Katy Independent School District

Enrollment Packet
Parent/Guardian/Adult Initiation of Enrollment Process
Part One
In order to complete the enrollment process in the most efficient manner, please READ ALL OPTIONS before specifying the reason that best
describes the situation for the student seeking enrollment:
The student resides with a parent in the schools attendance zone.

Part Two
In addition to above, the following living arrangement applies for the student seeking enrollment:
The student lives in a home/apartment owned/leased by the person enrolling the student

Student Information
First Name Oluwatumininu

Gender Female

Middle Name Ayomipo

Date of Birth 01/19/2002

Last Name Akintan

Date student intends to

08/22/2016
start school.

Suffix

Grade Level 10

Social Security Number

(SSN)

School Morton Ranch High School

Student Primary Telephone
8329953911
Number

Student's Physical Address (where student is currently

living)
Street Number 3341
Street Prefix
Street Name Horizon Side Way
Street Type
Street Suffix
Apartment
Subdivision/Complex Morton Creek Ranch
City Katy
State TX
Zip 77493

Student's Mailing Address

Is the student's mailing address the same as the physical address?
Yes

Student Residency Questionnaire

This questionnaire is intended to address the McKinney-Vento Homeless Education Assistance Improvements Act (42 U.S.C.11435). The answers
to this residency information help determine the services the student may be eligible to receive.
Does the student live in a place that is owned or rented by a parent or legal guardian?
Yes

Place of Birth
City of Birth Lagos

State of Birth ZZ
Country of Birth Nigeria

Race and Ethnicity

The United States Department of Education (USDE) requires all state and local education institutions to collect data on ethnicity and race for
students and staff. This information is used for state and federal accountability reporting as well as for reporting to the Office of Civil Rights (OCR)
and the Equal Employment Opportunity Commission (EEOC).
School district staff and parents or guardians of students enrolling in school are requested to provide this information. If you decline to provide this
information, please be aware that the USDE requires school districts to use observer identification as a last resort for collecting the data for federal
reporting.
Please answer both parts of the following questions on the student's or staff member's ethnicity and race. United States Federal Register (71 FR
44866)
Ethnicity
l

Hispanic/Latino -A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of
race.

Race
l

l
l

l
l

American Indian or Alaska Native -A person having origins in any of the original peoples of North and South America (including Central
America), and who maintains a tribal affiliation or community attachment.
Asian- A person having origins in any of the original peoples of the Far East, Southeast Asia, or the
Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and
Vietnam.
Black or African American -A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander- A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific
Islands.
White -A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Student is Hispanic/Latino? NOT Hispanic/Latino

What is this student's race? Black/African American

[ ] American Indian or Alaska Native

[ ] Native Hawaiian or Other Pacific Islander

[ ] Asian

[ ] White

Previous School and Education Information

Has your child attended a school previously?
Yes
School Name Kingwood Park High School
Country United States of America
City Kingwood
State TX
Zip 77339
Phone Number 2816416600
Last Date Attended 06/02/2016
Has your child ever attended a Charter or Public School in Texas?
Yes
Is the Charter School information the same as listed above? (Previous School fields)
Yes

Home Language and Family Survey

The Texas Education Code requires schools to determine the language(s) spoken at home by each student and if the family has moved to find
work in the agricultural or fishing industry. This information is essential in order for schools to provide meaningful instruction for all students.

Please answer the following questions. When you indicate a language other than English, we are legally required to test your childs English
language proficiency. You will be notified of the results of the test. Your cooperation in helping us meet this important requirement is requested.
The Katy Independent School District is required by the state of Texas to identify students who may qualify for the Migrant Education Program (MEP)
services that provide extra help in academics. The information provided will be kept confidential.
What language is spoken in your home most of the time?

Is your son/daughter a United States citizen?

English

No

What language does your child speak most of the time?

Does your child have Refugee or Asylee Status in the United

States?

English

Not applicable

Date student entered United States schools

01/03/2012
Date student entered 9th grade
08/24/2016
Have you moved within the last 3 years?
No

General Student Information Questionnaire

Has your child ever received special education services?

Has your child ever received 504 accommodations?

No

No

Has your child ever been in a gifted and talented program?

No
Has your child ever been placed in a bilingual class?

Has your child ever received ESL services?

No

No

Has your child completed coursework for high school credit

during junior high school?

If your child is currently in junior high, is he/she enrolled in

any high school credit courses?

No

No

Has your child ever repeated a grade level?

Has your child ever not passed (did not meet Satisfactory
performance) on a state assessment test? (For example,
STAAR and TAKS assessments).

No
Does your child have a pending disciplinary assignment from
the previous school? [For example, suspension, ISS, DAEP
placement (alternative school), or expulsion.]

No
Has your child ever been enrolled in or attended a KATY ISD
school before? This includes Campus Speech and Preschool
Programs for Children with Disabilities (PPCD), which are
special education services for children ages 3-5.

No
Please provide any other information that you feel might be
useful to us in the placement of your child.

No

Family Information
Are there any court documents pertaining to the custody of this child?
No

Parent / Guardian / Responsible Person Information

Please list all parents, legal guardians or other persons responsible for the student. List these individuals in the order in which campus personnel
should contact each by phone, mail, email, and/or automated telephone messages. The primary person responsible for the student (the person
with whom the student resides) should be listed first.
Primary Parent/Legal Guardian
First Name Adedayo
Middle Name Akintunde
Last Name Akintan

Parent/Legal Guardian 2
First Name Oluwatosin
Middle Name Oyindamola
Last Name Akintan

Suffix

Suffix

Relationship Father
Living With Student Yes
Primary Phone Number 8328899101
If you check the opt-in boxes for Automated Contact Phone or
Automated Contact Text you are opting in to receive automated phone
calls and text messages to the number you provide and are agreeing
that Katy ISD can contact you using a prerecorded message; which
includes but are not limited to: Campus Information, Lunch Balances,
Attendance, Truancy. By NOT opting in, you will still be eligible to
receive emergency notifications from Katy ISD.
Automated Contact Phone 8328899101
I agree to "opt-in" to receive automated phone calls and text
messages.

Relationship Relative
Living With Student Yes
Primary Phone Number 2816506159
If you check the opt-in boxes for Automated Contact Phone or
Automated Contact Text you are opting in to receive automated phone
calls and text messages to the number you provide and are agreeing
that Katy ISD can contact you using a prerecorded message; which
includes but are not limited to: Campus Information, Lunch Balances,
Attendance, Truancy. By NOT opting in, you will still be eligible to
receive emergency notifications from Katy ISD.
Automated Contact Phone 2816506159
I agree to "opt-in" to receive automated phone calls and text
messages.

No
Automated Contact Text 8328899101
I agree to "opt-in" to receive automated phone calls and text
messages.

No
Automated Contact Text
Other Phone 1
Other Phone 2

No
Email Address

Other Phone 1

[X] Check here if this parent has no email.

Other Phone 2
Email Address teeelong@yahoo.com

[ ] Check here if this parent has no email.

[ ] Click here is this parent would prefer to receive attendance letters,

report cards, etc. in Spanish, when available.

[ ] Click here is this parent would prefer to receive attendance letters,

report cards, etc. in Spanish, when available.

Parent/Legal Guardian 4
First Name
Middle Name

Parent/Legal Guardian 3

Last Name
First Name Tolulope
Middle Name Oluwaseun
Last Name Akintan

Suffix
Relationship
Living With Student

Suffix
Relationship Relative
Living With Student Yes
Primary Phone Number 2816506259
If you check the opt-in boxes for Automated Contact Phone or
Automated Contact Text you are opting in to receive automated phone
calls and text messages to the number you provide and are agreeing
that Katy ISD can contact you using a prerecorded message; which
includes but are not limited to: Campus Information, Lunch Balances,
Attendance, Truancy. By NOT opting in, you will still be eligible to
receive emergency notifications from Katy ISD.
Automated Contact Phone 2816506259
I agree to "opt-in" to receive automated phone calls and text
messages.
No
Automated Contact Text

Primary Phone Number

If you check the opt-in boxes for Automated Contact Phone or
Automated Contact Text you are opting in to receive automated phone
calls and text messages to the number you provide and are agreeing
that Katy ISD can contact you using a prerecorded message; which
includes but are not limited to: Campus Information, Lunch Balances,
Attendance, Truancy. By NOT opting in, you will still be eligible to
receive emergency notifications from Katy ISD.
Automated Contact Phone
Automated Contact Text
Other Phone 1
Other Phone 2
Email Address

[ ] Check here if this parent has no email.

[ ] Click here is this parent would prefer to receive attendance letters,
report cards, etc. in Spanish, when available.

Other Phone 1
Other Phone 2
Email Address

[X] Check here if this parent has no email.

[ ] Click here is this parent would prefer to receive attendance letters,
report cards, etc. in Spanish, when available.

Emergency Contacts
If the campus is unable to contact the parent/guardian, the school is authorized to call the Emergency Contacts as designated on the enrollment
card by the parent/guardian. The parent/guardian is responsible for providing transportation to obtain medical treatment. If a student is transported
by ambulance, the parent/guardian is responsible for the cost. In the event parent / guardian, physicians, or other persons named on this card
cannot be contacted, school officials are hereby authorized to take whatever action is deemed necessary, in their judgment, for the health of the
aforesaid student. Emergency contacts are only authorized access to information regarding the student and authority to transport the student in an
emergency situation occurring at school when the parent/guardian cannot be reached. At any other time, emergency contacts have no rights
regarding the student and must have a written authorization from the parent/guardian for a specific date/time to pick up the student from school.
* In case of an emergency, illness, or accident involving the student, attempts will be made to contact the parent/guardian first. *
*Emergency contacts are not allowed to pick up your child in a non-emergency situation. Separate documentation must be sent to the
campus.*

Please do not repeat any Parent/Guardians from the previous page. Emergency contacts will be
called in emergency situtations when the Parent/Guardians aren't available.
Emergency Contact 1

Emergency Contact 2

First Name Engee

Middle Name

First Name
Middle Name

Last Name Nwanoneze

Suffix

Last Name
Suffix

Relationship to Student Other

Primary Phone 7136288022
Other Phone 1

Relationship to Student
Primary Phone
Other Phone 1

Other Phone 2

Other Phone 2

Emergency Contact 3

Emergency Contact 4

First Name

First Name

Middle Name

Middle Name

Last Name

Last Name

Suffix

Suffix

Relationship to Student

Relationship to Student

Primary Phone
Other Phone 1

Primary Phone

Other Phone 2

Other Phone 1
Other Phone 2

Permanent Health Record Inventory

In an effort to provide safe, informed care for your child at school, the KISD Health Services Department requires the following information to
complete your childs enrollment. Medical information you provide about your child is a confidential education record. KISD keeps all medical
information about your child confidential as required by law. However, health information about your child may be communicated to KISD school
personnel who have a direct need to know for the health and safety of your child.
Physician
Doctor Name Dr. Victor Lugo-Miro
I certify that my child had the Varicella (Chickenpox) disease
and DOES NOT need the vaccine:
No
Does your child have any specific health problems for which
you feel school personnel should be made aware?
No

Health Conditions

Doctor Phone 2813608501

Has anyone residing in your household been in another
country within the last 21 days?
No

Please mark any of the following that apply.

Allergies

Asthma
No

Diabetes

No
Neurological (seizures, migraines, cerebral palsy)

No
Abdominal (Irritable Bowel, gastric reflux, constipation)

No
ADD/ADHD

No
Blood Disorder

No
Dietary Needs/Restrictions

No
Ear/Nose/Throat (frequent nosebleeds, ear infections,
hearing loss)

No
Emotional (depression/OCD)
No

No
Nerve/Muscle/Bone Disorder
Heart Condition

No
No
Respiratory (Cystic Fibrosis)

Past surgeries/hospitalizations

No

No
Other
Visual Disability (blindness, prosthesis, eye surgery)

No

No

Medications and Specialized Procedures

Please contact the school nurse if your child requires a special procedure (e.g., catheterization, tube feeding, glucose monitoring, nebulizer, etc.) A
separate form is required. Any medication needed at school must be brought to the school clinic. A separate permission form is required for each
medication. (Parent/Physician Request for Administration of Medication by School Personnel)
Does your student take any medication?
No

Request for Food Allergy Information

Beginning with the 2011-2012 school year, Texas Education Code 25.0022 requires that school districts request that the parent or guardian
disclose a child's food allergies at the time of enrollment in public school. Additional information regarding food allergies, including the
maintenance of records related to a student's food allergies, can be found in the Board policies at FD and FL. The District is required to maintain
confidentiality regarding any food allergy information provided and may only disclose the information to teachers, counselors, nurses, and other
appropriate school personnel within the limitations of the Family Educational Rights and Privacy Act and Board policy FL.
This form is provided to allow a parent/guardian to disclose whether his/her child has a food allergy or severe food allergy that he/she believes
should be disclosed to the District in order to enable the District to take necessary precautions for the child's safety. "Severe food allergy" means a
dangerous or life-threatening reaction of the human body to a food-borne allergen introduced by inhalation, ingestion, or skin contact that requires
immediate medical attention.
In addition, if the child has severe food allergies, the parent is encouraged to contact:
1) The campus nurse; and
2) The Katy lSD Nutrition and Food Service Department, 281-396-6240 (if the child will be purchasing meals in the school)
"Severe food allergy" means a dangerous or life-threatening reaction of the human body to a food-borne allergen introduced by inhalation,
ingestion, or skin contact that requires immediate medical attention.
My child, named above, has a food allergy or severe food allergy that, in my judgment, should be disclosed to the District to enable the
District to take any necessary precautions regarding my child's safety.
No
My child's food allergy(ies) has(have) been diagnosed by a health care provider?
No
My child has an EpiPen?
No

Will your child ride the bus?

Yes

Military and Foster Care Questionnaire

Due to recent House Bill 525 and Senate Bill 833, it has become necessary for Katy ISD to collect the status of students in regard to military and
foster care. This information must be reported to TEA in our District Public Education Information Management System (PEIMS) submissions.
Is your student a dependent of an active military member?
This DOES NOT apply to my student
Is your student receiving Foster Care Services?
This DOES NOT apply to my student

Before and After School Care

Before/After School
Provider
Phone Number

Siblings
Does the student have any brothers or sisters?
Yes
How Many? 2
Sibling 1
First Name Oluwatosin
Last Name Akintan
Date of Birth 10/08/1995
Attends School? No
Sibling 2
First Name Tolulope
Last Name Akintan
Date of Birth 02/20/1997
Attends School? No

Parent/Student Acknowledgment
Falsification of Information
Texas Penal Code
Section 37.10 Tampering with Governmental Record
(a) A person commits an offense if he:
(1) knowingly makes a false entry in, or false alteration of, a governmental record;
(2) makes, presents, or uses any record, document, or thing with knowledge of its falsity and with intent that it be taken as a genuine
governmental
record; or
(3) intentionally destroys, conceals, removes, or otherwise impairs the verity, legibility, or availability of a governmental record.
(b) An offense under this section is a felony.
Texas Education Code
Section 25.001(h) Admission
(a) In addition to the penalty provided by Section 37.10, Penal Code, a person who knowingly falsifies information on a form required for
enrollment of a
student in a school district is liable to the district if the student is not eligible for enrollment in the district but is enrolled on the basis of the false
information.
The person is liable, for the period during which the ineligible student is enrolled, for the greater of:
(1) the maximum tuition fee the district may charge under Section 25.038 of this code; or
(2) the amount the district has budgeted for each student as maintenance and operating expenses.
(A person found guilty of falsifying information on an enrollment form may be liable for tuition for a sum in excess of $5,000.)
Discipline Management Plan and Student Code of Conduct 2016-2017

We have reviewed the Falsification of Information statements, the Katy ISD Discipline Management Plan, and Student Code of Conduct (including
the Student Responsible Use Guidelines for Technology on pages 51-53 ). We understand that these publications reflect current federal and Texas
state law, Katy ISD Board policies, Katy ISD elementary and secondary guidelines, and District and campus regulations. Our signatures certify that
we have reviewed the above publications, including the Student Code of Conduct, and that we understand the contents.
We understand that students who violate the Student Code of Conduct shall be subject to disciplinary action, up to and including
referral to law enforcement offi cials.
Student Agreement I Agree
Parent Agreement I Agree
*Students in PreKindergarten, Kindergarten, and 1st grade are not required to sign the acknowledgment card; however, these students are
expected to adhere to the Student Code of Conduct as described in this booklet. Only the parent or guardian is required to sign.
If you have questions concerning rules or policies, call the appropriate campus administrator. The parent or student should notify the school of
telephone or address changes so that campus personnel can handle emergencies, maintain communication, and keep records current.

Attendance Laws, Truancy Prevention, and Acknowledgment

Click here to view the Attendance Laws and Truancy Prevention Acknowledgment.
I have reviewed the information regarding the attendance laws (compulsory attendance and attendance for credit) and the Katy ISDs truancy
prevention measures. I understand the consequences that may result from school truancy. If I have any questions or would like more information, I
understand that I may contact the school attendance clerk or the Katy ISD Police Departments Truancy Division.
Student Agreement Yes
Parent Agreement Yes

Free and Reduced Lunch

The Katy ISD Nutrition and Food Service Department provides healthy meals (breakfast and lunch) each day at nominal cost. Your children may
qualify for free or reduced meals.
At the end of this Registration you will have the opportunity to visit the Katy ISD nutrition site and apply for Free and Reduced meals.

You must apply for this program every year. You are not automatically enrolled in the program. You WILL NOT receive a
paper application from your child's campus.
I understand that I have been given the information and opportunity to view documentation about the free and reduced meal program.
Parent Agreement I Agree

Student Directory Information

Certain information about district students is considered directory information and will be released to anyone who follows the procedures for
requesting the information unless the parent or guardian objects to the release of the directory information about the student. If you do not want
Katy ISD to disclose directory information from your childs education records without prior written consent, you must notify the district in writing
within two weeks of enrollment. Katy ISD has designated the following information as directory information: student name, address, telephone
listing, and photograph, as well as, honors and awards received, dates of school attendance, grade level, and most recent educational institution
attended, participation in officially recognized activities sports, and weight and height of members of athletic teams.
A - All My childs directory information is public information and may be released to the public. It may be released to anyone making a public
information request and may appear in school directories, other school publications, photographs, yearbooks, in a program for a performance
(such as athletics, band, choir, etc.), on a District or campus Web page, and in news releases. My childs directory information may also be used
on social media platforms to provide immediate information about upcoming events, show learning in classrooms, provide strategies for learning,
highlight student work, connect parents to student learning, and to brand our schools. Many times, teachers use social media to share exceptional
educational practices and to connect with other educators from around the world. Some examples of social media networking sites include, but are
not limited to: Facebook, Twitter, YouTube, Instagram, Blogs, and LinkedIn. NOTE: Parents should select this code if no restrictions are to be made
in releasing information in the types of publications listed. This code should not be confused with a secondary parents selection regarding the M
code for military recruiters and institutions of higher education. The A and M codes are treated independently of each other.
AS No Social Media My childs directory information is public information and may be released to the public. It may be released to anyone
making a public information request and may appear in school directories, other school publications, photographs, yearbooks, in a program for a
performance (such as athletics, band, choir, etc.), on a District or campus Web page, and in news releases. My childs information may not appear
on social media platforms.

N None My childs directory information is confidential and may not be released to the public. It may not appear in school directories, other
school publications, yearbooks, class or organization photographs, in a program for a performance (such as athletics, band, choir, etc.), or in news
releases. NOTE: Parents should select this code if all student information is to be kept confidential. Students name will not appear in school
directories, yearbooks, programs for performances (such as athletics, band, choir, etc.), in news releases, etc. No pictures will be released. High
school yearbooks are sold strictly by the yearbook publisher using directory information to contact students/parents. If this code is chosen, the
student/parent must contact the yearbook sponsor to obtain contact information for the yearbook publisher since the campus will not be able to
release the student information. This code should not be confused with a secondary parents selection regarding the M code for military recruiters
and institutions of higher education. The N and M codes are treated independently of each other.
O Other My childs directory information is confidential; my childs name, address, phone number, and/or picture may not appear in school
directories or on a District or campus Web page and may not be released to the public; however, name and/or picture, height/weight, organizational
membership, awards received may appear in yearbooks, school-confined publications, and in a program for a performance (such as athletics,
band, choir, graduation programs etc.), may be included in professional school group or class photographs, and may be released to officiallydesignated vendors for school-related purposes (i.e. individual and group picture photographers, yearbook publisher, if necessary in identifying
photos, providing order forms, etc). Vendors will be under contract to not use or share student information for anything other than the school-related
purpose. NOTE: Parents should select this code if student information is restricted, but may be included in school-confined publications other than
a student directory and professional school group or class photographs. High school yearbooks are sold strictly by the yearbook publisher using
directory information to contact students/parents. If this code is chosen, the student/parent must contact the yearbook sponsor to obtain contact
information for the yearbook publisher since the campus will not be able to release the student information. This code should not be confused with
a secondary parents selection regarding the M code for military recruiters and institutions of higher education. The O and M codes are treated
independently of other.
Vendors will be under contract to not use or share student information for anything other than the purpose related to the school contract. As this
student's parent/legal guardian, my preference regarding directory information is as follows (Choose one):
Click here for further explanation.
Directory Release
A - All
Selection
AM All with No Military - Military recruiter/institutions of higher education Federal law requires districts receiving assistance under the
Elementary and Secondary Education Act of 1965 (20 USC Section 6301 et seq.) to provide a military recruiter or institution of higher education, on
request, with the name, address, and telephone number of a secondary student unless the parent has advised the district that the parent does not
want the students information disclosed without the parents prior written consent. My childs name, address, and telephone number is
confidential and may not be released to a military recruiter or institution of higher education. NOTE: This code may not be split to allow only military
recruiters or institutions of higher education access but not the other. In addition to the A, N, and O code, secondary parents/guardians should
select this code if they do not want military recruiters or colleges to obtain their childs name, address, and telephone number. This option is
treated separately from the A, N, and O code chosen for directory information purposes.

[ ] Do not release my student's information to military recruiters and colleges.

Random Drug Test Consent

Click here to view the Katy ISD Random Drug Testing Information.
Statement of Purpose and Intent
Participation in competitive afterschool extracurricular activities and/or parking on campus in Katy Independent School District (herein after referred
to as the District) is a privilege. These students carry a responsibility to themselves, their fellow students, their parents, and their school to set the
highest possible examples of conduct, which includes avoiding the use of illegal drugs, performance-enhancing drugs, and/or alcohol.
Participation
Each student who desires to participate in competitive afterschool extracurricular activities and/or parking permit privileges shall be provided with
written information regarding the Districts random drug testing policy and a Student and Parent/Guardian Consent to Random Drug Testing form,
which shall be read, signed and dated by the student, parent and/or person otherwise in lawful control of the student. The consent requires the
student to provide a urine sample to be tested for illegal drugs, performance enhancing drugs, and/or alcohol when chosen through the random
selection process. No student shall be allowed to practice or participate in any competitive afterschool extracurricular activities and/or
parking permit privileges until the Student and Parent/Guardian Consent to Random Drug Testing form is properly signed and returned.
Student Authorization
I, the above-named student, understand after having read the information regarding the Districts random drug testing, that out of care for my health
and safety and that of other students, the District will enforce the rules applying to the use of illegal drugs, performance-enhancing drugs, and/or
alcohol. As a member of one of the groups designated for inclusion in random drug testing, I realize that the personal decision that I make daily in
regard to the consumption/use of illegal drugs, performance-enhancing drugs, and/or alcohol may affect my health and well being as well as the
possible endangerment of those around me and reflect upon the group with which I am associated. If I choose to violate the random drug testing
policy regarding the use of illegal drugs, performance-enhancing drugs, and/or alcohol any time while I am involved in any activity, including inseason or off-season activities, and/or parking permit privileges, I understand upon determination of that violation, I will be subject to restrictions as
outlined in the random drug testing policy.
Student Agreement I Agree

Parent/Guardian Authorization
As the parent(s)/guardian(s) of the above-named student, I/we have read and understand the Districts random drug testing policy. I/We desire that
he/she participate in the competitive afterschool extracurricular activities and/or parking permit privileges of the District, and I/we hereby voluntarily
agree to be subject to the terms of the random drug testing policy. I/We accept the method of obtaining urine samples, testing and analysis of such
specimens, and all other aspects of the program. I/We further agree and consent to the disclosure of the sampling, testing, results, and restrictions
as provided in this program.
Parent Agreement I Agree

Internet, Web Tools, and Email Access

Filtered Internet access is provided to KISD students as defined by the Childrens Internet Protection Act (CIPA). Access will be supervised by
District teachers or staff. If your child is under 13 years of age, the Children's Online Privacy Protection Act (COPPA) requires additional parental
permissions for some educational applications accessible over the Internet. All KISD students in grades 6 - 12 will receive a student email
account. If you do not want your student to have access to the Internet, use educational applications accessible over the Internet, or to have a KISD
email address, please contact your student's campus principal with written notice. For more information regarding these tools, see the
'Responsible Use Guidelines' section of the Discipline Management Plan and Student Code of Conduct.

Guidelines for Use of Personal Telecommunication Devices

Click here to view the Guidelines for Use of Personal Telecommunication Devices.
I have read, understand, and will abide by all the guidelines set forth above regarding the use of personal electronic devices in the District. I
understand that violations of these guidelines may result in the loss of District network and/or computer privileges either temporarily or
permanently, as well as, any other disciplinary action in accordance with the Student Code of Conduct.
Student Agreement I Agree
I have reviewed and discussed this document with my child. My child understands the expectations and responsibilities associated with the proper
care and handling of personal electronic devices while at school. My child is clear that the consequences of not upholding his/her responsibilities
may result in disciplinary actions in accordance with the Student Code of Conduct.
Parent Agreement I Agree

Additional Information
These links are for your information only:
Parent Guide
Review this for valuable information as pertaining to parents and Katy ISD - Click here
Volunteering in Katy ISD
Click here to discover how to volunteer at your home campus(es), another campus or to learn more about opportunities to volunteer for our
Partners in Education district programs.

Electronic Signature
Texas Education Code 25.002 (f) requires a student's parent/legal guardian or other person with legal control by court order to enroll the student.
The school district is required to record the name, address, and date of birth of the person enrolling the student.
I Agree Yes
Today's Date 08/02/2016
Parent/Guardian Information (Filling out this form)
First Name Adedayo
Middle Name Akintunde
Last Name Akintan
Date of Birth 05/12/1964
Address 3341 Horizon Side Way

City Katy
State TX
Zip 77493
Falsification of a document related to school records is a criminal offense under Section 37.10 Penal Code. In addition, Texas Education Code
25.001 (h) specifies that a person who knowingly falsifies information on a form required for enrollment is liable for tuition costs if the student is not
eligible for enrollment in the district.