Registration Form - Cardinal Ritter

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Registration Form 2021 - 2022 Person Completing Form: Relationship to Student: Legal Guardian Custodial Parent Student Information Student’s Name: Registering for Grade: Race/Ethnicity (Select more than one if Multi-Racial): African American Caucasian Hispanic Asian American Indiana or Alaskan Native Native Hawaiian/Pacific Islander Other *If not English, primary language spoken at home: Date of Birth: / / Place of Birth: Religious Preference: If Roman Catholic, which parish do you belong to: IPS District Student Resides In: 21st Century Scholar: Yes County of Residence: No Family Information Parents are: Married Divorced Separated Other If divorced or separated, custody is: Sole Joint Student Lives with: 1. Relationship to Student: 2. Relationship to Student: Primary Mailing Address: City: Primary Phone: 1. Occupation: Work Phone: 2. Occupation: Work Phone: State: Email: Place of Employment: Cell Phone: Place of Employment: Cell Phone: Zip:

Additional people to receive mailings: Name: Relationship to Student: Address: Cell Phone: Work/Home: Occupation: Place of Employment: Please list two people who have your permission to pick up your child if we are unable to reach you: 1. Name: Phone: Relationship: Secondary Phone: 2. Name: Phone: Relationship: Secondary Phone: Raider Resource Guide Your home phone, address and email address will be listed in our Raider Resource Guide that is distributed to all of our school families, unless you request otherwise. Please do not list my home phone, address or email address Please only list my: Media Release Without compensation to me, I, the undersigned, do hereby irrevocably consent to the use, by Cardinal Ritter High School, and photographs, video or sound recording of my student as described above for advertising and publicity purposes and/or publication in any lawful manner, and hereby release Cardinal Ritter High School from any and all liability of me for such use. Signed: Date:

Cardinal Ritter High School Chromebook Purchase Agreement Student Name Parent Name THIS AGREEMENT made on (date) between (purchaser’s name) and Cardinal Ritter High School for the purchase of a Chromebook. Cardinal Ritter High School agrees to supply a Chromebook for 300 if paid in full, or for 350 if paid in installments through tuition. The Chromebook then becomes the property of purchaser with all rights and responsibilities. If the purchaser defaults on tuition payments the Chromebook becomes the property of Cardinal Ritter High School. Please order my Chromebook to be paid for in the following manner: Payment Included Roll into remaining tuition payments Signature of Purchaser Date **Checks can be made payable to Cardinal Ritter High School

Technical Details of Chromebook *Or Comparable model. Computer Model and details subject to change* Model Samsung Chromebook 3 XE500C13K Operating System Google Chrome Processor CPU / Processor: Samsung Exynos 5 Dual CPU Clock Speed:1.7GHz Display Screen Size: 11.6" Resolution: 1366 x 768 Memory Standard System Memory: 2GB Storage Hard Drive: 16GB Graphics Integrated Multimedia 3W Stereo Speaker (1.5W x 2) Internal Mic Web Camera: 0.3 MP Connectivity WirelessLAN: 802.11 a/b/g/n I/O Ports VGA: Yes (Available only with dongle sold separately) HDMI 1 x USB 3.0 1 x USB 2.0 Headphone/MIC combo Multi Card Slot: 3- in-1 (SD/SDHC/SDXC) Input Keyboard: 74 Keys Touch Pad (Scroll Scope, Flat Type) Power AC Adapter: 40W Battery Life*: 6.3 hours Dimensions Product Dimensions: 11.4" (W) x 8.09" (D)x 0.69" (H) Warranty 1 Year Standard Parts and Labor

After School Room Students who have not been picked up or are not in a supervised activity are required to go to the Guadalupe Room at 3:30 p.m. for after school care. The after school room is available until 5:00 p.m. * There is a 50 fee per family, per year that will be added to tuition. Families taking advantage of after school care for their student must adhere to the following guidelines: 1. Students must be in the Guadalupe Room no later than 3:30 p.m. and have the appropriate books/study materials in their possession. 2. Students must sign in and indicate the time he/she arrived. 3. Students coming to the after school room from a teacher’s classroom or athletic practice must provide a pass from that specific teacher or coach upon signing in. 4. Parents or other authorized individuals picking up students from the after school room must come in and sign their student out. 5. Students may not attend the after school room without the bottom portion of this form signed and on file. 6. Students not complying with these rules will not be permitted on campus after 3:30 p.m. --------------------- My student(s) will not take advantage of the after school room and will be picked up after school. My student(s) would like to take advantage of the after school room at Cardinal Ritter High School. I understand and agree to the guidelines that must be followed in order for my student to have this opportunity. Student(s) Name: Signed: Relationship: Signed: Relationship: Date:

Code of Conduct Cardinal Ritter is a Catholic high school where certain standards of conduct are expected. Standards, which by design, help create an atmosphere that is conducive to learning. Students who are not able or willing to accept these standards will not be considered part of the Cardinal Ritter Community. The standards are as follows: 1. A Cardinal Ritter student is prepared for classes and therefore takes responsibility for his or her learning. 2. A Cardinal Ritter student shows school pride and enthusiasm for learning and competing. 3. A Cardinal Ritter student acknowledges everyone’s right to learn and is never the reason for that learning to stop. 4. A Cardinal Ritter student is respectful of teachers, students and themselves. 5. A Cardinal Ritter parent and student adhere to and understand all rules found in the Student Handbook and in the Raider Parent Resource Guide. 6. A Cardinal Ritter student follows the dress code at all times. 7. A Cardinal Ritter Student, whether Catholic or non-Catholic, is always reverent and respectful of Catholic traditions. 8. A Cardinal Ritter student is honest and truthful. 9. A Cardinal Ritter student is always a positive example to others, both in and out of school. 10. A Cardinal Ritter Student understands that excellence is expected. I hereby acknowledge and accept this Code of Conduct and understand that NOT adhering to these standards will prevent me from being part of the Cardinal Ritter community. Student Signature Date I/We accept responsibility for holding our son/daughter accountable for this Cardinal Ritter Code of Conduct. Parent/Guardian Signature Date

Student Drug and Alcohol Testing Permission Form 2021-2022 Student’s Legal First Name (Please Print) : Student’s Legal Last Name (Please Print) : Date Received Administrator initial Date of Birth : AS A STUDENT: I have read and understand the Cardinal Ritter High School Drug and Alcohol Policy. I consent to adhere to the policy. I understand that I may be tested based upon reasonable suspicion through activities that may occur during the school year or while school is on break (i.e. summer, fall, winter, or spring). I understand that if I decline to consent to participate in the Student Drug and Alcohol Testing program, I will not be allowed to attend Cardinal Ritter High School. AS A PARENT/ GUARDIAN / CUSTODIAN: I have read and understand the Cardinal Ritter High School Drug and Alcohol Policy. I understand that my student may be tested based upon reasonable suspicion through activities that may occur during the school year or while the school is on break (ie. summer, fall, winter, or Spring). I understand that if I decline to consent for my child to participate in the Student Drug and Alcohol Testing program, my child’s enrollment at Cardinal Ritter High School will be terminated. As evidenced by my signature below, I hereby consent to allow the student named above to undergo drug testing for the presence of alcohol, drugs and/or banned substances in accordance with the Cardinal Ritter Drug and Alcohol Policy. I understand that school personnel will support and oversee testing process in coordination with a contracted Licensed Laboratory. Testing will include: A rapid test on school grounds. The sample from the rapid will be retained by the Laboratory employee. The Lab will further test the sample for Quantitative levels of any drug found. Results will be provided to the designated school official as stated in the Drug and Alcohol Policy. I hereby consent to the vendor selected by Cardinal Ritter High School, its laboratory, doctors, employees, and/or agents to perform testing for the detection of alcohol, drugs and/or banned substances, and to confer with any necessary third parties regarding the results in order to confirm the results of the tests. I further understand and consent to the vendor selected by Cardinal Ritter High School, its doctors, employees, and/or agents, to release results of tests to Cardinal Ritter High School in accordance with Drug and Alcohol policy. I understand that the consent granted herein is effective for the entire 2019- 2020 school year. I understand that the fees charged by testing facilities will be my financial responsibility, unless otherwise noted by the Principal. I will hold harmless Cardinal Ritter High School and its employees, the Archdiocese of Indianapolis and its employees, the testing company and its laboratory, meaning that I will not sue or hold responsible such parties for any alleged harm that might result from such testing, even if Cardinal Ritter High School or laboratory representative makes an error in the administration or analysis of the test or the reporting of the results. I will further hold harmless Cardinal Ritter High School and its employees, the Archdiocese of Indianapolis and its employees, the testing company and its laboratory for any alleged harm that might result from the release or use of information or documentation relating to the drug or alcohol test, as long as the release or use of the information is within the scope of the Drug and Alcohol Policy and the procedures as explained within. I understand that Cardinal Ritter High School, through its staff and administrators may have certain obligations under Indiana law to report controlled substance violations to law enforcement officers. I further acknowledge that individuals, who make such reports, in good faith, are immune from civil liability. Student Signature: Date: Student Name: (printed) Guardian Signature: Guardian Name: (printed) Phone Number: Date:

HEALTH RECORD FORM 2021-2022 Student Name Grade Male Female Date of Birth Father/ Mother/Guardian Guardian Custodial Parent: YES NO (circle one) Custodial Parent: YES NO (Check one) Primary Phone: Primary Phone: Work Work Phone: Phone: Home Home Phone: Phone: Cell Cell Phone: Phone: In case of emergency or illness, if parent is unavailable, we authorize the following people to make health decisions for our child and/or pick them up from school: Name: Name: Relationship: Relationship: Primary Primary Phone: Phone: Other Other Phone: Phone: STUDENT HEALTH HISTORY Please check the appropriate box for each item; add comments to clarify symptoms/treatments/provide additional information YES NO Allergies List Allergies Describe Reaction and Treatment needed. Please submit medical mgmt. plan from MD if Epi-pen is required for treatment Bee Sting Reaction Describe Reaction and Treatment Please submit medical mgmt. plan from MD if Epi-pen is required for treatment Asthma (Please submit medical management plan from MD) Cancer Diabetes (Submit medical mgmt. plan from MD) Hypoglycemia Eye Problem (excluding corrective lenses for vision) Ear/Hearing Problems Heart Condition/Hypertension Migraine/Chronic Headaches Seizures History of Concussions ADHD Mental Health Conditions Depression/Anxiety Other – Please list & provide info for each condition I authorize Cardinal Ritter to share the information on this form and all information maintained in the student health file with all teachers and staff involved in the care of my child. I grant permission for my physician and the principal, School Nurse, or other designated Cardinal Ritter staff to share any and all health information relevant to the care of my child. Signature of Parent(s)/Guardian(s)

2019-2020 Health Form page 2 Please provide a brief history of serious accidents/injuries/hospitalizations not listed on page 1 Does your child need any special classroom or clinic assistance Yes No If yes, please explain: List any medications and dosages your child takes regularly; please note any medications that must be administered at school If you want the school to administer medication to your student you must: 1) Supply any medication (over-the-counter or prescription) in the original bottle with the student's name on the bottle 2) Complete a "Release for Administration of Medication" form 3) Submit completed and signed "Release for Administration of Medication" form along with the medication to the Administrative office I grant permission to the School Nurse and/or designated Administrative staff to administer medications to my child as directed I agree to comply with the school policy and procedure for medications as outlined above and detailed in the student handbook Parent/Guardian Signature(s): In case of accident or serious illness, I request the school to contact me. If the school is unable to reach me, I hereby authorize the school to call the physician indicated below and follow his/her instructions. If it is impossible to contact this physician, the school may make whatever arrangements deemed necessary Local Physician Name: Address: Hospital of Choice: Parent/Guardian Signature(s): Office Phone:

Cardinal Ritter Parent/Guardian Release for Administration of Medication 2021-2022 Last Name: First Name: Grade: In order to promote safety and ensure appropriate communication with parents or guardians regarding medication administration, we request that parents or guardians complete a release form for medication administration. All medications must be submitted in the original container and must be clearly labeled with the student’s name. Medication Allergies (please list all) Please provide the information requested below for each medication that you authorize your child to take during the school day: Over the Counter Medications (please attach another form if necessary) Medication Strength Dose Time(s) (or PRN) Date(s) (or PRN) Prescription Medications (please attach another form if necessary) Medication Strength Dose Time(s) (or PRN) Date(s) (or PRN) I hereby give permission for Cardinal Ritter staff to oversee administration of the medication specified above for my child. Parent/Guardian Signature Date:

Cardinal Ritter High School CHIRP Authorization Form Dear Parent/Guardian: The Indiana State Department of Health maintains an immunization registry entitled Children and Hoosiers Immunization Registry Program (CHIRP). CHIRP allows all health care providers within the State of Indiana to enter immunization data as a method of electronic documentation. CHIRP ensures that the most up to date record of immunizations is available to all health care providers. The Indiana Department of Education mandates that all schools within the State of Indiana utilize CHIRP to document annual immunization reports. Parents/guardians must be notified of this method of immunization reporting and your permission is required to submit the immunization status of your child in this format. Please complete a separate form for each child enrolled at Cardinal Ritter High School. , give Cardinal Ritter High School permission to release the I, following information concerning my child to the Indiana State Department of Health’s Children and Hoosiers Immunization Registry Program (CHIRP): Student’s full name, date of birth, immunization data, demographic data such as address, telephone number and school in attendance I understand that the information in the registry may be used to verify that my child has received proper immunizations and to inform me or my child of my child’s immunization status or that an immunization is due according to recommended immunization schedules. I understand that my child’s information may be available to the immunization data registry of another state, a healthcare provider or a provider’s designee, a local health department, an elementary or secondary school, a child care center, the office of Medicaid policy and planning or a contractor of the office of Medicaid policy and planning, a licensed child placing agency, and a college or university. I also understand that other entities may be added to this list through amendment to I.C. 16-38-5-3. I hereby consent to the release of such information I hereby consent to the release of such information. Signature Printed Name of Parent or Guardian Date Address ( ) Telephone Number Child’s Name Grade Level

Cardinal Ritter High School 2021-2022 Payment Plan Options Payer Information Father Mother Address Address City City State, Zip State,Zip Email Email Phone Phone Student Name, 2021-2022 Grade Level 1. 3. 2. 4. Have you ever participated in the Choice Scholarship Program (Voucher)? circle one Yes / No Payment Plan – Please Select One I (we) plan to pay our balance in a SINGLE PAYMENT by 07/31/21 (3.00% discount) I (we) plan to pay our balance in TWO INSTALLMENTS, 07/31/21 and 12/15/21 (1.5% discount) 10 Monthly Payments starting August 2021 through May 2022 on the of each month: I (we) plan to pay 10 monthly payments by Automatic Bank Withdraw (provide voided check) Routing Number: Acct Number: Bank Name: I (we) plan to pay 10 monthly payments directly by check, cash or money order to the business office I (we) plan to pay 10 monthly payments by Credit Card plus 3.15% credit card fee (provide number below). Credit Card #: - Card Type: - - Exp: SC#: Billing Zip: Payer Signature I hereby authorize Cardinal Ritter High School to initiate monthly debit entries to my account as indicated above. I understand my child is not officially enrolled until the business office has a signed Form PPO 21-22 and a signed and completed 2021-2022 Tuition Agreement. Payment Payer Signature BUSINESSOFFICE USE

1. 2. 3. 4. 5. 6. 7. 8. Cardinal Ritter High School 2021-2022 Tuition Payment Agreement No student will be officially registered for the 2021-2022 academic year until a signed tuition payment agreement has been submitted and the nonrefundable Registration Fee has been paid. Tuition and fees that are paid in full by July 31, 2021, will receive a 3% discount. Tuition paid in two installments (due July 31, 2021, and December 31, 2021) will receive a 1.5% discount. Tuition financed in 10 equal monthly payments beginning August 2021 through May 2022 will be arranged with the tuition office. All fees for the After School Room, Computers, and Transportation will be added to the family’s tuition account. If these fees are not kept current, the student forfeits these services. If the family defaults on tuition payments, the computer becomes property of Cardinal Ritter High School. Tuition charges for withdrawn students will be prorated, per the student’s registration status. Tuition discounts for participating Catholic parishioners and Archdiocesan or Marian University employees will be applied upon verification. To be eligible for financial aid consideration, a family is required to complete an online application with FACTS along with the application fee. Financial aid will be awarded based on the assessed need determined by the Financial Aid Committee and the availability of budgeted funds. The deadline for the financial aid application is March 31, 2021. Late applications will result in significantly reduced awards. Delinquent accounts risk future financial aid. There will be a 30 fee for all NSF returned payments. Tuition is required to be kept current. Students with past due tuition balances will not be permitted to sit for their semester exams. If an account becomes more than three (3) months delinquent, the student(s) will not be permitted to attend class until the delinquency is resolved. It is understood that Cardinal Ritter High School reserves the right to retain all available methods for collection, including the use of collection agencies. In the event collection proceedings become necessary, attorney fees, court costs and interest will be charged to the responsible parties. Any tuition and fees that are placed in bankruptcy may result in the dismissal of the student unless reaffirmation of payment is made to the business office. By my signature noted below, I agree that I have read and accept the above tuition policy and procedures forthe 2021-2022 academicschoolyearat Cardinal Ritter High School.

Cardinal Ritter Parent Club Parent Connection Contract Because I care what happens to our children, because I respect you as a parent, and because I know that being a parent is a very difficult job without the caring and support of others, I agree to do the following for you, and ask that you do the same for me: I will inform you as soon as possible if I observe your child in any of these situations: Driving recklessly Acting violently Using drugs Drinking alcohol Destroying/damaging property Inappropriate use of internet Being bullied, or showing signs of bullying or abuse I will not provide alcohol or drugs to minors in my home. I will not allow children to bring and/or consume alcohol or drugs in my home. I will not rent hotel/motel rooms or provide other areas for unsupervised parties or get-togethers for our students. I will not host coed sleepovers. If you hear I am having a party for my child, please call me about adult supervision, and confirm that I am aware of the party. If you hear that a party took place in my home in my absence, please call and inform me. If my child says he/she is spending time at your home, I may choose to call you to confirm that he/she has your permission, and that you will be present. I will also inform you of any good act or deed that I see your child do, because knowing the good is just as important and rewarding.

Re: Parent Connection Contract Dear Cardinal Ritter Parents and Guardians: The Cardinal Ritter Parent Club supports the Parent Connection Contract as a means for parents to become partners in parenting. This voluntary contract enlists your support to help provide supervision and protection for our children. The contract lists agreements that all contract signers will support. All parents that have signed the contract will be indicated as signers in the parent directory that will be distributed this fall. Please take time today to sign the contract and join other Cardinal Ritter parents in promoting fun and safe activities for our students. Signed contracts may also be returned to the school office to the attention of Guidance. Sincerely, E. Jo Hoy President Ty Hunt Dean of Students Parent Connection Contract I promise to support the Parent Connection Contract I do not wish to sign the Parent Connection Contract at this time. I understand that volunteering at Cardinal Ritter requires signing the Cardinal Ritter volunteer “Code of Conduct” agreement. Parent/Guardian Name(s): Printed Student Name(s): Printed Parent/Guardian Signature Parent/Guardian Signature

Cardinal Ritter Volunteer Code of Conduct As a community of faith, we are committed to safeguard our children and youth, the most important gifts God has entrusted to us. The following rules and regulations reflect that commitment and apply to clergy, employees, and volunteers. I will: Safeguard children and youth entrusted to my care at all times. Treat everyone with respect, patience, integrity, courtesy, dignity, and consideration. Complete Safe and Sacred child protection training and read quarterly online articles. Avoid situations where I am alone with a child or youth at church/school activities. Refrain from giving inappropriate, personal gifts to children or youth. Avoid all unnecessary physical contact, especially when alone with a minor. Obtain permission from a parent or guardian before contacting a minor via social media or before posting pictures, video, and other information that may identify a minor. Always maintain a professional attitude when dealing with minors, avoiding emotional attachment and being aware of the powerful attraction of adults in positions of authority. Report suspected child abuse to civil authorities (Indiana hotline: 800-800-5556) or to a local law enforcement agency and to the archdiocese (victim assistance coordinator: 800-382-9836, ext.1548). Report any violations of this code of conduct to the victim assistance coordinator. Confidential reports to the archdiocese can also be made online at www.archdioceseofindianapolis.ethicspoint.com. You do not have to give your name. Cooperate fully in any investigation of abuse of children and/or youth. I will not: Communicate any views contrary to the teachings of the Catholic Church. Use, possess, or be under the influence of alcohol while overseeing youth at any church/school activities. Use, possess, or be under the influence of illegal drugs Allow minors to have and/or use alcohol or illegal drugs Use profanity or engage in behavior that is harassing or degrading to others. Allow minors to have, or assist them in gaining access to, pornographic or inappropriate websites, movies, or printed materials. I understand and will abide by the rules and guidelines in this Code of Conduct. Printed Name Event & School Representative Signature Date Archdiocese of Indianapolis revised August 1, 2013 Cardinal Ritter revised December 8, 2015

CRHS Acceptable Computer Use Policy Teachers scheduling classes to use internet resources will provide students with a list of internet sites pertinent to any assignment. Students who are found to be non-compliant with school policies will be subject to disciplinary action which will consist of, but no limited to: Loss of access to school provided internet Suspension from school pending a parent conference Loss of access to school provided computers Unacceptable internet use will consist of but not be limited to the following: Transmitting, accessing, printing, downloading or uploading any material which might be deemed pornographic, obscene, sexually explicit, indecent or vulgar Vandalizing, damaging, disabling, or gaining unauthorized access to another person's property, files, data or materials Accessing. Printing, downloading or uploading personal web pages without a Cardinal Ritter High School teacher's authorization Engaging in any commercial or business activity Printing, downloading or uploading information from a personal disk without a teacher's permission Chat rooms or instant messaging Using social media including, but not limited to, Facebook, Twitter, and Skype, without staff permission STUDENT AGREEMENT IMPORTANT: Please read before signing I have read (or had explained to me) and understand this policy. I further understand any violation of the terms, conditions and regulations above are unethical and may constitute a criminal offense. Should I commit any violation, my access and/or use privileges may be revoked, school disciplinary action may be taken and/or appropriate legal action taken. Student Name: Student Signature: PARENT/ GUARDIAN (FOR STUDENT ACCESS) IMPORTANT: Please read before signing As the parent or guardian of this student, I have read the Cardinal Ritter High School Acceptable Computer Use Policy. Cardinal Ritter High School has taken precaution to eliminate inappropriate materials and usage. However, I also recognize it is impossible for Cardinal Ritter High School to restrict access to and usage of all controversial materials, and I will not hold them responsible for materials acquired on the Internet. Further, I accept full responsibility for the supervision if and when my student's use is not in school setting. I hereby give permission to provide access for my student on the Internet and to give them permission to use the school technology resources. I certify that the information contained on this form is correct. I exempt Cardinal Ritter High School and the Archdiocese of Indianapolis and agree to hold them harmless from financial responsibility if my student incurs financial liability from their use Internet and school technology resources, and thus accept responsibility if such financial commitments are made or caused. Student Name: I have read and discussed this Acceptable Use Policy with my student. My student may have access to the Internet and to school technology resources. Parent/Guardian Name: Date:

Transportation Request 2021-2022 Transportation is based on availability and feasibility. Forms are due by May 31st so that fees can be added to the tuition statements. Transportation fees are per family and will be billed per semester based on your pick-up location. Charges will not be pro-rated for discontinuing or late registration. Families will be notified by August 1, 2021 of pick up times. Morning pick-ups will only be at the locations listed below. Afternoon drop-offs at home may be available upon request for Hendricks county residents only. Please email transport@cardinalritter.org with any questions or concerns. I would like tr

6. A Cardinal Ritter student follows the dress code at all times. 7. A Cardinal Ritter Student, whether Catholic or non-Catholic, is always reverent and respectful of Catholic traditions. 8. A Cardinal Ritter student is honest and truthful. 9. A Cardinal Ritter student is always a positive example to others, both in and out of school. 10.

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