Student- Teacher Contract

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WELCOME
August 5, 2013
Greetings parents, guardians, and most importantly students!
Welcome to fourth grade!!! I am so happy that you are a part of
our “Busy Bee” class. I look forward to getting to know you and
working with you. This year will be great! We will explore and learn
new things all year. I will do my best to make sure the time spent
in our class is a fulfilled learning experience. I believe all students
can and will learn. Additionally, I believe that children thrive with
the right support, resources, and tools. Therefore, the more we
work together as a team, the more we will succeed. In this folder
you will find the following:
*A,B,C’s of Fourth Grade
*Updated School Supply List
*Parent/ Student/ Teacher Contract
*Remind 101 App Request
*Magnet
*Student Information Sheet
*Parent and Student Questionnaire
*Media Release Form
Please read and complete all the items in their entirety. These
documents provide essential information pertaining to our class
and school. Please be mindful that all forms must be completed
and or signed and returned by Friday, August 9th, 2013. Please
keep this folder and the documents it contains. You may need to
refer to this folder throughout the year. Thank you in advance for
your attention to these matters and welcome again!
Sincerely,
Kristle Waye
Media Release Form
I hereby give my consent to all photographs, audio
recordings, academic work, and/or video recordings
taken of me or my minor child by Kristle Waye or Atlanta
Public Schools staff or their designee. I understand that
any such photographs, audio recordings, academic work,
and/or video recordings become the property of the local
school or teacher and may be used by the school, district,
or others with their consent, for educational,
instructional, or promotional purposes. I also understand
that I will not receive any monetary compensations for
my or my child’s participation. I further release and
relieve HISD, its Board of Trustees, employees, and other
representatives from any liabilities, known or unknown,
arising out of the use of this material.
I certify that I have read the Media Consent and Release
Liability statement and fully understand its terms and
conditions.
Please understand that failure to return this release form within ten (10) school days
from the date of distribution will constitute approval of the above requests.
(Please check one of the options below.)
____
Yes, I give my consent.
____
No, I do not give my consent.
Student Name: __________________________________
Parent Signature:
_______________________________________________
School Supply List
Item
Quantity
Pencils (No mechanical)
3 packs
Multicolored construction paper
1 pack
Pocket dictionary (print child’s name in it)
1
White copy paper
2 packs
White cardstock paper
1 pack
Pencil sharpener that holds pencil shavings
1
Pencil box
1
Scissors (non blunt with child’s name printed on the scissors)
1
1 inch clear view three ring binder in black
1
Divider Tabs
1 pack
Tissue
2-4 boxes
Disinfectant wipes and spray
2-4 each
Hand sanitizer
2-4
Folders with prongs ( red, green, or yellow color- no special designs) do not print name on folders
3
Crayons or colored pencils
1 pack
Spiral Bound Notebook (no special decorations)
5
Three ring binder zipper pouch (needed immediately)
1
Zip lock bags (variety sizes needed including gallon size bags)
1 box each
Standard folders (no special designs)
5
Clear sheet protectors
1 pack
Glue (stick and liquid)
3-4 each
Dry erase marker-black color only and used sock (to be used as an eraser)
2
Deck of index cards
2
Paper Towels
1 pack
Loose leaf paper
5 packs
Air wick scented oil refill (optional)
Makes the room smell great
1 large bag of peppermints and mini lollipops (optional)

1
1 each
Items Needed for Projects
*The following items are optional however, beneficial to have for the use of monthly projects. If
purchased these items should remain at home: poster boards, construction paper, and folders for
reports.
Parent- Student- Teacher Contract
Parent’s Commitment
I____________________________ (print name) promise to
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Ensure that my child is punctual and attends school regularly
Establish a quiet, undistributed time and place for daily study
Ensure daily homework assignments and projects are complete, accurate, neat, and submitted on time
Ensure my child has all required supplies needed for assignments at home and at school
Encourage my child’s efforts and be available for my child
Maintain awareness of what my child is learning on a day to day basis
Be a role model and positive example for my child
Respect the school, classroom, staff, and teacher
Support the school by attending conferences, school events and being aware of school policies and
procedures
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Communicate respectfully with the teacher and school and check B.E.E Binder DAILY
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Do everything thing I can, every time I can, with all I can to ensure my student’s academic, social, and
emotional development
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I have read, understood, and reviewed the “The A,B,C’s of Fourth Grade” and the parent folder in its
entirety with my child.
Parent’s Signature: ______________________________________Date:_________
Student’s Commitment
I____________________________ (print name) promise to:
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Come to school each day with a great attitude and ready and willing to learn
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Complete and participate in ALL daily classroom activities and assignments
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Complete daily homework assignments and review skills and concepts
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Respect myself, others, and my environment at all times.
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Conform to rules of student conduct and seek conflict resolution rather than fights or using unkind
language
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ALWAYS do my best
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Take and maintain an active and responsible part in my own learning
Student’s Signature: ______________________________________Date:_________
Teacher’s Commitment
I, Kristle promise to:
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Provide each child with instructional opportunities
Assess student comprehension
Communicate with parents regularly
Do everything thing I can, every time I can, with all I can to ensure students’ academic, social, and
emotional development
Teacher’s Signature: _____________Date: _________
Student Information
Student Name:
Birth Date:
(MM/DD/YEAR)
Mother/ Guardian Name:
Father/Guardian Name:
Address:
Address:
Home Phone:
Home Phone:
Cell Phone:
Cell Phone:
Work Phone:
Work Phone:
Email Address :
Email Address:
What is the best time to contact you?
What is the best time to contact you?
What is the best method to contact you?
What is the best method to contact you?
Whom does the student reside with? Place a check mark where appropriate
________mother _________ father ________ mother and father ______ other (If you placed a
check for other please name the individual and provide their contact information in the space
below)
Please list any allergies or medical conditions:
Name
Names of brothers & sisters in this school and their homeroom teachers names
Homeroom Teacher
Usual Method of Transportation for arrival and dismissal
(Please include bus number, name of after school program, or any other pertinent information.)
Arrival
Dismissal
Get Text Message
Reminders and Updates
From Me!
Periodically, I will send out reminders, updates, and
important information through text message.
To receive these text messages on your cell
phone text
@mrswaye
to the number
470-315-7209
After you receive a reply, text your SCHOLAR’S
first and last name
Please note that the service does not allow for you to reply to your
teacher’s text nor does it allow for you to send a text message to your
child’s teacher. If you need to get in touch with the teacher, use his/ her
email address.
*If you change mobile numbers please repeat steps one and two
If you have signed up, please print your name at the bottom of this sheet
and place it in the manila folder provided.
Printed Name:____________________________________________
Completed Form
Checklist
All forms must be completed by Friday, August 9, 2013
Parents, I know it seems like a lot of information and paperwork has been given to you
to read and complete however, all of the information is important and the paperwork
is necessary. Please make sure to read and complete everything in its entirety. Return
all forms together in this manila folder to me by August 9, 2013. Submitting all the
forms together in the folder reduces confusion and the likelihood of misplaced forms.
Additionally, please place your child’s name on the tab of the manila folder. For your
convenience, I have created a checklist in order to help ensure that all the necessary
forms are completed and ready to submit. Simply place a check on the line once the
form has been completed and place the form in this folder.
Form to be completed
Student Information Sheet
Parent/Student/Teacher Contract
Media Release Form
Remind 101 App Request
Check here if the form
is completed
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