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Trip Agreement and Release
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For, and in consideration of, the school’s undertaking the sponsorship and supervision of field trips, class retreats and class trips in which Student is a participant, I (we) agree as follows:
(1) Student understands that this is a supervised program and that group standards must be observed. He/she will at all times remain under the supervision of the School and its agents and will comply with the School’s rules, standards, and instructions for student behavior. I (we) hereby waive and release all claims against the School and its agents, both on behalf of myself and Student, arising out of his/her failure to remain under such supervision or to comply with such rules, standards, and instructions. I agree that the School shall have the right to enforce appropriate standards of conduct, and that it may at any time terminate Student’s participation in the School’s program for failure to maintain these standards or for any actions or conduct which the School reasonably considers to be incompatible with the interest, harmony, comfort, and welfare of other students. If Student’s participation is terminated, I consent to him/her being sent home at my expense with no refund or fees.
(2) I (we) hereby grant the School and its employees and agents full authority to take whatever actions they may reasonably consider to be warranted under the circumstances regarding Student’s health and safety, and I release each of them from any liability for such decisions or actions as may reasonably be taken in connection therewith. I authorize the School and its agents, at their discretion, to place Student, at any expense and without my further consent, in a hospital for medical services and treatment, or if no hospital is readily available to place Student in the care of a medical doctor for treatment. If deemed necessary or desirable by the School or its agents, I (we) authorize them to transport Student to Nashville, Tennessee, by commercial airline or by any other viable means available, at my expense for medical treatment.
(3) I (we) release the School and/or its employees and its agents from any claim for injury, damage or loss caused by the act or omission of any third party, such as an air carrier, travel agency, or hotel, and further release the School and its employees from and against any and all claims for injury, damage or loss arising from Student’s participation in such field trips, class retreats, and class trips, unless caused by the School’s gross negligence or willful misconduct.
(4) I (we) understand that the School reserves the right to cancel programs due to an insufficient number of participants or otherwise to make alterations in programs and itineraries as may be required. In addition, I understand that the School’s program charges are based, in part, on currently applicable tariffs and government regulations and are subject to change.
(5) All references in this agreement to “the School” and “its Agents” shall include the School and all of its officers, Trustees, administrators, staff members, chaperones, group leaders, and employees. All references herein to the “parents” of the applicant shall include the legal guardians or other adults responsible for the applicant, where applicable.
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Tennessee Department of Health Immunization Requirements
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DTP/DT/DtaP: Four (4) doses of DTP/DT/DtaP (in any combination) are required. The fourth dose must be administered on or after the fourth birthday.
Hepatitis B: The Hepatitis B immunization is a normal childhood vaccine for all school-aged children. The Tennessee Department of Health requires all children entering Kindergarten to have the (3 doses) Hepatitis B immunization (vaccine or serologic testing demonstrating immunity).
MMR: Two (2) doses of the Measles, Mumps, and Rubella (MMR) vaccine are required for Kindergarten and fourth grade students.
Polio: Four (4) doses of the Polio vaccine are required. Fourth dose must be administered on or after the fourth birthday.
Varicella (Chicken Pox): Two (2) doses of varicella vaccine is required or a history of having the disease must be provided by the parents, guardians, or physician. This is the only disease for which a parental history of disease is accepted.
Hepatitis A: Two (2) doses will be required for Kindergarten entry.
The Department of Human Services requires that all of the above immunizations be current for all students.
For parents of new students:
The Tennessee Department of Health requires the following forms/items to be on file for each child before the first day of school:
• Tennessee Certificate of Immunization
• A copy of your child's birth certificate
Go to www2.state.tn.us/health/vr/ to replace a lost birth certificate.
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Physical Education Policy
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At St. Paul Christian Academy, we believe in a strong lifetime fitness curriculum that will enable your child to achieve his/her best.
As a safeguard for your child’s health, we follow these practices regarding any medical or physical problem which would restrict or prevent your child from participating in either physical education or athletics.
• A note from the parent or guardian is required if a student needs to be excused from physical education. A statement from the doctor may also be required for continued excuse from this activity.
• A detailed description from your physician regarding any medical problem or limitation which would restrict your child’s participation in physical education must be on file in the school office.
• A detailed description from your physician regarding what type of medicine is being taken by your child and when it is to be administered must be on file with the school office.
• If your child is taking medicine or using a medical device (inhaler, insulin, EpiPen), then that medicine/device is required to be in the clinic for your child to use in case it is needed.
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Procedure for Administering Prescription Medications
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For the safety and benefit of all students, there are several policies which govern the dispensing of medications in our clinic. Please read this policy carefully to enable us to serve your child well when and if necessary.
Medications that have been prescribed by a physician should be administered at home whenever possible. If a student does require prescription medicine during the school day, there are several conditions that apply and must be followed strictly to meet legal and child safety concerns. If these conditions are not met, the school nurse will be unable to administer the medication.
Parent/Guardian responsibilities regarding student prescription medications:
A form, available in the Academy clinic, must be completed by the child’s physician and must detail the medication prescribed, the dosage, administration method, and how often it is to be administered. This form may be personally delivered or faxed by the child’s doctor to the school nurse.
The medication must be given to the school nurse in the original, properly labeled pharmacy container, which includes the child’s name, name of medication, unit dosage, time to be given and how it is to be administered.
When medication changes are made, new containers with the appropriate labeling must be given to the school nurse and the old medication removed from the school.
School’s responsibilities regarding student medications:
The school nurse will ensure that the prescribed medications are kept locked and in a secure place (exceptions may be made for medications requiring refrigeration).
The school nurse will maintain detailed professional records of all medications given at the school in the student’s individual health record, including the dose, time, date, and name of the drug and any other pertinent information.
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Internet Acceptable Use Policy
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St. Paul Responsibilities:
• St. Paul Christian Academy will take precautions to restrict access to harmful matter and to materials that do not support approved educational objectives.
• Teachers and staff will choose resources on the Internet that are appropriate for classroom instruction and/or research for the needs, maturity, and ability of our students.
• Teachers and staff will train students on the proper use of the Internet.
• St. Paul Christian Academy encourages families to discuss proper use of the Internet to help facilitate good practices and prevent possible problems.
Student Responsibilities:
• Students will recognize that use of the Internet is a privilege, not a right.
• Students will use the Internet for educational objections as directed by St. Paul Christian Academy teachers.
• When using the Internet, students must be polite and kind, use appropriate language, maintain privacy, and respect copyrights.
Parent Responsibilities:
• Read the Internet usage policy with your child.
• Outside of school, guide your child toward appropriate Internet usage.
Internet privileges may be revoked at the discretion of St. Paul Christian Academy staff and/or teachers.
I grant permission for my child to access the St. Paul Christian Academy network, including the Internet. I understand that individuals and families may be held responsible for violating this policy. I accept responsibility for guidance of Internet use when selecting, sharing, or exploring information and media.
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Equipment Agreement (for 2nd-6th grade)
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This agreement is between St. Paul Christian Academy (Academy) and student (User) and his/her parent. The Academy and User agree to the following conditions:
1. Description of Equipment
The Academy agrees to provide the User with a technology device (laptop computer, iPad, or other) and a protective case, if applicable, to be used strictly for educational, academic, and curriculum purposes.
2. Term
The term of this agreement is from the date of acceptance of this agreement until the device and case are returned to the Academy.
3. Use and Alterations
The User agrees to use the device in a lawful manner, not for private business purposes, and not to make any alterations, additions or improvements.
The Academy shall be responsible only for maintenance and for providing technical assistance for the device.
4. Surrender
The User shall not alter or remove any identification labels attached to or displayed on the device.
The User agrees to return the device and case to the Academy prior to the last day of the school year.
Upon withdrawal or graduation from the Academy, the User agrees to immediately return device and case to the Academy.
If the device is returned in damaged condition, the Academy may charge the User the cost to repair or replace the device, not to exceed $1,000. Please note that some homeowners’ policies cover such school-related property. Consult your insurance agent or policy for clarification.
5. Loss and Damage
The User agrees to take reasonable and prudent care of the device and case and to keep it safe and secure. The User shall bear the risk of loss, theft, destruction or damage of the device and case from the date of the Agreement. With respect to destruction, damage, or loss, please note the following:
•If the User drops the device, knocks it off a desk, table, etc., or otherwise damages the device, whether accidental or due to misuse, the User will be responsible for the cost of the repair or replacement of the device.
•If two or more students are involved in an incident whereby a device is damaged, the cost of the repair or replacement will be shared equally among all parties involved.
•If User loses the device, the User will be responsible for the replacement cost.
The User shall report to the school any instances of theft, damage or loss within 48 hours of his/her knowledge. In the case of theft, the User will file a police report, as appropriate with the local jurisdiction, and agrees to cooperate with the Academy in all efforts to recover the device. The Academy reserves the right to bill the User for the replacement cost of the device, not to exceed $1,000.
6. Assignment, Compliance with State and Federal Law
The User shall not lend the device or permit it to be possessed or used by anyone other than the User.
The User agrees to comply with all Federal and State laws concerning copyright and intellectual property right law pertaining to software.
7. Default, Remedies and Termination
In the event the User fails to return the device within ten (10) days of withdrawal or graduation from the Academy or within ten (10) days from the last day of the school year, the Academy reserves the right to bill the User in full for the replacement cost of the device.
8. Ownership, Personal Property
The device and protective case are and will be at all times the property of the Academy.