Please PRINT and BRING the following required forms to Check-in: #1 Check-in Cover Sheet #3A Off Campus Permission Form #4 2015-2016 Fee Worksheet These forms are optional: #2 PTCO After Prom #3B Release of Information to Military Recruiters (Juniors & Seniors Only) #5 Vehicle Registration (School Picture Order Form found at mylifetouch.com) Food & Nutrition/Free & Reduced Price Meals Forms can be accessed with the Link on the CCHS Home Page.

Print single sided please

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2016 Check-in Packet

(Required to Print)

Cherry Creek High School

School Year 2016 – 2017 Check-In Cover Sheet

Student Nam

Student Name

Parent/Guardian Name

Address

Parent/Guardian E-Mail:

OPTIONAL

Parent/Guardian No.2 Name

Parent/Guardian No. 2 E-Mail:

1

(Optional)

Volunteer for After Prom May 13, 2017

We need your help with planning and working the 2017 After Prom party, which will take place

between 12:00 am and 4:00 a.m. following prom May 13th, 2017. Parent/Guardian Name:_____________________________________________________ Student Name: ___________________________________Graduating Year____________ Preferred Phone_____________________ Email (required)_________________________

Donations: I would like to donate the following:

A Door Prize Food Cash (in addition to the After Prom option at registration time)

Volunteer Opportunities:

Check any area you are interested in volunteering. You will be contacted and provided detailed information.

Lead a Committee

Volunteer at the After Prom Event 11:30 pm-4:15 am Many shifts end earlier

Check-In Coordinator Any Area

Décor Chair Casino Dealer

Casino Coordinator Chaperone an Activity

Food Coordinator Event Check-In

Hall of Fame Poster Coordinator Food Prize and Giveaway Coordinator Set Up Coordinator

Donations Coordinator Volunteer Hospitality Coordinator Volunteer Coordinator Thank You Note Writer

2

STUDENT NAME:

Last name, first name

Parent/Guardian:

Our philosophy at Cherry Creek High School gives students the freedom to manage their personal and

academic affairs while expecting a high level of responsibility in return. An off campus pass is a privilege

extended to students by their parents and the school that allows them to make choices about their

unstructured time. The student is responsible for ensuring that school attendance, academic performance

and citizenship do not suffer as a result of these choices. The student’s parent or guardian may change the

status of a student’s ability to leave campus or not at any time by contacting the student’s dean. The school

also reserves the right to revoke a student’s off campus privileges as a disciplinary consequence if necessary.

Sincerely,

Darren Knox Assistant Principal

OFF CAMPUS PASS Only students whose parents/guardians have signed the Off Campus Privileges permission form are eligible to

leave campus during the school day.

Students may leave only during their free or unscheduled time.

Students who do not have off campus privileges may not leave campus during the school day.

Those who do leave without permission face disciplinary consequences.

Changes to a student’s off campus privileges may be made by contacting the student’s dean.

When a parent signs the Off-Campus privileges form, he/she releases the school district from accountability for a

student’s action during the time the student is off campus. The signee further releases the School District from any

liability in the event the student should be involved in any type of accident going to or from an off campus

destination. The signee accepts responsibility for student passengers that a son/daughter permits to ride in a

vehicle owned by the parent.

Student Code of Ethics As a Cherry Creek High School Student, I will not lie, cheat, or steal in any of my endeavors;

I will respect school property and the property of others; I will respect the rights and opinions of students, faculty, and members of the community;

I will promote ethical behavior within the school and the community

I have read the above letter regarding off campus privileges for my student and request that my student be permitted to leave campus when not scheduled for classes.

YES NO

_________________________________ Parent Signature

OFF CAMPUS PRIVILEGES

PARENT/GUARDIAN PERMISSION FORM

3A

A

(Required to Print)

JUNIOR

SENIOR

Please check one

CHERRY CREEK SCHOOL DISTRICT NO. 5

NOTICE TO PARENTS OF SECONDARY STUDENTS (JUNIORS AND SENIORS) OF

RELEASE OF INFORMATION TO MILITARY RECRUITERS

IN COMPLIANCE WITH THE FAMILY EDUCATION RIGHTS AND PRIVACY ACT

(“FERPA”) 20 U.S.C. § 1232(g)

In compliance with requirements of the Family Education Rights and Privacy Act (“FERPA”), 20

U.S.C. § 1232(g), and the Colorado Open Records Act, C.R.S. § 24-72204 (3)(d), the Cherry Creek

School District No. 5 shall release the names, addresses and telephone numbers of secondary

students to military recruiting officers within 90 days of a request unless the student submits a

written request that such information not be released.

If you do not want the Cherry Creek School District to disclose this information to military

recruiters without your prior written consent, you must fill out this form and return it to us by

September 2, 2016. If we do not receive this form back by this date, we will release student

information to military recruiters upon request. If your child is over 18 years of age, he/she must

also sign this form.

DO NOT DISCLOSE MY CHILD’S NAME, ADDRESS OR TELEPHONE NUMBER TO MILITARY

RECRUITERS WITHOUT MY PRIOR WRITTEN CONSENT.

Student Name:

ID #

Student Signature:

Date:

Parent/Guardian Name:

Date:

Parent/Guardian Signature:

Date:

3B (Optional - Juniors and Seniors Only)

NAME: Click here to enter text. GRADE: Click here to enter text.

2016-2017 FEE WORKSHEET

Check appropriate box

1) ☐ Activity Fee (optional)

$30

2) ☐ Yearbook (optional, $75 after 1/1/17)

$65

3) ☐ Parking Fee (optional)

$50

4) ☐ Senior Graduation Pkg Fee ($65 after 1/1/17) [Seniors Only] (Includes Cap and Gown)

$55

5) ☐ Senior Graduation Fee [Seniors Only] (Non-walkers or have cap and gown) MUST BE APPROVED IN ACTIVITIES OFFICE

$20

6) ☐ Bear Tracks Student Directory with Emails 1 X $15 each $

7) ☐ Creek Parent Planner w/ Important Dates 1 X $15 each $

8) ☐ BUNDLE – Bear Tracks Directory & Creek Parent Planner 1 X $25 $

9) ☐ After Prom (Recommended donation $35 or more)-any amount appreciated. $

10) ☐ Friends of PTCO Donation - $30, $60, $100, $500-any amount appreciated $

$ TOTAL

ACTIVITY FEE

Your $30 Activity Fee is only $0.16 per day

The Activity Fee supports many programs and activities that make students’ experiences at Cherry Creek more fun and exciting. Support is vital to many programs. Benefits include:

o Free admission to all regular season home sporting events

o Discounted ticket price for school dances

o Support for student theater productions, vocal and band concert programs

CCSD Fitness Festival, Ethnic Fest, Human Rights Awareness Week

Guest speakers and student awards

o Funding to help send students to state and national conferences and competitions

FRIENDS OF PTCO – Fundraising that Supports the ENTIRE School!

The Friends of PTCO is a fundraiser designed to help with current PTCO budget expenses and future needs of the school. 2015-2016 Grants included monetary awards to all areas of the school, including:

o Red Ribbon Wk.-Rachel’s Challenge speaker o Science Classes-2 iMac computers o Science-“Odyssey” licensure o Fine Arts-1 Digital Piano o Science-Document cameras for Chemistry o Science Labs-Repair spectrophotometers o SAS-Smartboard o Special Ed./ILC-Smartboard repair & equipmt.

o P.E.-Captureboard dry-erase flip boards o STEM-Diabetes photoacoustic materials o English-Document camera o Library-“Creek Studio” o Fine Arts-Digital draw tablets o Speech and Debate-2 laptop computers o Science-Equipment for Bio and Bio-chem labs o Counseling-Bruin Bags

“Friends of PTCO” is an optional, nominal fee. Please consider making a contribution, as it will benefit the entire CCHS community. All donations appreciated!

Fees can be paid via the Rev Trak link on the CCHS home page. If this is done in July, you may bypass the payment tables on check in day.

Or fees can be paid on check-in day with Visa, Master Card, American Express, cash, or check made payable to Cherry Creek High School.

Please have the check filled out ahead of time. 50% refund on or before 1/3/17; No refund after 1/3/17.

4 (Required to Print)

DECAL #___________ TEMP DECAL #______________________ EXP.__________________

CHERRY CREEK HIGH SCHOOL

APPLICATION FOR PARKING PERMIT 2016-2017 SCHOOL YEAR

NAME:__________________________________________ Student ID #:_________________ (print clearly) Last Name First Name MANDATORY

Grade: ______________ Phone #:__________________ Driver’s License #: _____________ Vehicle Year: _______ Make: ____________________ Model: ________________________ Color: _____________ License Plate #: ___________________ State: __________________ Student Parent Initial Initial

______ ______ I affirm the above information is true. ______ ______ I understand the privilege of parking on any Cherry Creek School District property is extended in exchange for granting consent to School & District Administration to search the vehicle without warning when the Administration has reason to believe the general welfare or safety of students & staff are threatened by items contained in the vehicle.

______ ______ I understand receipt of a parking permit is acknowledgement I have read & understand the parking policies outlined in the student/parent handbook and all CCSD/CCHS policies apply to my behavior as it relates to parking & driving on campus.

______ ______ I understand the speed limit on CCHS campus is 10 mph. ______ ______ I understand when someone rides in my vehicle, I am accepting legal responsibility for their safety. ______ ______ I understand under Colorado law, it may be illegal for me to transport other students in my vehicle. ______ ______ I understand any parking/driving violation may result in a ticket, fine, my vehicle being towed and my parking/driving privileges being suspended indefinitely. ______ ______ I understand I must park between the white lines ONLY.

________________________________________________________________ ______________

Student Signature I have read & understand the terms of this application. DATE

________________________________________________________________ ______________

Parent Signature I have read & understand the terms of this application. DATE

FOR SECURITY USE ONLY

DATE ________ INT_______

DO NOT WRITE IN THIS SPACE

(Optional)

5

DECAL #:_________________ STUDENT ID #:_____________________________

Students Name: _____________________________________________________

Last Name (print clearly) First Name

TAPE A COPY OF YOUR DRIVER’S LICENSE

HERE

TAPE A COPY OF

YOUR REGISTRATION HERE

5 CONT.

(OPTIONAL)  

     

To order your school portraits this year you can go online to order by going to mylifetouch.com and use the PICTURE DAY ID: CG056074Y0.

There are some additional backgrounds available online and we hope you like this new option for your school portrait packages.

• Go online to mylifetouch.com

• Create an account - Continue

• Select the Lifetouch School Portraits option

• Fill in the required fields with your student's information

• Cherry Creek High School's Picture Day Id is: CG056074Y0 -Continue

• Select your portrait package and complete payment

• Please print your confirmation and send it with your student to check-in

The online ordering process will be available approximately two weeks prior to check-in.

If you want to order your portraits using a check or cash, please print out the flyer and circle your choices. Send the payment with your student, in a separate envelope, to check-in and we will have forms at check-in to insure your order will be correct.  

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