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Required 2012 Check-in Packet
Each of the following forms is REQUIRED to complete the check-in process. Please read each form carefully. Don’t forget the appropriate signatures after printing ALL forms. “Optional” forms are included in this packet and will follow all “Required” forms.
Check-in Cover Sheet
2012-2013 Fee Worksheet
Off Campus Permission
Continue to next page
2 Station 2
Cherry Creek High School
School Year 2012-13 Check-In Cover Sheet
Student Name _______________________________________________ Last Name, First Name
Parent/Guardian Name ________________________________________ Address ____________________________________________________ ____________________________________________________ Parent/Guardian E-Mail: ____________________________________________________________ OPTIONAL Parent/Guardian No. 2 Name ____________________________________ Parent/Guardian No. 2 E-Mail: _____________________________________________________________
OFF CAMPUS PRIVILEGES PARENT/GUARDIAN PERMISSION FORM
Student Name Last Name, First Name The parent/guardian of each Cherry Creek High School student must complete and sign this form. Any student who forges a parent or guardian signature will be subject to disciplinary consequences. Dear Parent/Guardian: Our philosophy at Cherry Creek High School gives students the freedom to manage their personal and academic affairs while expecting a high level of responsibility in return. An off campus pass is a privilege extended to students by their parents and the school that allows them to make choices about their unstructured time. The student is responsible for ensuring that school attendance, academic performance and citizenship do not suffer as a result of these choices. The student’s parent or guardian may change the status of a student’s ability to leave campus or not at any time by contacting the student’s dean. The school also reserves the right to revoke a student’s off campus privileges as a disciplinary consequence if necessary. Sincerely, Darren Knox Assistant Principal Cherry Creek High School I have read the above letter regarding off campus privileges for my student. I request that my student be permitted to leave campus when not scheduled for classes. YES NO Student’s Name Date
Parent/Guardian’s Name/Signature
3
NAME: ____________________________________________ GRADE: ___________
Last, First
2015-2016 FEE WORKSHEET
Check appropriate box
1) Activity Fee (optional) …………………………………………………….….. $30
2) Yearbook (optional, $65 after 1/8/16)..………………………………………… $55
3) Parking Fee (optional) ……………………………………………………..…. $50
4) Senior Graduation Fee ($65 after 1/8/2016) [Seniors Only]………………….….. $55
5) Bear Tracks Student Directory with Emails _____ x $15 each
6) NEW ITEM Creek Parent Planner with Important Dates _____ x $10 each
7) BUNDLE – Bear Tracks Directory & Creek Parent Planner _____ x $20
8) After Prom (Recommended donation $30 or more)-Any amount appreciated
9) Friends of PTCO Donation - $25, $50, $100, $500-Any amount appreciated
___________________________________________________________________________
TOTAL ………………………………………………………………………………$ $
ACTIVITY FEE Your $30 Activity Fee is only $0.16 per day
The Activity Fee supports many programs and activities that make students’ experiences at Cherry Creek more fun and exciting. Support is vital to many programs. Benefits include:
o Free admission to all regular season home sporting events
o Discounted ticket price for school dances
o Support for student theater productions, vocal and band concert programs
CCSD Fitness Festival, Ethnic Fest, Human Rights Awareness Week
Guest speakers and student awards
o Funding to help send students to state and national conferences and competitions
FRIENDS OF PTCO – Fundraising that Supports the ENTIRE School!
The Friends of PTCO is a fundraiser designed to help with current PTCO budget expenses and future needs of the school. 2014-15 Grants included monetary awards to all areas of the school, including:
o Medical Careers Class – Cadaver Lab Field Trip to CU Anschutz
o Robotics Team – Competition Entry Fee o Library/Technology (4 HP Laptops & 8
Computers) o Fine Arts (3 Yamaha Digital Pianos) o Smart Boards/Laptops for Math Classrooms o Athletics – Updated Concessions Area in
South Gym o Mini-iPads & Accessories for ELA Students
o Library/Community Rooms Computer and Projector
o English Class Set “Life’s Greatest Lessons” o Sociology – Video Camera & Accessories o Leadership/Adventure Course – Contributed to
Update of Adventure Course o Bear Facts (CCHS student planner) o Creek Parent Planner o Funded teacher appreciation events and
recognition
“Friends of PTCO” is an optional, nominal fee. Please consider making a contribution, as it will benefit the entire CCHS community. All donations appreciated!
Fees can be paid via Rev Trak at the end of filling out your student’s online check-in forms. Fees can be paid at check-in time with Visa, Master Card, American Express or cash.
Fees can be paid at check-in via check: payable to Cherry Creek High School. Please have the check filled out ahead of time. 50% refund on or before 1/5/16; No refund after 1/8/16.
4
Optional 2012 Check-in Packet
Each of the following forms is optional and not required to complete the check-in process. Please read the appropriate forms carefully.
PTCO After Prom Release of Information to Military Recruiters (Juniors & Seniors
Only)
Food & Nutrition / Free & Reduced Price Meals Can only be filled out online
School Picture Order Form (Lifetouch)
Vehicle Registration
Continue to next page
Volunteer for After Prom May 15, 2016
We need your help with planning and working the 2015 After Prom party, which will take place between 12:00 am and 4:00 a.m. following prom May 14th, 2016.
Parent/Guardian Name:_____________________________________________________ Student Name: ___________________________________Graduating Year____________ Preferred Phone_____________________ Email (required)_________________________
Donations: I would like to donate the following: A Door Prize Food Cash (in addition to the After Prom option at registration time)
Volunteer Opportunities:
Check any area you are interested in volunteering. You will be contacted and provided detailed information.
Lead a Committee
Help Set UP for the Event
Volunteer at the After Prom Event 11:30 pm-4:15 am. Many shifts end earlier
Check-In Coordinator General Set-up Any Area Décor Chair – Entry Decorate – Any Area Casino Dealer Décor Chair – Trophy Hall/Check in Decorate- Trophy Hall Chaperone an Activity Décor Chair – Concessions Hall Decorate – Concessions Hall Event Check-In Décor Chair – South Gym Decorate – South Gym Food Décor Chair – Casino (north gym) Decorate – Casino/North Gym Photography Helper Décor Chair – Hall of Fame Decorate – Hall of Fame Prizes and Giveaways Décor Chair – West Café Decorate – Shillinglaw Trike Races
Décor Shillinglaw Decorate – Hall of Fame posters/ Hall of Fame Boards
Artisan Area – tattoos, fortune tellers, artists etc
Casino Coordinator Food Food Coordinator Hall of Fame Poster Coordinator Help with Sneak Preview Help Tear Down Artisan Coordinator- fortune tellers, tattoos etc
Sneak Preview (Sat. 7pm-10pm)
Tear Down (6:00 am)
Prize and Giveaway Coordinator
Set Up Coordinator
Tear Down Coordinator
Donations Coordinator
Volunteer Coordinator
Thank You Note Writer
Volunteer Hospitality Coordinator
Sneak Preview Coordinator
4 JUNIOR SENIOR PLEASE CHECK ONE
CHERRY CREEK SCHOOL DISTRICT NO. 5
NOTICE TO PARENTS OF SECONDARY STUDENTS (JUNIORS AND SENIORS) OF
RELEASE OF INFORMATION TO MILITARY RECRUITERS IN COMPLIANCE WITH THE FAMILY EDUCATION RIGHTS AND PRIVACY
ACT (“FERPA”) 20 U.S.C. § 1232(g)
In compliance with requirements of the Family Education Rights and Privacy Act (“FERPA”), 20 U.S.C. § 1232(g), and the Colorado Open Records Act, C.R.S. § 24-72-204 (3)(d), the Cherry Creek School District No. 5 shall release the names, addresses and telephone numbers of secondary students to military recruiting officers within 90 days of a request unless the student submits a written request that such information not be released. If you do not want the Cherry Creek School District to disclose this information to military recruiters without your prior written consent, you must fill out this form and return it to us by September 4, 2012. If we do not receive this form back by this date, we will release student information to military recruiters upon request. If your child is over 18 years of age, he/she must also sign this form. ------------------------------------------------------------------------------------------------------------
DO NOT DISCLOSE MY CHILD’S NAME, ADDRESS OR TELEPHONE NUMBER TO MILITARY
RECRUITERS WITHOUT MY PRIOR WRITTEN CONSENT. Student Name: __________________________ ID# _________________ Student Signature: __________________________ Date: _________________ Parent/Guardian Name: __________________________ Parent/Guardian Signature: __________________________ Date: _________________ Parent/Guardian Name: __________________________ Parent/Guardian Signature: __________________________ Date: _________________
A. Deluxe B. Premium
69576
MYLIFETOUCH.COMMore choices at Más opciones en
8x102
5x72
3x54
2x38
5x74
3x54
2x312
8x101
5x72
3x54 2x3
8
PACKAGES PAQUETES
C. Value
PORTRAIT LOOKS (POSE + BACKGROUND) ESTILOS DE RETRATO (POSE + FONDO)
NOTE: Background for your yearbook is selected by your school. Nota: El fondo para tu anuario es seleccionado por tu escuela.
MYLIFETOUCH.COMOrder now at
1 2 3 4 5 67 8
LOOK CODE
MYLIFETOUCH.COMCustomize your portrait package atPersonaliza tu paquete del retrato en
sharable image download with any online package purchase.
FREE Coupon code: SHARESee details at lifetouchdeals.com/share
Encarga ahora en MYLIFETOUCH.COM
Descarga gratis de la imagen para compartir, con cualquier compra del paquete por internet.Código del cupón: SHARE | Mira los detalles en lifetouchdeals.com/share
ADD-ONS ADICIONALES
MYLIFETOUCH.COM
Name & Grade On
Con el nombre y el grado
All PortraitsTodos los retratos
Wallets (2x3)Fotos para la billetera (2x3)
Variety Bundle Conjunto variado
• Variety 4 - 3x5 Surtido de 4 - 3x5
• Variety 8 - 2x3 Surtido de 8 - 2x3
OR
VALUE BUNDLES CONJUNTOS DE VALOR Save 25%Ahorro del 25%
PLUS
Upgrade Bundle Enriquece el conjunto
• Name & Grade on All Portraits Nombre y grado todos los retratos
• Basic Retouching (Removes blemishes) El retoque básico quita imperfecciones.
PLUS
Combo Bundle Conjunto combinado
• Name & Grade on All Portraits Nombre y grado todos los retratos
• Variety 8 - 2x3 Surtido de 8 - 2x3
PLUS
Portrait CD
When you pay by check, you authorize us to process the payment as a check transaction, or to use information from your check to make a one-time electronic fund transfer from your checking account. A service fee may be charged on returned checks. Prices include tax where applicable. Post dated checks are not accepted.
Cuando pagas con cheque, nos autorizas a procesar el pago como una transacción mediante cheque o a usar la información de tu cheque para realizar una transferencia electrónica de fondos desde tu cuenta de cheques por única vez. Por cheques rechazados se podrá aplicar un cargo. Los precios incluyen impuesto cuando corresponde. No se aceptan cheques de pago diferido.
MAKE YOUR SELECTIONS HAZ TUS SELECCIONES
PA
CK
AG
ES
P
AQ
UE
TE
SA
DD
-ON
S
AD
ICIO
NA
LE
S
LOOK CODE
Price Precio
Qty Cantidad
Total Total
Student First Name Print name as you would like it to appear on portraits.
SA
VE
25
%
TOTAL $TOTAL $
Order with this form or go to
MYLIFETOUCH.COMEncarga con este formulario o visita MYLIFETOUCH.COM
VALUE BUNDLES CONJUNTOS DE VALOR
Student First Name Nombre del estudiante
Student Last Name Apellido del estudiante
Home Phone Teléfono particular Student Grade Grado del estudiante
Teacher Last Name Apellido del docente
Parent Email Address (Provide your email address to receive future offers and reminders for Picture Day.) Dirección de correo electrónico del padre o de la madre (Proporciona tu dirección de correo electrónico con el fin de recibir futuros recordatorios y ofertas para el Día de la Foto.)
Nombre del estudiante Escribe el nombre con letras de imprenta, tal como te gustaría que aparezca en los retratos.
Cherry Creek High School
During Registration Days Picture Day ID: CG055074Y0
Questions? Please call 1-866-955-8342 or email [email protected].
$8
E Family $38
F Basic $18
D Ultimate $56
$5
$15 $11
$13
$32 $46 $24
G Entry $12
A. Deluxe B. Premium
69556
MYLIFETOUCH.COMMore choices at Más opciones en
8x102
5x72
3x54
2x38
5x74
3x54
2x312
Portrait CD
8x101
5x72
3x54 2x3
8
PACKAGES PAQUETES
C. Value
PORTRAIT LOOKS (POSE + BACKGROUND) ESTILOS DE RETRATO (POSE + FONDO)
NOTE: Background for your yearbook is selected by your school. Nota: El fondo para tu anuario es seleccionado por tu escuela.
MYLIFETOUCH.COMOrder now at
Encarga ahora en MYLIFETOUCH.COM
1 2 3 4 5 67 8
LOOK CODE
MYLIFETOUCH.COMCustomize your portrait package atPersonaliza tu paquete del retrato en
sharable image download with any online package purchase.
Descarga GRATIS de la imagen para compartir, con cualquier compra del paquete por internet. Código del cupón: SHARE | Mira los detalles en lifetouchdeals.com/share
FREE Coupon code: SHARESee details at lifetouchdeals.com/share
When you pay by check, you authorize us to process the payment as a check transaction, or to use information from your check to make a one-time electronic fund transfer from your checking account. A service fee may be charged on returned checks. Prices include tax where applicable. Post dated checks are not accepted.
Cuando pagas con cheque, nos autorizas a procesar el pago como una transacción mediante cheque o a usar la información de tu cheque para realizar una transferencia electrónica de fondos desde tu cuenta de cheques por única vez. Por cheques rechazados se podrá aplicar un cargo. Los precios incluyen impuesto cuando corresponde. No se aceptan cheques de pago diferido.
ADD-ONS ADICIONALES
MYLIFETOUCH.COM
Name & Grade On
Con el nombre y el grado
All PortraitsTodos los retratos
Wallets (2x3)Fotos para la billetera (2x3)
Variety Bundle Conjunto variado
• Variety 4 - 3x5 Surtido de 4 - 3x5
• Variety 8 - 2x3 Surtido de 8 - 2x3
OR
Save 25%Ahorro del 25%
PLUS
VALUE BUNDLES CONJUNTOS DE VALOR
Upgrade Bundle Enriquece el conjunto
• Name & Grade on All Portraits Nombre y grado en todos los retratos
• Basic Retouching (Removes blemishes) El retoque básico quita imperfecciones.
PLUS
• Name & Grade on All Portraits Nombre y grado en todos los retratos
• Variety 8 - 2x3 Surtido de 8 - 2x3
PLUS
Combo Bundle Conjunto combinado
Environmental Collage
Collage medioambiental
MAKE YOUR SELECTIONS HAZ TUS SELECCIONES
Student First Name Nombre del estudiante
Student Last Name Apellido del estudiante
Home Phone Teléfono particular Student Grade Grado del estudiante
Teacher Last Name Apellido del docente
PA
CK
AG
ES
P
AQ
UE
TE
S
Order with this form or go to
MYLIFETOUCH.COM
AD
D-O
NS
AD
ICIO
NA
LE
S
LOOK CODE
Parent Email Address (Provide your email address to receive future offers and reminders for Picture Day.) Dirección de correo electrónico del padre o de la madre (Proporciona tu dirección de correo electrónico con el fin de recibir futuros recordatorios y ofertas para el Día de la Foto.)
Encarga con este formulario o visita mylifetouch.com
Price Precio
Qty Cantidad
Total Total
SA
VE
25
%
TOTAL $TOTAL $
Student First Name Print name as you would like it to appear on portraits.Nombre del estudiante Escribe el nombre con letras de imprenta, tal como te gustaría que aparezca en los retratos.
VALUE BUNDLES CONJUNTOS DE VALOR
Basic plus whitens teeth and evens skin tone
$32
$46
$24
$56
$38
A Deluxe
B Premium
C Value
D Ultimate
E Family
Place order online or f ll this form out completely, enclose EXACT payment, and return to school oni Picture Day. Enclose cash, money order or check payable to LIFETOUCH. Photographer won't make change. Haz el pedido por internet o llénalo por completo, incluye el pago EXACTO y envíalo a la escuela el Día de la Foto. Incluye dinero en efectivo, giro postal o cheque a la orden de LIFETOUCH. El fotógrafo no entregará cambio.
Picture Day ID: CG055074Y0
Cherry Creek High School CG055074Y0 CG01XP500616 69576
$18 F Basic
$6 Basic Retouching
$12 Premium Retouching
$8 Name & Grade On All Portraits
$5 Name & Grade On Wallets
FOR ONLINE ORDERS: You do NOT need to f ll out or return this form. iPARA PEDIDOS POR INTERNET: NO es necesario que llenes o envíes este formulario.
$12 G Entry
Removes blemishes
$10
$10
$10
$10
$15
K (8) 2x3 Wallets
L (2) 5x7
M (1) 8x10
N (4) 3x5
O CD High and Low Resolution
$10 Q (8) Variety 2x3
$10 P (4) Variety 3x5
$11
$13
$15
H Upgrade Bundle
I Combo Bundle
J Variety Bundle
N/A
N/A
N/A
N/A
N/A
DECAL #___________ Paid CC/Cash/Check #_____________
CHERRY CREEK HIGH SCHOOL APPLICATION FOR PARKING PERMIT 2015-2016 SCHOOL YEAR
NAME:__________________________________________ Student ID #:________________ (print clearly) Last Name First Name MANDATORY
Grade: ______________ Phone #:__________________ Driver’s License #: _____________ Vehicle Year: _______ Make: ____________________ Model: _______________________ Color: _____________ License Plate #: ___________________ State: _________________ Name of Registered Owner of Vehicle: ___________________________________________ Parent/Guardian E-mail (not student): _____________________________________________ Student Parent Initial Initial ______ ______ I affirm the above information is true. ______ ______ I understand the privilege of parking on any Cherry Creek School District property is extended
in exchange for granting consent to School & District Administration to search the vehicle without warning when the Administration has reason to believe the general welfare or safety of students & staff are threatened by items contained in the vehicle.
______ ______ I understand receipt of a parking permit is acknowledgement I have read & understand the parking policies
outlined in the student/parent handbook and all CCSD/CCHS policies apply to my behavior as it relates to parking & driving on campus.
______ ______ I understand the speed limit on CCHS campus is 10 mph. ______ ______ I understand I cannot sit in my vehicle, I am accepting legal responsibility for their safety. ______ ______ I understand under Colorado law, it may be illegal for me to transport other students in my vehicle. ______ ______ I understand any parking/driving violation may result in a ticket, fine, my vehicle being towed and my driving privileges being suspended indefinitely. ______ ______ I understand I must park between the white lines ONLY.
________________________________________________________________ ______________
Student Signature I have read & understand the terms of this application. DATE
________________________________________________________________ ______________
Parent Signature I have read & understand the terms of this application. DATE