CAUSEY MIDDLE SCHOOL REGISTRATION 2012

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1 CAUSEY MIDDLE SCHOOL REGISTRATION 2012 July 30: Camp Causey 8 1 July 31: Camp Causey 8 1 Campers Register 1 3 Aug 1: 6 th (Non campers) A M 9 11 N Z 12 2 Aug 2: 7 th A M 9 11 N Z 12 2 Aug 3: 8 th A M 9 11 N Z 12 2 August 6 & 7 Non Feeder School Students 9 2 both days The office will be closed to registration August 8 thru August 17 so we can complete the beginning of school process. Late registration will begin Monday August 20 at 8:00 in the media center.

2 REGISTRATION FEES For planning purposes we have listed below the required fees. Elective fees will be collected after school begins (typically after the first week), excluding Band. Please be prepared to write multiple checks. $15 General fees (includes postage, first aid, ID badge/media) $10 Science lab fees $25 total (one individual check) Additional fees collected at registration: $75 Band (if applicable) (one individual check) $25 P.E. Uniforms (includes shirt, shorts & locker) (one individual check) Students may order a team t-shirt from their homeroom teacher beginning August 27 September 7. The cost is $15. NO LATE ORDERS. Elective fees (paid to the Elective Teacher beginning August 27 th ): BTA $25 Computer Applications $25 Art $25 Drama $25 Choir $25 Pace $15 Checks should be made payable to Causey Middle School Checks require Driver s License Number and 2 telephone numbers. Checks will not be accepted without this information.

3 2205 McFarland Rd. Mobile, AL Fax Causey Middle School Uniform Policy Causey Middle School Uniform Policy A committee of parents, teachers, and administrators adopted the following as the uniform and dress code for Bernice J Causey Middle School students on 5/8/12. *****Colors for shirts: 6 th Gray; 7 th Yellow; 8 th Navy***** NO SKIRTS/ NO HOODIES Allowed on Campus Shirts -No Logos Except: Causey Middle School. Shirts are available at school now and will be on sale during registration from the school and also available at local discount stores. Traditional polo/ golf type shirt with no more than 3 buttons, must have a collar, straight or banded sleeves, no others accepted. NO LOGOS! except Causey Middle School Shirts must be tucked in at all times and collars must be visible at all times. Only solid navy, white, black or gray t-shirts, turtle necks, or long sleeve t-shirts will be allowed beneath the uniform shirt. ID Badges are part of the school uniform and must be worn attached to the shirt collar at all times. Badges must be worn so that the students name and picture is visible. Students must wear their own badges. A lost or defaced badge must be replaced by the student at the cost of $7.00 per badge. Pants, Capri s Tan Khaki- only!! Uniform style, straight leg cuffed or uncuffed; must be hemmed no ruffled, frayed, cut, or torn edges. Students may not wear any pants resembling jeans! No jean style, denim, stretch denim, or corduroy. No five pocket or three pocket jeans, patch pockets, decorations on back pockets, brads, small watch pockets, denim material any color are all traits of jean style pants. No cargo pants. No painter pants. No flare legs or stretch pants. No low cut or low rise pants. Pants must be worn at waist line; no sagging or oversized pants allowed. Shorts Uniform style Tan Khaki only. Uniform Style Shorts Only same rules as pants. Acceptable length is no more than 3 inches above the knee when measured from the floor when kneeling. That puts the length at about 2 inches above the knee. Please allow for growth. These items can be worn all year. (Same criteria as pants) Socks - white, black, navy, gray- solid colors only Socks must be visible above shoes, no knee socks or distracting socks. No leggings. Shoes- Lace up athletic /tennis shoes or brown/tan leather deck shoes only. Athletic /tennis shoes must be conservative colors with conservative laces. No distracting shoes. No other type shoes are allowed. No sandals, open toe, open back, platform shoes, boots, and moccasins. Croc s or similar type slippers. No Ballerina / baby doll style slippers; no skater type canvas, no slides, no canvas with designs or writing. Belts- Leather belts only: Black, Brown, solid colors only, no designs, no frills, no rivets or holes. Traditional buckles only! No big or fad buckles, belts must be visible and able to hold up pants, shirts must be tucked. Outerwear- Solid Navy, Black, Grey only NO LOGOS except Causey Middle School. Navy pullover sweatshirts are available for sale at school. NO HOODIES ALLOWED ON CAMPUS. Cardigans, sweaters, sweater vests, sweatshirts, windbreakers are ok without hoodie. Outerwear may be purchased from school. NO HOODIES or jackets with hoods allowed on campus. Jewelry/Hair/ Accessories/ Other- Jewelry that is excessive or non-standard will not be permitted. Hoops or any earrings must be no larger than a quarter or longer than 1 inch. No tongue rings, nose rings, or facial jewelry permitted. Hair must be natural human hair color, out of eyes and it must be neatly kept. No Tattoos. No hair sculpting and no distracting haircuts (Mohawks, etc). Hair must be kept neat and out of eyes. Eyes must be natural. Hair bands must be conservative matching uniform colors teachers discretion. No ball caps, hats, sweat bands, or other head covering will be permitted at school. All violations will be handled according to the Mobile County Public School Systems Code of Conduct.

4 BERNICE J. CAUSEY MIDDLE SCHOOL Supply List Grade 6 Grade 7 Grade 8 White Lined notebook paper (WIDE RULED ONLY) Loose-leaf paper (WIDE RULED ONLY) White Lined notebook paper (WIDE RULED ONLY) Graphing Notebook Graph Paper Copy Paper (1 REAM) WHITE or COLOR Composition Notebook Composition Notebook 2 Composition Notebooks Spiral Notebook # 2 Pencils Mechanical Pencils # 2 Pencils Hi lighters (YELLOW) Hi lighters (1 PACKAGE) 2 Handheld Pencil Sharpeners (WITH COVERS) 2 Handheld Pencil Sharpeners (WITH COVERS) 1 Black 3-ring Binder w/pockets (Business Tech Applications Course) Black Ink Pens & Red Ink Pens (NO CLICK PENS) Black, Blue & Red Ink Pens (NO CLICK PENS) Black, Blue & Red Ink Pens (NO CLICK PENS) Colored Pencils (1 BOX) Colored Pencils or Crayons (1 BOX) Colored Pencils (1 BOX) Crayons (24-COUNT BOX) 4 Function Calculator Dividers (2 PACKAGES) Expo Markers 3 Prong Folders w/ pockets (2) 3-ring Binders (1) 4pk BLACK ONLY) (RED BLUE GREEN YELLOW) (2 INCH W/POCKETS) Glue Stick 3 Ring Binder 4 Function Calculator 4 Function Calculator Dividers (1 PACKAGE) Scissors 1 inch Binder Dividers (1 PACKAGE) 3 Subject Spiral Notebook WISH LIST WISH LIST WISH LIST Kleenex Copy Paper Clorox Wipes Paper Towels Hand Sanitizer Kleenex Paper Towels Hand Sanitizer Expo Markers Kleenex Paper Towels Hand Sanitizer

5 COMPLETE BOTH SIDES State of Alabama Department of Education Health Assessment Record School Year: To Parent or Guardian: The purpose of this form is to provide the school nurse with additional information regarding your child s health needs. The school nurse may contact you for further information. The information requested is essential for the school nurse to meet the health needs of your child. This information will be kept strictly confidential. To be completed by parent/guardian. PLEASE PRINT. Return to the School Nurse. Name of Student (Last, First, Middle) Birth Date Sex Address (Street) Race/Ethnicity American Indian (City and Zip code) Asian Black, not of Hispanic origin Home Telephone Number Cell Telephone Number School Name of Parent/Guardian (Last, First, Middle) CAUSEY MIDDLE SCHOOL White, not of Hispanic origin Hispanic/Latino Other Grade Transportation Bus Rider Car Rider Special Needs Bus After School Program Place where your child receives regular health care: Part I Health Information Place where your child receives regular dental care: Type of Insurance your child has: Health Department Hospital Clinic Community Health Center Private Doctor/HMO Other No regular place Physician s Name: Address: Tel: Health Department Hospital Clinic Community Health Center Private Doctor/HMO Other No regular place Dentist s Name: Address: Tel: Medicaid No Insurance Private Insurance ALLKIDS Other: Authorizations: I authorize the school nurse, the registered nurse (RN) or licensed practical nurse (LPN), to talk with the physician(s) should a question come up about my child s medical conditions. I do NOT authorize the school nurse, the RN or LPN, to talk with the physician(s) should a question come up about my child s medical conditions. I authorize for my child to participate in all school health screenings, such as vision, hearing and scoliosis. I authorize the yearly review of my child s Certificate of Immunization (Blue Slip) by the local Public Health Department. Level A Nursing Dependent Level B Medically Fragile FOR OFFICE USE ONLY Acuity Scale: Level C Medically Complex Level D Health Concerns

6 COMPLETE BOTH SIDES State of Alabama Department of Education Health Assessment Record School Year: Part II Medical History NO KNOWN HEALTH PROBLEMS ( If no, please go directly to the bottom of the page and provide parent/guardian signature.) Requires medication? (Requires medication authorization from physician) Attention Deficit Disorder (ADD) OR Attention Deficit Hyperactivity Disorder (ADHD) Allergies: Please Specify : Food Insects Environmental Medications Asthma: Bleeding Problems: (Hemophilia, Von Willebrand s, frequent nosebleeds) Cancer/Leukemia: Cerebral Palsy: Cystic Fibrosis: Dental Problems: Diabetes:(Requires medication and procedure authorization from physician) Type 1 Diabetic Type 2 Diabetic To be given while at school? Hives/rash? Breathing difficulty? Epi-pen? (Requires medication authorization from physician) He/She uses an inhaler at school?(requires authorization from physician) He/She uses an inhaler at home? Requires medication? Please explain: (Requires medication authorization from physician) Please explain: Please explain: Please explain: Braces? OR Please explain: Monitors Blood Sugars while at school? Requires Insulin at school? Glucagon order? Insulin pump? Managed with diet? Emotional/Behavioral/Psychological: Please explain: Gastrointestinal/Stomach Problems: Please explain: Genetic Disorder: Please explain: Headaches: Please explain: Hearing Problems: Right Ear Left Ear Both ears Tubes Hearing loss? Hearing aid? Cochlear Implant Heart Condition: Please explain: Are there any activity restrictions? Any medications taken at home only? Hypertension (High Blood Pressure): Juvenile Arthritis/Bone-Joint Problems: Please explain: Kidney Problems: Please explain: Scoliosis: No Treatment Wears Brace Surgery Seizures/Convulsions: Please explain: Type of seizure: Diastat order Sickle Cell Anemia: Spina Bifida: Special Diet: Please explain: Vision Problems: Wears glasses Wears contacts Other, Other Medical Conditions: Please include any medications taken at home only. Part III Medical Equipment /Procedures Required at School Catheter Gastric Tube Nebulizer Treatments Oxygen Supplement Tracheostomy Vagal Nerve Stimulator (VNS) Ventilator Wheelchair Walker Required Signatures Signature of parent(s) or guardian: Date: Signature of school nurse: Date:

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