Name of Pupil ______________________________________________

Last First Grade Teacher

Address _____________________________________________ School

ABSENCE FROM SCHOOL REPORT BY PARENT

Reason for Absence (circle one): Illness; Quarantine; Medical Appointment;

Family Funeral; (If illness, be specific as to nature) ___________________

Inclusive dates of absence from _____to_____ Total days absent ______

All the above absence was with my full knowledge and consent: Yes No

Date: ____________ Parent’s Signature: ________________________

VERIFICATION OF ABSENCE DUE TO ILLNESS

This illness was verified by means of note, conference, inspection or

telephone on _________,20___, and I hereby certify that the statements

given above are to the best of my knowledge and belief true and correct.

Signed: _____________________________________

1. To remain on campus at all times during the school day and attend all of my classes except for legally excused reasons (illness, medical appointments, bereavement or quarantine). I will leave a classroom only with teacher permission and an authorized hall pass. If I must leave campus during the school day, an authorized adult through the school office will sign me out. I will sign in through the school office upon my return or if for any reason, I am late to school. Following an absence, I will present an absence slip signed by my parent or guardian to my homeroom teacher.
2. To arrive on time for all classes. Tardies impact student performance. Detention will be assigned for excessive tardies.
3. To refrain from the unlawful use, possession or sale of drugs, alcohol, or tobacco products on or off school grounds, when involved in any school related activity, or when on the way to or from home/school. I understand that violation of the District drug/alcohol policy will result in my suspension from school, notification of the Beverly Hills Police Department, a parent conference, and initiation of expulsion procedures. I understand that return to school is contingent upon enrollment in an approved drug education/counseling program. (See policy in handbook.)
4. To refrain from wearing attire which bears inappropriate logos or detracts from the academic environment of the school or affects the safety of the individual (head bands, hats/caps, sagging pants, hanging belts, low cut necklines, tank tops, blouses that expose the stomach, etc.). I understand that wearing inappropriate clothing to school may result in my being required to return home to change to more suitable attire. All make-up including eye make-up, lipstick and colored lip-gloss, is prohibited.
5. To refrain from leaving trash on the classroom floor or in the halls or cafeteria. I understand that eating is not permitted outside the cafeteria or other designated areas. I understand that if I violate these rules, I may be assigned clean-up duty at recess/nutrition, lunch or after school.
6. To refrain from chewing or possessing chewing gum on campus at any time or at any school related activity.
7. To behave honestly and ethically at all times. I will not knowingly provide false information to any teacher, administrator, or other staff member. I understand that violating the District Cheating Policy will result in a failing grade on the assignment for the first offense, and failing grade in the course for the second offense in the same class. Cheating can include either giving aid or receiving aid.
8. To refrain from unauthorized possession of school or personal property such as keys, examinations, equipment or personal effects. Unauthorized possession may result in my suspension and/or expulsion.
9. To refrain from bringing any type of weapon (includes any type of pocketknife, sharp object or gun, including a BB gun) to school. I understand that the penalty for violating this section is my suspension from school and the initiation of expulsion procedures.
10. To refrain from defacing property with graffiti or other acts which damage school property. I understand that the penalty for such damage will be suspension from school, notification of the Beverly Hills Police Department, a parent conference, my responsibility for reimbursement of the costs of repairing damage, and, in serious cases, initiation of expulsion procedures.
11. To refrain from fighting or from inciting others to fight. I agree to seek counsel with an appropriate adult when I am involved in disagreements that could lead to fighting. I understand that the penalty for violating this section may result in suspension from school.
12. To refrain from behavior which disrupts school activities. I understand that actions such as inappropriate classroom conduct, profanity, lack of respect for classmates and adults, are unacceptable behaviors and may result in suspension and/or expulsion.
13. To respect the dignity and rights of every student and adult. I will refrain from making racial slurs or using vulgar, obscene or insulting language. I understand that violation of the District Sexual Harassment Policy will result in disciplinary action. This policy prohibits verbal, written, or physical sexual harassment. I understand I am responsible for conducting myself responsibly with regard to the rights and safety of others and the importance of mutual respect and understanding.
14. To refrain from bringing any prohibited item to school or being in possession of any prohibited item at school, or on the way to or from school. I understand that bringing such items to school will result in their confiscation and may result in further disciplinary action. Prohibited items include electronic games, film cameras, digital cameras, video cameras, camera phones, iPods, MP3, CD, Tape players, and audio recording devices. A teacher or administrator may allow a student to bring an item to school that is normally prohibited if the item is necessary for a specific class project. If such an exception is made, the item must be stored in the office or the teacher’s classroom during the school day.
15. I understand that if I choose to bring a cellular telephone to school it may not have any camera feature and must be completely turned off and stored in my backpack or other appropriate location hidden from view at all times while on the campus. I understand that if I violate these cell phone rules, my phone will be confiscated and I will no longer be allowed to possess a cell phone on campus.
16. To refrain from riding a bicycle, skateboard, or rollerblades on campus or on sidewalks in front of the school when pedestrians are present. I am aware the Beverly Hills Unified School District Board Policy 5030 requires students who ride to school to wear safety helmets. (See bicycle and skateboard rules below.)

1. I will behave respectfully to all adults and other students at my school.
2. I will be quiet and orderly in the hallways, Cafeteria, and in the Atrium.
3. I will have a hall pass whenever I leave my room during class time.
4. I will clean up after myself.
5. I will not use bad language.
6. I will not chew or possess gum on school grounds.
7. I know that I cannot bring toys, music players or electronic games to school.
8. I will stay out of the halls during recess and lunch times and never enter a classroom without a teacher.
9. I know that I cannot ride my bicycle to school until I am in the 4th grade.
10. I will not cheat on any tests or assignments or help others to cheat.
11. I will never bring weapons or dangerous items of any kind to school. This includes any type of pocketknife or sharp object. I understand that if I do I will be suspended or even expelled from school.
12. I will not damage school property in any way.
13. I will not take things that do not belong to me.

1. Students are expected to behave respectfully to adults and to each other.
2. Quiet, orderly conduct is expected at all times, especially when walking to and from classes in the hallways and stairways.
3. Students leaving the room for any reason must have a pass.
4. All students are expected to clean up after themselves-- in the cafeteria, classrooms, halls, and multi-purpose room and on the lawns and playground.
5. Profanity is prohibited.
6. Food and drink (other than water) can only be eaten in the cafeteria. Gum is not permitted in school.
7. Students are expected to dress appropriately. Sandals or high heels may not be worn. No make up may be worn during school hours and on campus. (See dress code guidelines below.)
8. If basketballs, soccer balls or other types of playground equipment are brought to school they must have the student's name clearly written on them.
9. Students are not permitted to ride bicycles, skateboards, roller blades or scooters on school grounds, including Elm Drive in front of the school.

1.  All games on the playground must include any students who wish to play them, up to a reasonable number. Equipment belongs to an area—not to a person.
2. Balls brought from home must be shared. Balls brought from home must be clearly marked with student’s name.
3. Pushing, wrestling or rough play are not permitted.
4. For handball students should use the handball courts and not the building walls.
5. Food or drinks (other than water) are not allowed on the playground.
6. The kindergarten playground is for kindergarten students only. The E-Deck, stairways, hallways, and Multi-Purpose Room are “off-limits” during recess and lunch periods.
7. If skateboards are brought to school, they must be locked in a teacher’s classroom. Skateboards and bicycles are not permitted on the playground.
8. Students may not climb on fences, tables, benches, basketball poles, railings planters or buildings.
9. The fenced-in area is to be used for the sports designated for that area (basketball, volleyball, etc.).
10. Never open the gate or allow anyone to enter the campus onto the playground.
11. Courtesy, common sense and good manners are to be observed at all times. Report unsafe conditions to the playground staff.

1. Students will wear clothes that are neat, clean, unfrayed and in good repair.
2. Students may not wear “gang” type clothing or clothing with inappropriate or objectionable slogans, pictures or wording.
3. Tops showing the mid-section of one’s body, tank tops and sheer blouses may not be worn. Make-up and lipstick are not permitted.
4. Sagging or oversized pants or other clothing will not be permitted. Pants must be worn at the waist utilizing belts as needed. Belt ends may not hang down.
5. Adequate footwear must be worn at all times. Sandals, slippers and/or bare feet are not permitted.
6. No thick, bulky chains nor inordinately long earrings or wallet chains are acceptable.
7. Headgear, including caps, hats or bandanas may not be worn on campus. This applies to both male and female students. Exceptions may be granted for religious and/or medical reasons. Prior written permission is required.
8. K-5 students will wear clothing, and footwear that is suitable for Physical Education classes. Middle School students will wear their own PE uniform and appropriate footwear according to their PE teacher’s direction. PE uniforms must be labeled and kept clean and in good condition. Wearing a PE uniform over your regular clothing is not acceptable. Students will change back into their regular clothes before going to their next class.