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Policies and Regulations
Student, Parent and Community District Forms
Rockwood Home > Board of Education > Policies and Regulations
Student, Parent and Community District Forms
 

 Activities and Athletics
Student Form Grade Level
Code of Conduct - Coaches, Sponsors, Chaperones.pdfCode of Conduct - Coaches, Sponsors, Chaperones5002Middle; High6/7/2012 1:19 PM
Participation in School Activities - Athletics Emergency Medical Form.pdfParticipation in School Activities - Athletics Emergency Medical Form2003High2/28/2012 1:55 PM
Physical Examination Form for Kindergarten-New Students-Grade 6-High School Athletics-Activities.pdfPhysical Examination Form for Kindergarten-New Students-Grade 6-High School Athletics-Activities2011Elementary; Middle; High2/28/2012 2:41 PM
Student Accident Insurance - National Plan.pdfStudent Accident Insurance - National PlanElementary; Middle; High7/31/2012 9:17 AM
Student Accident Insurance - Online Enrollment.pdfStudent Accident Insurance - Online EnrollmentElementary; Middle; High7/31/2012 9:18 AM

 Administrative Services
Student Form Grade Level
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 Adventure Club
Student Form Grade Level
Adventure Club Automatic Debit Authorization.pdfAdventure Club Automatic Debit Authorization9031Community Form9/24/2012 8:46 AM
Adventure Club Before After Care for Summer Programs 2012.pdfAdventure Club Before After Care for Summer Programs 2012Community Form6/7/2012 9:11 AM
Adventure Club Calendar 2012-2013.pdfAdventure Club Calendar 2012-20139040Community Form12/5/2012 8:28 AM
Adventure Club Change and-or Drop Form.pdfAdventure Club Change and-or Drop Form9032Community Form9/24/2012 8:47 AM
Adventure Club Early Dismissal Enrollment Form.pdfAdventure Club Early Dismissal Enrollment Form9022Community Form10/8/2012 9:04 AM
Adventure Club Early Dismissal Reservation Slips - Thursday.pdfAdventure Club Early Dismissal Reservation Slips - Thursday9019Community Form8/16/2012 10:31 AM
Adventure Club Early Dismissal Reservation Slips - Tuesday.pdfAdventure Club Early Dismissal Reservation Slips - Tuesday9020Community Form8/13/2012 2:24 PM
Adventure Club Early Dismissal Reservation Slips - Wednesday.pdfAdventure Club Early Dismissal Reservation Slips - Wednesday9021Community Form8/13/2012 2:18 PM
Adventure Club Enrollment Form 2012-2013.pdfAdventure Club Enrollment Form 2012-2013Community Form6/7/2012 8:43 AM
Adventure Club Family Information Update Form.pdfAdventure Club Family Information Update Form9038Community Form12/6/2012 12:17 PM
Adventure Club Fee Sheet 2013-2014.pdfAdventure Club Fee Sheet 2013-20149041Community Form12/28/2012 11:20 AM
Adventure Club Fees and Payment Packet 2012-2013.pdfAdventure Club Fees and Payment Packet 2012-2013Community Form6/7/2012 8:55 AM
Adventure Club Holiday Care Enrollment Form.pdfAdventure Club Holiday Care Enrollment Form9028Community Form10/8/2012 9:05 AM
Adventure Club Holiday Care Reservation Slips.pdfAdventure Club Holiday Care Reservation Slips9030Community Form9/7/2012 11:42 AM
Adventure Club Kindergarten Flex Form.pdfAdventure Club Kindergarten Flex FormCommunity Form6/7/2012 9:26 AM
Adventure Club Receipt Request.pdfAdventure Club Receipt Request9039Community Form12/5/2012 8:29 AM
Adventure Club School Year Enrollment - 2013-2014.pdfAdventure Club School Year Enrollment - 2013-20149042Community Form1/24/2013 9:27 AM
Adventure Club Summer Enrollment Form 2012.pdfAdventure Club Summer Enrollment Form 2012Community Form6/7/2012 9:11 AM
Adventure Club Summer Fees and Payment Packet 2012.pdfAdventure Club Summer Fees and Payment Packet 2012Community Form6/7/2012 9:16 AM

 Child Nutrition Services
Student Form Grade Level
Medical Statement for Student Requiring Special Meals.pdfMedical Statement for Student Requiring Special Meals2014Elementary; Middle; High2/28/2012 2:46 PM

 Communications
Student Form Grade Level
Campaign Do's and Don't.pdfCampaign Do's and Don'tCommunity Form5/2/2012 11:44 AM
Request for Directory Information.pdfRequest for Directory Information2023Elementary; Middle; High5/2/2012 11:58 AM

 Community Education
Student Form Grade Level
Application for Use of School Facilities.pdfApplication for Use of School Facilities1002Community Form3/27/2012 3:12 PM
Background Criminal Record Form.pdfBackground Criminal Record FormCommunity Form8/17/2012 2:33 PM
Building Use Report.pdfBuilding Use Report1005Community Form3/27/2012 3:13 PM
Disclosure and Authorization to Release Information Form - Volunteers.pdfDisclosure and Authorization to Release Information Form - Volunteers9027Community Form8/22/2012 9:30 AM

 Curriculum and School Leadership
Student Form Grade Level
Application for Early Graduation-Early Release.pdfApplication for Early Graduation-Early Release2013High2/12/2013 2:24 PM
Application for International Travel.pdfApplication for International Travel5008Middle; High3/30/2012 11:31 AM
Application for Repeating a Course.pdfApplication for Repeating a Course2024High5/2/2012 11:58 AM
Application to Perform Research.pdfApplication to Perform Research1003Community Form3/27/2012 3:12 PM
Code of Conduct - Coaches, Sponsors, Chaperones.pdfCode of Conduct - Coaches, Sponsors, Chaperones5002Middle; High6/7/2012 1:19 PM
Code of Conduct - Students, Parents.pdfCode of Conduct - Students, Parents5003Middle; High3/30/2012 11:28 AM
Comparison of School District Sponsored Trips VS Non-School District Sponsored Trips.pdfComparison of School District Sponsored Trips VS Non-School District Sponsored Trips5004Middle; High3/30/2012 11:29 AM
Dismissal Forms.pdfDismissal Forms9002Elementary; Middle; High3/30/2012 11:34 AM
Family Educational Rights And Privacy Act (FERPA), Annual Parent-Guardian And Eligible Student Notification And Refusal Form.pdfFamily Educational Rights And Privacy Act (FERPA), Annual Parent-Guardian And Eligible Student Notification And Refusal Form2015Elementary; Middle; High3/13/2013 12:32 PM
Field Trip Permission Form.pdfField Trip Permission Form5013Elementary; Middle; High5/2/2012 2:00 PM
Memo of Understanding for Observations of Students by Private Practitioners.pdfMemo of Understanding for Observations of Students by Private Practitioners2006Community Form2/28/2012 1:58 PM
Out-of Town or Overnight Travel Field Trip Permission to Participate, Release of Liability and Indemnity Agreement.pdfOut-of Town or Overnight Travel Field Trip Permission to Participate, Release of Liability and Indemnity Agreement5006Middle; High3/30/2012 11:30 AM
Out-of-Town or Overnight Travel Field Trip Agreement and Student Information Form.pdfOut-of-Town or Overnight Travel Field Trip Agreement and Student Information Form5005Middle; High3/30/2012 11:29 AM
Permission for Emergency Care.pdfPermission for Emergency Care5007Middle; High3/30/2012 11:31 AM
Permission to Participate in the Rockwood School District Sponsored International Travel-Study and Release of Liability.pdfPermission to Participate in the Rockwood School District Sponsored International Travel-Study and Release of Liability5009Middle; High3/30/2012 11:32 AM
Physical Examination Form for Kindergarten-New Students-Grade 6-High School Athletics-Activities.pdfPhysical Examination Form for Kindergarten-New Students-Grade 6-High School Athletics-Activities2011Elementary; Middle; High2/28/2012 2:41 PM
Procedures for Processing Requests to Perform Research.pdfProcedures for Processing Requests to Perform Research1004Community Form3/23/2012 10:35 AM
Request for Administering Medication to Students and Waiver and Indemnification.pdfRequest for Administering Medication to Students and Waiver and Indemnification5001Middle; High3/30/2012 10:50 AM
Request for Directory Information.pdfRequest for Directory Information2023Elementary; Middle; High5/2/2012 11:58 AM
Seclusion-Restraint Documentation.pdfSeclusion-Restraint Documentation2032Elementary; Middle; High3/11/2013 2:52 PM
Seclusion-Restraint Parent Report.pdfSeclusion-Restraint Parent Report2031Elementary; Middle; High1/28/2013 11:37 AM
Student Information Release Form.pdfStudent Information Release Form2008Elementary; Middle; High3/27/2012 3:16 PM

 Finance Department
Student Form Grade Level
Affidavit of Compliance.pdfAffidavit of Compliance3006Community Form5/2/2012 12:02 PM
Fund-Raising - Operating Report.pdfFund-Raising - Operating Report3003Elementary; Middle; High3/27/2012 3:21 PM
Fund-Raising - Request-Summary - Permission Request.pdfFund-Raising - Request-Summary - Permission Request3002Elementary; Middle; High3/27/2012 3:20 PM
Fund-Raising - Tabulation of Monies Collected.pdfFund-Raising - Tabulation of Monies Collected3004Elementary; Middle; High3/27/2012 3:22 PM
Request for Reimbursement - PTO-District Recognized Parent Booster Group.pdfRequest for Reimbursement - PTO-District Recognized Parent Booster Group9044Community Form1/28/2013 11:42 AM
Request for Transcript.pdfRequest for Transcript2004Community Form2/6/2013 10:52 AM

 Guidance/Counseling Department
Student Form Grade Level
Application for Early Graduation-Early Release.pdfApplication for Early Graduation-Early Release2013High2/12/2013 2:24 PM
Application for Repeating a Course.pdfApplication for Repeating a Course2024High5/2/2012 11:58 AM
Form A - Foster Care Student Registration Information.pdfForm A - Foster Care Student Registration Information2028Elementary; Middle; High10/10/2012 11:19 AM
Form B - Legal Release of Confidential Information to School District.pdfForm B - Legal Release of Confidential Information to School District2029Elementary; Middle; High10/10/2012 11:19 AM

 Health and Safety
Student Form Grade Level
Annual Student Health Information 2012-2013.pdfAnnual Student Health Information 2012-20139262Elementary; Middle; High3/30/2012 11:39 AM
Annual Student Health Information 2013-2014.pdfAnnual Student Health Information 2013-20149262Elementary; Middle; High4/30/2013 2:58 PM
Asthma Action Plan.pdfAsthma Action PlanElementary; Middle; High4/6/2010 4:12 PM
Authorization for Self-Administration of Medication and Waiver and Indemnification From Liability.pdfAuthorization for Self-Administration of Medication and Waiver and Indemnification From Liability2017Elementary; Middle; High3/27/2012 3:17 PM
Back to School Immunizations.pdfBack to School ImmunizationsElementary; Middle; High2/25/2013 11:39 AM
Cross-Contamination - What is Peanut-Free-Nut Free.pdfCross-Contamination - What is Peanut-Free-Nut FreeElementary; Middle; High3/5/2012 3:31 PM
Diabetes Action Plan.pdfDiabetes Action PlanElementary; Middle; High8/22/2011 11:01 AM
Food Allergy Action Plan.pdfFood Allergy Action PlanElementary; Middle; High3/26/2012 10:29 AM
Food Allergy Reference Form.pdfFood Allergy Reference Form2019Elementary; Middle; High3/27/2012 3:18 PM
Head Lice - A Real Head Scratcher.pdfHead Lice - A Real Head ScratcherElementary; Middle; High1/27/2011 10:59 AM
Health Assessment When Questioning Substance Use.pdfHealth Assessment When Questioning Substance Use2012Elementary; Middle; High2/28/2012 2:43 PM
Immunization Requirements for Missouri.pdfImmunization Requirements for MissouriElementary; Middle; High1/7/2013 10:45 AM
Incident Report - Student-Visitor.pdfIncident Report - Student-Visitor5011Elementary; Middle; High3/27/2012 3:22 PM
Kindergarten Lead Screening Form.pdfKindergarten Lead Screening FormElementary4/6/2010 4:13 PM
Medical Statement for Student Requiring Special Meals.pdfMedical Statement for Student Requiring Special Meals2014Elementary; Middle; High2/28/2012 2:46 PM
Participation in School Activities - Athletics Emergency Medical Form.pdfParticipation in School Activities - Athletics Emergency Medical Form2003High2/28/2012 1:55 PM
Physical Examination Form for Kindergarten-New Students-Grade 6-High School Athletics-Activities.pdfPhysical Examination Form for Kindergarten-New Students-Grade 6-High School Athletics-Activities2011Elementary; Middle; High2/28/2012 2:41 PM
Request for Administering Medication to Students and Waiver and Indemnification.pdfRequest for Administering Medication to Students and Waiver and Indemnification5001Middle; High3/30/2012 10:50 AM
Request For Medication To Be Given At School.pdfRequest For Medication To Be Given At School2018Elementary; Middle; High3/27/2012 3:18 PM
Seizure Action Plan.pdfSeizure Action PlanElementary; Middle; High8/22/2011 11:01 AM

 Human Resources
Student Form Grade Level
Anti-Harassment Statement.pdfAnti-Harassment Statement2027Elementary; Middle; High8/9/2012 10:56 AM
Campaign Do's and Don't.pdfCampaign Do's and Don'tCommunity Form5/2/2012 11:44 AM
Code of Conduct - Coaches, Sponsors, Chaperones.pdfCode of Conduct - Coaches, Sponsors, Chaperones5002Middle; High6/7/2012 1:19 PM
Code of Conduct - Students, Parents.pdfCode of Conduct - Students, Parents5003Middle; High3/30/2012 11:28 AM
Limited School Choice Request.pdfLimited School Choice Request2025Elementary; Middle; High5/17/2012 2:55 PM
Nondiscrimination Statement.pdfNondiscrimination Statement1001Community Form9/5/2012 11:23 AM
Nurse Evaluation Instrument Handbook.pdfNurse Evaluation Instrument HandbookP46114/22/2010 9:07 AM

 Student
Student Form Grade Level
Anti-Harassment Statement.pdfAnti-Harassment Statement2027Elementary; Middle; High8/9/2012 10:56 AM
Household Census Information.pdfHousehold Census Information2002Elementary; Middle; High7/31/2012 3:34 PM
New Student Information Form.pdfNew Student Information Form2001Elementary; Middle; High7/31/2012 3:36 PM
Permanent File Access Log.pdfPermanent File Access Log2026Elementary; Middle; High10/4/2012 10:12 AM
Request for Directory Information.pdfRequest for Directory Information2023Elementary; Middle; High5/2/2012 11:58 AM
Request for Records.pdfRequest for Records2007Community Form8/29/2012 9:16 AM
Request for Transcript.pdfRequest for Transcript2004Community Form2/6/2013 10:52 AM
Update Household Information.pdfUpdate Household Information2005Elementary; Middle; High7/31/2012 3:36 PM

 Superintendent
Student Form Grade Level
Policy Problem-Issue-Need (PIN) Form.pdfPolicy Problem-Issue-Need (PIN) Form0001Community Form11/13/2012 8:22 AM

 Technology
Student Form Grade Level
Confidentiality and Non-Disclosure Agreement.pdfConfidentiality and Non-Disclosure Agreement1007Community Form3/27/2012 3:14 PM
Records Retention Manual.pdfRecords Retention Manual1008Community Form5/17/2012 2:40 PM

 Transportation
Student Form Grade Level
Code of Conduct - Coaches, Sponsors, Chaperones.pdfCode of Conduct - Coaches, Sponsors, Chaperones5002Middle; High6/7/2012 1:19 PM
Dismissal Forms.pdfDismissal Forms9002Elementary; Middle; High3/30/2012 11:34 AM
Field Trip Permission Form.pdfField Trip Permission Form5013Elementary; Middle; High5/2/2012 2:00 PM
First Student - Bus Order Form for Field or Athletic Trips.pdfFirst Student - Bus Order Form for Field or Athletic TripsElementary; Middle; High10/24/2012 10:58 AM
Misconduct On Bus Report.pdfMisconduct On Bus Report2009Elementary; Middle; High3/27/2012 3:16 PM
Out-of Town or Overnight Travel Field Trip Permission to Participate, Release of Liability and Indemnity Agreement.pdfOut-of Town or Overnight Travel Field Trip Permission to Participate, Release of Liability and Indemnity Agreement5006Middle; High3/30/2012 11:30 AM
Out-of-Town or Overnight Travel Field Trip Agreement and Student Information Form.pdfOut-of-Town or Overnight Travel Field Trip Agreement and Student Information Form5005Middle; High3/30/2012 11:29 AM
Private Transportation Consent Form - Elementary Schools.pdfPrivate Transportation Consent Form - Elementary Schools2021Elementary5/2/2012 11:51 AM
Private Transportation Consent Form - Secondary Schools.pdfPrivate Transportation Consent Form - Secondary Schools2022Middle; High5/2/2012 11:53 AM
Travel Booklet 2010-2011_.pdfTravel Booklet 2010-2011_9/13/2011 1:29 PM
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