, illness, death, or other damage to persons or property.

Release of Information

Do you grant permission to allow directory information to be shared for non-commercial purposes?
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Do you grant permission for your student to be photographed for the school yearbook?
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Do you grant permission to have your student photographed for media releases either to school social media, website or to local news outlets?
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Do you grant permission for your student’s contact information to be provided to the US Military for the sole purpose of informing students of potential career opportunities?
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Do you grant permission to share information with NC Public and Private Colleges?
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During the junior year of high school, students take the state-administered nationally-recognized college readiness assessment currently the ACT. Do you grant permission to share your student's ACT scores with colleges and universities? The highest score available will be shared.
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Military Reporting

In an effort to ensure that the uniqe needs of the military-connected students are met, the law now requires all school systems to collect information on military-connected students.

The goal is to help accommodate these students by providing them with support and consistency when a family member is deployed, when they are transitioning between schools, and at other pivotal times during their academic careers.

Is an immediate family member of your child (parent, step-parent, guardian, sibling, etc.) living in the home connected to the U.S. Military, including Active Duty, National Guard and Reserves, Retired Military, Disabled Veteran, or a Federal Civil Service Employee?
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Student Code of Conduct

I have read and reviewed the Student Code of Conduct with my student.
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Food Allergies

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