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THE SCHOOL DISTRICT OF PALM BEACH COUNTY
SAFE SCHOOLS
Parent/Student Acknowledgments of
Student Rules and Regulations of Operations
Student First Name Last Name Birth Date
Teacher Name Grade
Students, parents*, teachers, counselors, administrators, and office staff all have important roles to play
in our schools. Rules have been made to address possible problems that may occur. Like laws, rules
apply to everyone. They work only when everyone knows what they are.
The Student and Family Handbook lists many of the School District rules for students in Palm Beach
County. The rules apply to all activities occurring on school grounds, on other sites being used for school
activities, and for any vehicles authorized for the transporting of students. Please read the rules carefully.
Parents, students, school faculty, and staff need to know the rules. Since parents can be held responsible
for the actions of their children, it is important that they are aware of the rules and consequences if the
rules are broken.
Parents need to become involved in the education of their children and have the responsibility to provide
the school with the current emergency contact person(s) and telephone numbers. They also have the
responsibility to notify the school of anything (such as medical information) that may affect their child's
ability to learn, to attend school regularly, or to take part in school activities.
Signed forms must be part of every student's record. Your signature below means that you have
reviewed the Student and Family Handbook and know the rules. (It does not mean that you agree or
disagree with them.)
* Wherever the word "parent(s)'' appears, it shall also refer to "guardian(s) or persons acting as a parent." Further, wherever student
responsibilities are described, it is understood that parents jointly share those responsibilities with their children.
Signature of Parent or Guardian Date
Signature of Parent or Guardian Date
Signature of Student Date
PBSD 1910 (Rev. 3/11/2015) ORIGINAL - School