Alice M. Birney Elementary School TEXTBOOK RESPONSIBILITIES

EL RANCHO UNIFIED SCHOOL DISTRICT
Alice M. Birney Elementary School
8501 Orange Ave.
Pico Rivera, Ca. 90660
Tel: (562) 801-5153 Fax: (562) 801-9354
http://be.erusd.org
Dear Parents or Guardians,
The following information will provide an overview of the procedures that must be followed for registration
for the upcoming school year.
Please visit our web page http://be.erusd.org to fill out and print all required forms. If you should require
further information or do not have the necessary access to the e-registration packet, please contact us at
(562) 801-5153.
Summer office hours:
June 10 – July 3
July 4 – August 1
August 2 – August 16
Monday – Friday
Office Closed
Monday – Friday
8:00 am – 3:00 pm
8:00 am – 3:00 pm
REGISTRATION STEPS TO FOLLOW:
 Visit http://be.erusd.org and select the grade level of your student
 Fill out the forms and print OR print and fill out forms manually
 Return all back to school paperwork on any day before August 19 (See Summer office hours).
Registration packets will not be accepted without the following forms:
1. Emergency Cards
4. Textbook Responsibilities
2. Drug Free Form
5. Communication Information Form
3. Acceptable Use Policy Student Form
6. Media Release Form
*All forms must be signed regardless if they were filled out online or manually. The information in some of
the forms is crucial in a crisis situation. Please ensure all information is accurate and up to date.
Please pay close attention to the following information as well, as you visit our web page.
o Student “Summer Academic Work” – This will help your child keep on track with his/her academic
growth.
o List of materials needed for the next grade level
The first day of school is August 21, 2013. We look forward to seeing you and your student(s) as we
prepare for another great year!
Sincerely,
Kendall Goyenaga
Principal
Kendall Goyenaga, Principal
*
Bring electronic devices from home and attach them to the network.
EL RANCHO UNIFIED SCHOOL DISTRICT
Alice M. Birney Elementary School
TEXTBOOK RESPONSIBILITIES
I understand that my child will be issued Textbooks and Library books throughout the
school year. It is her/his responsibility to take care of the issued materials. I understand
that I am fully responsible for the Textbook (s) and Library book (s) that will be issued to
my child. In the event that any book is damaged or not returned I will be responsible to
replace or pay the established cost of the book. The student is responsible for her/his
books even while in school grounds. Unpaid or non-replaced books could result in the
student not participating in school activities.
I have read and understand the Textbook and Library books responsibility statement.
______________________________
Student Name
__________________
Teacher
______________________________
Parent Signature
__________________
Date
__________
Grade
RESPONSABILIDADES DE USO DE LIBROS
Entiendo que mi hijo/hija recibirá libros que pertenecen a la escuela. Es la responsabilidad
de mi hijo/hija el cuidar de estos materiales. Entiendo que soy responsable de los libros
que se le entreguen a mi hijo/hija. En el dado caso que cualquier libro sea dañado o no sea
regresado, es mi responsabilidad el reemplazar o pagar el costo establecido de dado libro.
El estudiante es responsable por sus libros aun cuando esta en la escuela. Libros no
pagados o no reemplazados puede resultar en que el estudiante no participe en actividades
escolares.
Entiendo las responsabilidades que corresponden al uso de libros escolares.
_____________________________
Nombre del Estudiante
___________________
Maestra(o)
_____________________________
Firma de Padre/Madre
___________________
Fecha
___________
Grado
EL RANCHO UNIFIED SCHOOL DISTRICT
Alice M. Birney Elementary School
Communication Information Form
Forma de Información de Comunicación
August 2013
Student Name: __________________________
Grade: ________
Please fill out the information below in order to have the proper records for our school/home
communication system.
1st Choice:
Phone _________________________________
2nd Choice:
Cell __________________________________
3rd Choice:
Cell __________________________________
E-mail Address:
_________________________________
Internet Access
Yes
No
Agosto 2013
Nombre del Estudiante: ____________________________
Grado: ______
Por favor de llenar la información abajo, para tener los archivos apropiados para nuestro sistema de
comunicación de escuela/casa.
1er Preferencia:
Teléfono __________________________
2da Preferencia:
Celular ___________________________
3er Preferencia:
Celular ___________________________
Correo Electrónico:
__________________________________
Acceso al Internet
Si
No
EL RANCHO UNIFIED SCHOOL DISTRICT
Alice M. Birney Elementary School
Media Release Form
Dear Parent/Guardian:
Birney Elementary School requests your permission to reproduce through printed, audio, visual, or electronic means activities
in which your student has participated in his/her education program. Your authorization will enable us to use specially designed
materials for professional development of teachers and/or to increase public awareness and promote continuation and
improvement of education programs through the use of mass media, displays, brochures, websites, etc.
_____________________________________
Student Name (please print)
____________________
Grade
_______________
Birth Date
_____________________________________
Name of Parent/Guardian (please print):
a.
I, as a parent or guardian of the above named student, fully authorize and grant Birney Elementary School and its
authorized representatives, the right to print, photograph, record, and edit as desired, the biographical information, first
name, image, likeness, and/or voice of the above named student on audio, video, film, slide, or any other electronic and
printed formats, currently developed, (known as “Recordings”), for the purposes stated or related to the above.
b.
I understand and agree that use of such Recordings will be without any compensation to the student or the student’s parent
or guardian.
c.
I understand and agree that Birney Elementary School and/or its authorized representatives shall have the exclusive right,
title, and interest, including copyright, in the Recordings.
d.
I understand and agree that Birney Elementary School and/or its authorized representatives shall have the unlimited right to
use the Recordings for any purposes stated or related to the above.
e.
I hereby release and hold harmless Birney Elementary School and its authorized representatives from any and all actions,
claims, damages, costs, or expenses, including attorney’s fees, brought by the student and/or parent or guardian which
relate to or arise out of any use of these Recordings as specified above.
My signature shows that I have read and understand the release and I agree to accept its provisions.
____________________________________
Parent/Guardian Signature
________________
Date Signed
Address (Number, Street, Apt. Number):________________________________________________________
City, State and Zip Code: _________________________________________________________
Telephone: _____________________________________
Granting of permission is voluntary. Please return completed form to school.