Sakamoto, Naomi Kei
2020-2021
Leigh High School
8/3/2020
Student Emergency Card
Student Information
Student ID
552042
Last Name
Sakamoto
Resid Address
Mailing Address
Page 1
First Name
Naomi
Middle Name
Kei
Gender
Female
Grade Birthdate
9
09/30/2006
Student's Mobile (650) 636-3749
1787 Branham Ln
San Jose, CA 95124
Student's
Email
1787 Branham Ln
552042@my.cuhsd.org
San Jose, CA 95124
Birth Place
San Bruno , California - United States Of America
Parent/Guardian Information
Hirotaka Sakamoto / Trella Davis
Primary Phone
(650) 784-3704
Primary Contact 1:
Language:
English
Primary Contact 2:
Emergency Contacts
Davis, Trella
Mobile (650) 784-3704
Mother
Phone (650) 784-3704
Work
(650) 784-3704
trelladavis@gmail.com
Sakamoto, Hirotaka
Mobile (650) 468-3794
Father
Phone (650) 468-3794
hsakamoto@gmail.com
Authorizations
Authorization Type
Authorization Code
Date
Status Dt
Status
1
Prog Participation Authorization or
A01 Click yes to electronically receive the District08/03/2020
Annual Notice 08/03/2020
of Rights andYes
Responsibilities of Par
1
Prog Participation Authorization or
A02 My child has a special health problem/concern
08/03/2020
WHICH MUST08/03/2020
HAVE a DOCTOR's
No
NOTE.
1
Prog Participation Authorization or
A03 Directory information consists of name, address,
08/03/2020
phone number,
08/03/2020
date andNo
place of birth, activities
1
Prog Participation Authorization or
A04 I give permission for my child’s directory information
08/03/2020
to be released
08/03/2020
to college
Yes recruiters, employ
1
Prog Participation Authorization or
A05 I give permission for my child's directory information
08/03/2020
to be released
08/03/2020
to the
Yes
Santa Clara County Lib
1
Prog Participation Authorization or
A06 I give my consent for emergency medical treatment
08/03/2020
if listed contacts
08/03/2020
cannot
Yesbe reached. I realize
1
Prog Participation Authorization or
A07 I have read and agree to the Student Technology
08/03/2020
Policy. <a href="https://4.files.edl.io/d879/06/13/1
08/03/2020 Yes
1
Prog Participation Authorization or
A09 I give permission for my child's photo/video and/or
08/03/2020
name to 08/03/2020
be released for
Yes
district/promotional u
1
Prog Participation Authorization or
A10 I give my permission to share my e-mail and/or
08/03/2020
phone number
08/03/2020
with the PTSA/HSC.
Yes
1
Prog Participation Authorization or
A11 My child has reliable wireless internet access08/03/2020
at home or has08/03/2020
already received
Yes a hotspot from the
1
Prog Participation Authorization or
A12 My child will access the electronic form (e-textbook)
08/03/2020
of the textbook,
08/03/2020
if available..
Yes
1
Prog Participation Authorization or
A13 I have read and agree to the 1 to 1 student device
08/03/2020
release.<a08/03/2020
href="https://drive.google.com/open?
Yes
1
Prog Participation Authorization or
A14 I give my permission to share my e-mail and/or
08/03/2020
phone number
08/03/2020
with the CUHSD
Yes Education Founda
1
Prog Participation Authorization or
A15 I consent to release my child’s transcripts (including
08/03/2020
Initial / 08/03/2020
Mid-Year / Final)
Yes to universities and c
1
Prog Participation Authorization or
A16 I acknowledge the <a href="https://bit.ly/3f20FeN">Notice
08/03/2020 on08/03/2020
the Use of Online
Yes Platforms for Dista
Sakamoto, Naomi Kei - 552042
CUHSD Emergency Card
Leigh High School
Page 2
You have completed the check-in/registration process. Please look for an email from Informed K-12 before August 12 to
provide your e-signature acknowledging receipt of the Annual Notice of Rights and Responsibilities of Parents/Guardians.
You will need to electronically sign the agreement to complete this process.