Stoney Creek

Elementary School
Parent Guide








Principal: Mary Newsome
Interim Principal: Lawrence Mayes
Assistant Principal: Bobbi Bigelow
Colors: Red and White
Mascot: Cardinal
980-344-1030


A PARENTS


1. Students may arrive on campus and proceed directly to classrooms starting at 7:30am. After
8:00am students must be escorted to the office and signed-in by an adult. Student safety is
our top priority.

2. Anyone picking up a student must be listed as a pick up person by parent/guardian and must
bring in a picture ID. To minimize disruptions at the end of the day, the school staff will
not call students to the office for dismissal after 2:20pm.

3. Attendance and Tardies Matters: In order to be successful, students need to attend school
every day and arrive on time unless they are ill.

4. Please make sure all emergency information is returned to school within one week of school
starting. Updates and changes of phone numbers are happen. Please be sure to keep the
school notified of changes in telephone numbers, addresses, work places, and emergency
contacts.

5. If you are changing dismissal plans for any reason, changes must be presented in writing.
Students need a signed note authorizing them to be a car-rider if their normal mode of
transportation is the bus.

6. For the safety of our children, all visitors, parents, and volunteers are required to check in
with the school secretary upon arrival and departure from the building and obtain a visitor
badge. Please bring a picture ID when signing in. We encourage all parents and visitors to
register as volunteers on the CMS website. We love to have volunteers in our building!

7. We believe in teaching our students the importance of appropriate dress for the appropriate
situation. We ask that students arrive to school clean, neatly dressed and ready to learn.

8. Classroom/School News The school will send home a Thursday Communication folder
that contains classroom news, requests for supplies, field trip dates, and curriculum
announcements. If you have any questions about class news, please contact your classroom
teacher. You may call or email your students homeroom teacher. In addition, other
communication from the district or school will also be sent home in this folder as it is
received.

9. Progress Reports -The goal of progress reports is to let students and parents know how each
student is performing mid-way through each quarter. Please take time to review your
students progress and set goals for the upcoming weeks.

10. Report Cards Its important to celebrate and set goals for continuous growth throughout
your students academic journey. Please take the time to review your students report card
with your student. In addition, we ask that all report cards are signed and returned to the
school the following school day.
1
st
Quarter: November 7
th


2
nd
Quarter: February 3rd 3
rd
Quarter: April 22
nd
4
th
Quarter: June 11
th






To the Stoney Creek Elementary School Family,

Welcome to Stoney Creek Elementary! We are excited about the changes that have taken place on our campus and
know that this will be the BEST year YET! This is our year to SHINE!

As a school, our mission each and every day is to Love Kids, Support Teachers, Involve Parents and Pass It On.
We believe our first priority is the safety of your student followed by a close second of creating a personalized
education to meet the needs of your student. As a parent, you are also important to us. We welcome you into our
building to serve in many different areas. We encourage each of you to join our Parent Teacher Association (PTA),
volunteer in our classrooms, participate in our School Leadership Team and much more. Our school is a community
of learners and families.

If you have any questions throughout the year, please do not hesitate to call me or email me. I look forward to
serving your student and you at Stoney Creek Elementary!

Sincerely,
Mr. Lawrance Mayes, Interim Principal



Student Enrollment:


The following policies and procedures are in effect for Stoney Creek
Elementary School:

Information Required for All Students:

Registration
Medical and Immunization Sheet
Medical Emergency Form
Parent Permission for release of school records from previous school
A copy of the child's Birth Certificate
Court decree to determine custody, if applicable
Social Security number
Proof of residency

Immunizations
In order to safeguard the school community from the spread of certain communicable diseases and in recognition
that prevention is a means of combating the spread of diseases, the Board of Education requires all students to be
immunized against poliomyelitis, rugeola, diphtheria, rubella (German Measles), pertussis, tetanus, and mumps.













ATTENDANCE

Student Attendance
In order to be successful, students need to attend school every day
unless they are ill. Excessive absences negatively impact student
performance. We understand that when students are ill, they may be
required to occasionally miss some days of school. If your child is out
more than three consecutive days the teacher will contact you to check
in and establish procedures for making up missed work.

Requests for Excused Absences
The principal may grant an excused absence for family emergencies,
such as funerals and other special circumstances. Federal legislation requires close monitoring of school attendance
to ensure that schools maintain an average daily attendance of 95%. In order to comply with this new law, requests
for absences will be carefully reviewed. Please schedule family vacations during the approved days off.

Tardiness
A student arriving late to school must first report to the office. Arrival after 8:00 A.M. is defined as tardy. A child
who is tardy must receive a tardy slip from the office before proceeding to class.

Early Dismissal
Dental and medical appointments should be scheduled after the regular school day. When it is necessary for a child
to be dismissed early, the parent is asked to send a note to the teacher explaining the reason and the time the child
will be picked up. Parents must sign a child out in the office before 2:20 in order for the child to be released.
PLEASE DO NOT GO TO THE CLASSROOM.

Excused Absence
Excused absences come under the following categories:
Illness/Accident
Death of a relative
Observance of Religious Holidays
Such good cause as may be acceptable to the principal

Excused absences allow work to be made up. While work can be made up, in class instruction cannot be made up on
a one to one basis.


Arrival and Dismissal

Arrival
Students may arrive on campus and proceed directly to classrooms starting at 7:30
am. After 8:00 am students must be escorted to the office and signed-in by an adult.
Unfortunately, before school care is not available through the ASEP program. .

Each time a child arrives late or leaves early, the instructional program is interrupted
for all students in the class. Parents, who frequently bring their children to school late
or pick them up early, are sending a very strong message to their children that education is not important. We expect
children to be in school from 8:00 until 3:00, except in the case of an emergency.





Dismissal of Students during School Hours
Please do not take students from school during school hours unless it is absolutely necessary. There might be times
when your child will need to attend medical appointments. Please send a written note to the teacher so that he/she
can adequately prepare to have your child ready for dismissal. All students are dismissed from the office. The
office staff will call the classroom when you arrive and you will sign the student out from the office. If you need
your child for an afternoon appointment, please arrange for an early dismissal prior to 2:20. To minimize disruptions
at the end of the day, the school staff will not call students to the office for dismissal after 2:20. For safety reasons,
staff will not dismiss students from the classrooms unless there is a school-wide dismissal due to inclement weather.

If you are changing dismissal plans for any reason, you must do so in writing. Students need a signed note
authorizing them to be a car-rider if their normal mode of transportation is the bus, also, if your child is riding home
with another student, we will need a signed note from BOTH families in order to approve the change.





Car Pooling Information


A bus stop and transportation is provided for all students. However, if
you decide that you would like to drive your child or children to
school, please take note of the information found below.

Arrival:
Enter the parking lot and proceed through the car line queue.
Pull all the way forward to the last space so we may unload as many children as possible.
Try your best to have your student prepared to exit the vehicle from the right side as soon as you reach
the front of the school. This would include having your hugs and kisses completed as well as having
lunch money stowed and papers signed.
Be observant and patient, so to set the best example for our children.
Arrival may begin at 7:30am. Students cannot be dropped off before 7:30am as we cannot provide for
their safety.
School begins at 8:00am promptly.

Dismissal:
Dismissal will begin for car riders by 2:50 p.m.
Please display your carpool number in the front window of your vehicle so that it can be seen by the
staff.
Please enter the parking lot from the far entrance of the parking lot and proceed through the car line
queue.
We would like to request for the safety of all of the students at Stoney Creek Elementary School that you
remain in your car and proceed through the car line. This will also keep the traffic moving.
Students will only be dismissed through the carpool line.
If you do not have your carpool number you will have to check your student out through the office.
If you have not been assigned a number, please see our staff in the office or request a form from a teacher
so that you may be assigned a number.
Pull all the way forward to the last space so we may load as many student as possible.

If your child will be a car rider at any point this year, parents need to have a number. Parents must have a number by
Friday, September 13. If you do not have a number by this date you will have to park and sign out your child in the
office with your photo identification.




TRANSPORTATION


Procedures have been formulated with the intention of providing maximum
safety for our students.


Bus Passes
For legal reasons and the safety of our students, any and all changes in routine dismissal procedures can only be
done with the written consent of the parent or guardian. A student will not be allowed to take a bus other than the
normally scheduled. Also, the bus driver will refuse to release a student at another stop without a bus pass.


Bus Regulations
Every student is expected to maintain good conduct on the bus. The driver needs to direct all attention to the bus
and traffic. Any violation of good behavior on the bus, or at bus stops, may result in revoking the privilege of riding
the bus for a period of time. Students denied bus privileges for disciplinary reasons are expected to be in school as
usual. Transportation of students who have had bus privileges suspended is the responsibility of the
parent/guardian. Absence from school due to a bus suspension is not a legal excuse and is considered truancy.
Parents should also become familiar with the school districts Transportations Safety which can be found at:
http://www.cms.k12.nc.us/cmsdepartments/PBIS/Pages/TransportationSafety.aspx




STUDENT DISCIPLINE



Stoney Creek Elementary School endorses a developmental model of student
discipline that supports student growth in a caring classroom environment. The
Student Rights and Responsibilities Handbook outlines the basic rights and
responsibilities of the Board of Education, parents/guardians, students, teachers and
administrators. It also lists behavioral violations and level of disciplinary action that
may be taken for each violation. Options for the first two levels of disciplinary action (conference and intervention)
can be found in the handbook.

As members of a learning community, students are expected to learn and follow classroom and school-wide rules in
order to gain the skills necessary for functioning as contributing members of a democratic society. We support the
use of conflict resolution and Positive Discipline. Teachers, along with students, should develop specific procedures,
positive reinforcement and consequences for the classroom. Students need a clean start every day. Consequences
should not be cumulative from one day to the next. If a student continues to break the same rule(s) day after day,
acceleration of the consequences for that particular rule(s) is appropriate or an individual behavior plan need to be
developed. When visiting Stoney Creek, visitors will observe these school wide expectations:









Stoney Creek Elementary School

Cardinal Rules

1. Be respectful toward all adults, peers, and property.
2. Act responsibly in all areas of the school.
3. Be caring and kind toward peers.
4. Listen and follow directions the first time.
5. Be honest and truthful to others.

District policies govern certain activities and behaviors. Your child will bring home a paper copy during the first
week of school with a page for parent signature. Procedures have been developed based on the laws and regulations
set forth. School and classroom discipline is discussed in detail beginning on page 9 of the Students Rights and
Responsibilities handbook. Electronic copies are available at:
http://www.cms.k12.nc.us/mediaroom/backtoschool/Pages/documents.aspx



STUDENT CONDUCT CODE

Part 1: RIGHTS AND RESPONSIBILITIES:
Students attend Stoney Creek under the direction of State Law and with the full benefits of constitutional protection
for their rights as citizens. They, therefore, can act, speak and behave as young citizens within the large scope of
options. This code is published in the RIGHTS AND RESPONSIBILITIES HANDBOOK. A copy of the policies and
regulations is located online at http://www.cms.k12.nc.us/mediaroom/backtoschool/Pages/documents.aspx
Part 2: PLEASE review with your child the CMS Student Rights and Responsibilities handbook.


CMS HANDBOOKS

A link to Stoney Creeks Handbook is located on the website, http://pages.cms.k12.nc.us/stoneycreek/, and the CMS
Rights and Responsibilities Handbook is located at
http://www.cms.k12.nc.us/mediaroom/backtoschool/Pages/documents.aspx
These handbooks contain important forms that need to be signed by a parent/guardian and returned to the school
within the first week of school. Please take the time to review behavior and bus information and expectations with
your student.

CAFETERIA

The school cafeteria will operate each day that school is in session. We
have an automated cafeteria system. Each child will be given a PIN
number that he/she must key in for each meal. Checks and cash must be
identified with the childs PIN number. Should you have questions
concerning the school lunch program, the cafeteria manager will be glad
to assist you. Menus are sent home monthly.




Free or Reduced Lunches
The necessary forms for qualifying families are available through the school office. If there is a question regarding
eligibility, please call the secretary. In addition, we have online applications this year for your convenience. A
computer will be available for you use.

Lunch Money
Checks should be made payable to Stoney Creek Elementary School Cafeteria. Notes about lunch charges are sent
home with students, and letters will be periodically sent home.


Lunch with Your Child
We encourage parents to visit and eat lunch as often as their schedule permits. Parents should sign-in in the office
and notify the teacher that they will be joining their child for lunch. Parents are welcome to eat in the cafeteria with
their student.




Indoors
Rain, temperature and/or wind chill 32 or below will dictate indoor recess. Administrator's discretion will be used.

Outdoors
Generally, a child who is well enough to attend school is also well enough to participate in outdoor recess. Please be
certain that your child is dressed according to the weather.

A parent note is required for a child to miss outdoor recess on a given day. A statement from the doctor should be
sent to school if your child is to miss outdoor recess for more than one day.

The physical education teacher will provide playground equipment. Students are not permitted to bring balls or
other equipment to school for playground use.



SCHOOL DRESS
We believe in teaching our students the importance of appropriate dress for the
appropriate situation. We ask that students arrive to school clean, neatly dressed and
ready to learn. Parents are asked to see that their children are dressed properly for
prevailing weather conditions. However, in cases in which the health, safety, and disruption
of the educational process results from a students clothing, the school administration
reserves the right to require that a student obey the standards that contribute to a safe,
orderly school.













The following examples include, but are not limited to, items of clothing which are prohibited at the discretion of the
administration of the Charlotte-Mecklenburg School District:

1. The wearing of clothing or accessories which are offensive and could cause the disruption of the operation
of the school. Items such as t-shirts or hats may fall in this category if they contain indecent or suggestive
language.
2. No undergarments of other tight clothing shall be worn as outer garments. This includes, but is not
limited to tank, tube or halter tops, spandex or leotard garments, mesh shirts or midriff tops which causes
inappropriate exposure of the skin of the student. Safe, appropriate footwear must also be worn.
3. Shorts that are excessively short or tight, such as but not limited to, physical education type shorts,
spandex or leotard type shorts, and cut-offs, etc. are not appropriate.
4. Clothing which advocates negative advertisements.
5. Footwear with attached wheels, heelies or FLIP FLOPS.

COMMUNICATION PROCESS


Website- Our website offers general information about the school as well as links to the
PTA, School Leadership Team and classroom teacher/grade level web pages. Visit us at:
www.cms.k12.nc.us/allschools/stoneycreek . Teacher websites also offer pertinent
information about classroom events, curriculum and homework. The School Leadership
Team and PTA also maintain links off the school website.
PowerSchool-The PowerSchool Parent Portal is an Internet-based program that helps parents tracks their childs
progress in school. For most grade levels, parents can see attendance, assignments, grades, disciplinary information
and other data from any computer with Internet access. Parents must have a username and password to access this
information. Parents may request a login name/password or password reset from the school. The CMS website has
more information on how to use PowerSchool.
Classroom News - Each classroom teacher sends home classroom news through email or paper copies. The timing of
the newsletters occurs either quarterly or by units of study. The classroom newsletter will contain items such as
requests for supplies, field trip dates, and curriculum announcements. If you have any questions about class news,
please contact your classroom teacher.
Progress Reports - The goal of progress reports is to let students and parents know how each student is performing
mid-way through each quarter. This is an opportunity for teachers to communicate how each child is doing
academically and socially in the classroom.
Report Cards - Students in grades two through five receive report cards at the end of each nine-week period, or
quarter. Students in K-1 will not receive a mid-quarter report the first nine-week report period. Parents are asked to
review these reports carefully with their children, sign and return the cards to school.







CONFERENCES
A vital part of any school is the communication between parents and
teachers. For this reason, specific dates are set aside for conferences.

1. The school district schedules a Fall conference. Teachers
will notify parents/guardians of the date and conference
time. To make the most of the meeting, both parents should
attend if possible. A Spring conference may be scheduled
for some students.
2. A conference may be held with a teacher or the Principal,
Assistant Principals at any time by calling the office for an
appointment. If you wish to give input into your child's
program or you have some other concern, please do not
hesitate to call. Remember, no concern is too small to be to
be addressed and resolved.

CUMULATIVE RECORDS
A student's Cumulative Record contains registration forms, attendance record, standardized testing data, and child
custody papers, if applicable. It may also contain data form a transferring school or other data pertinent to the child's
education.

Federal law provides that a parent/guardian has the right to review, upon request, the contents of the cumulative
record. The cumulative record is confidential. It is very important that this information be kept current. If there is a
change of address, phone number, doctor or persons to be notified in case of emergency, please inform the school
office.

Parents should notify the school office in writing of any change of address, telephone number, or other student
emergency information in a timely manner.

EMERGENCY EVACUATIONS

In the event that it becomes necessary to vacate the school building, emergency
evacuation procedures are in place. All students and staff will move to an alternative
site. Should we have to leave the campus, our students and staff will usually be
transported to a safe site determined at that time. Parent/guardians can watch the
local news to receive instructions on where and when to pick up their children.


FIRE AND TORNADO DRILLS

Throughout the school year, students are given safety instructions that include fire and tornado drills. Fire drills are
held monthly; tornado drills are held during tornado season. Procedures are posted in each classroom and children
are expected to remain quiet and orderly during drills.

SAFETY AND BUILDING SECURITY

Please enter only through the front door. Other doors are locked during all but specified portions of the day. All
visitors and volunteers must come directly to the main office and sign in.






SAFETY AUDITS

CMS requires each school to have several safety audits each year. The CMS Safety Department conducts these audits.
Safety teams question students and staff about their knowledge of the Student Rights and Responsibility Handbook
and lockdown plan. Student behavior, movement and supervision are also assessed as part of each audit.


SCHOOL CLOSING

In case of severe weather or calamity requiring school to be closed, the official announcement will be made over local
radio station and most other local radio stations. Local television stations will also carry the announcement. Please
do not call the school.

HEALTH

Clinic
The school is equipped with a health room to take care of first
aid situations. The school nurse is on call when not in the
building. The school nurse is only at Stoney Creek 2 days a
week. Please do not send your student to school when you
know they are ill. The teacher will send children who are ill or
injured to the health room. Clinic stays will be limited to 15
minutes.

Prescribed Medication
If your child is on medication, a written permission form signed by both parent and physician is required before
medicine can be dispensed at school. An adult must bring the medication to school in the original container, labeled
with your child's name and the dosage to be given. Please do not send medicine to school with your child.

Non-Prescribed Medication
Under no conditions will prescribed or non-prescribed medications be given without proper written permission from
a parent.

Sudden illness
If a child becomes ill at school, the nurse or secretary will determine if the child's complaint or appearance warrants a
call home. Generally, a temperature of 100 or above will require a child to be sent home. Parent contact will be
made according to the information on the emergency card.


Serious Injuries or Illness
Serious injuries will be given emergency care and parents will be notified immediately. If necessary, an ambulance
will be called to transport the child to the hospital. Parental preference for hospital will be communicated to the
ambulance driver; however, it will be his/her decision as to which hospital the patient will be taken.
Parents will be called to take the child home under the following conditions:

Serious injury
Abnormal temperature
Nausea or diarrhea
Unidentified rash
Suspected contagious disease
Suspected head lice
Other signs or symptoms of illness

A child should be fever free (less than 100 without medication) for 24 hours before returning to school.

A child diagnosed with strep throat must be on medication 24 hours before returning to school.

A child recuperating from chicken pox should remain out of school until all blisters are dry (approximately 7 days
from onset).

All cases of communicable diseases must be reported to the school office. Please notify the school nurse if a child
develops a chronic illness.

Health Record
Each child has a permanent Health Record on which pertinent health information is recorded. Please keep the school
notified of any health problems. All information is held confidential. Contact the nurse to discuss any health
concerns.

Emergency Cards
Emergency information must be returned to school within one week after school starts. Updates and changes of
phone numbers are necessary for the safety and well being of your child. Therefore, be sure to keep the school
notified of changes in telephone numbers, addresses, work places, and emergency contacts.



Parents will be notified concerning the location, date, time and purpose of the any field trip planned. Written
parental permission is required for field trips, and students must leave and return by means of school-approved
transportation. No child may go on a field trip without a signed emergency form on file. Information regarding
forms for some field trips will be made available in advance.


PARTIES
Foods have played an important role in the classroom over the years in areas of nutrition and science
education, celebrations, rewards and in many other ways. Recent changes in society and our environment
necessitate that we use foods in the classroom with a measure of caution and conduct all birthday celebrations
in the cafeteria during your childs scheduled lunch time.

Increases in food-borne pathogens that can cause severe illness, the threat of bio-terrorism and a great increase
in the number of children with potentially lethal food allergies dictate that care be taken with foods brought
from home and eaten in school. A policy, Students with Food Allergies, was adopted in April 2005 to
address these concerns. (The policy is printed on page 24.) In addition, the following cautions are to be
followed in all schools in order to protect the health and safety of children and staff: Any food shared in school
must be from an inspected commercial facility and must be labeled with its contents. (Ex: Harris Teeter cupcakes, with a
printed list of ingredients from the HT bakery, packaged crackers.)








PTA

The members of the PTA are dedicated to helping the schools provide
the richest possible learning environment. This help is provided in two
major ways - through fund-raising and volunteer programs. Parents are
encouraged to participate as volunteers in our school. Please contact the
school office, parent coordinator, or a teacher for more information on
helping in our school.


TELEPHONES

In circumstances, which pertain to your child's well being, your child will be permitted to call home from the office.
In an effort to teach students responsibility, we refrain from permitting them to call home for forgotten assignments,
lunches, musical instruments and other articles. Cells phones may be used in emergency situations only. The phone
is to be on vibrate at all times. Stoney Creek Elementary is not responsible for any lost/stolen phones. If a student is
found in violation of this expectation, the phone will be taken and given to the school administrator.



TEXTBOOKS

Textbooks are issued to each student at the beginning of the school year and collected at year's end. Students are
responsible for keeping textbooks in good condition. Parents will be asked to pay for any damaged or lost books.



VISITORS

We appreciate and encourage parental involvement. Parents and visitors are always welcome at
Stoney Creek Elementary School. For the safety of our children, ALL visitors, parents, and
volunteers are required to be registered through CMS and check in with the school secretary, obtain
a visitor badge and sign the Visitors Book upon arrival and departure from the building. Please
also bring a photo ID. State law requires that all parents, visitors and staff volunteers report to the
office. Parents are not to go to the classrooms without the permission of the office staff, even for
a scheduled appointment with the teacher.

Visitor and parent parking are provided in the main lot. No parking is permitted in the bus lot (except for programs,
concerts, etc.) or in the fire lane in the front of the school.

School personnel are encouraged to question any unknown adult in the building who is not identified by a visitor or
volunteer badge. The ultimate goal is the safety and security of all students in our care.

We welcome parents but also protect the instructional time of the day. We ask that all classroom visits and
conferences be scheduled with the homeroom teacher in advance. Parents who wish to observe in their childs
classroom are to make arrangements in advance with the administration and teacher.




VOLUNTEERS

Each year parents serve many hours. Volunteers share their time, talent, and skills
and work under the direction of the teachers or the principal. Any parent interested
in doing volunteer work should contact the school. Background checks must be
completed through CMS prior to volunteering. Volunteers are required to sign in
upon their arrival and receive a volunteer badge from the school secretary. Please
follow the procedures on the website to register. How to Register Go to:
www.cmsvolunteers.com Click New Volunteer? Click Here to Register




WITHDRAWALS
If you do happen to leave CMS, please notify the office a week in advance so that the necessary transfer and release
forms may be completed. It is important to know the date of withdrawal, the new address, and the name of the new
school the student will be attending. Parents need to visit the office to sign withdrawal forms, return school-owed
books and resolve any fees. Necessary documents will be mailed to the new school.



CO-CURRICULAR PROGRAMS AND SERVICES
Stoney Creek Elementary School offers many programs as adjuncts to the prescribed curriculum. The purposes of
these programs are to promote learning, teach and reinforce positive behavior, and develop individual potential.































2014-2015 School Calendar

First day of school August 25, 2014
Labor Day Holiday September 1, 2014
Teacher Workday October 31, 2014
Veterans Day Holiday November 11, 2014
Thanksgiving Break November 26-28, 2014
Winter Break Dec. 22, 2014 -Jan. 2, 2015
Martin Luther King, Jr. Holiday January 19, 2015
Teacher Workday January 23, 2015
Teacher Workdays February 13-16, 2015
Teacher Workdays March 12-13, 2015
Spring Break April 3-10, 2015
Memorial Day Holiday May 25, 2015
Last day of school June 11, 2015

School will not be in session for students on the holidays, breaks and teacher workdays listed above unless a make-
up day is scheduled.

Report Card Dates
Nov. 7
Feb. 3
April 22
June 11

Below is a link to the CMS Calendar:
http://www.cms.k12.nc.us/mediaroom/calendars/Documents/2014-15%20School%20Calendar-
Revised%20May%202014.pdf

Contacts
Stoney Creek Elementary School
14015 Mallard Roost
Charlotte, NC 28269
(980) 344-1030 Phone
(980) 343- 1833 Fax
www.cms.k12.nc.us/allschools/stoneycreek
















































Please complete form and return to your students school.

STUDENT EMERGENCY DISMISSAL FORM

In the event of an emergency, act of God or any other condition requiring the termination or early dismissal of
classes, the Superintendent of Charlotte-Mecklenburg School may suspend the operation of the school day. Stoney
Creeks After School Enrichment Program would also be closed. In the event that school is dismissed early
FOR ANY REASON, my child is to:

_________ Ride the bus, as usual
_________ Ride in a car, as usual
_________ Ride in daycare van, as usual
_________ Alternative Plan (Please indicate)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________


Student Name:
Address:
Homeroom Teacher:
Home phone:
Cell phone:
Parent Name:
Workplace:
Workplace Phone:
Email:


Parent Signature Date







CMS Student Textbook Accountability Standards

Agreement for Students Enrolled in CMS

Charlotte-Mecklenburg Schools teachers and administrators are committed to providing students with textbooks
during the first 10 days of school and promise to work together to promote a sound and positive teaching and
learning experience for each student. This contract is an agreement to work in partnership to ensure the successful
attainment of our mutual goal.
As a student, I pledge to
use textbooks appropriately
avoid damaging and losing textbooks
pay for textbooks that I damage or lose
Students Signature:_____________________________________________
Date:_______________________________
-------------------------------------------------------------------------------------------------------------------------------------
As a parent/guardian of _____________________________________________, I pledge to
encourage appropriate use of textbooks and monitor the textbooks my child brings home from school
support the school staff in their efforts to provide my child with the textbooks needed for learning
monitor the textbooks my child brings home from school
encourage my child to be responsible for the proper use of the textbooks
return textbooks at the end of the year, or if my child moves to another school within or outside the district
pay for textbooks that are damaged or lost
Parent/Guardian Signature:______________________________________
Date:________________________________
-------------------------------------------------------------------------------------------------------------------------------------
As a teacher, I pledge
explain my expectations and instructional goals to students and parents during orientation and throughout the
year
assign textbooks to students being careful to evaluate the book before issuing it to the student
provide a challenging, caring, learning environment, using the textbook as a teaching tool to support the
North Carolina Standard Course of Study
maintain accurate records on textbooks
collect and issue a receipt for lost and/or damaged textbooks
Homeroom Teachers Signature: __________________________________
Date:_____________________________
-------------------------------------------------------------------------------------------------------------------------------------
The principal, as the instructional leader of the school, is committed to providing your child with the textbooks
needed to support the North Carolina Standard Course of Study. Parental involvement is essential as we work to
give your child the best educational experiences possible.
FOR SCHOOL USE ONLY
Issued Textbooks for the _____ - _____ School Year
Subject Course # Title Book # Condition Cost Teacher #
1.
2.
3.
4.
5.
6.
7.






Please complete form and return to your students school.
Responsabilidade s del Estudiante
sobre los Libros de Texto de CMS

Acuerdo para los estudiantes matriculados en CMS
Los maestros y administradores del sistema escolar de Charlotte-Mecklenburg se comprometen a proveer libros de
texto a los estudiantes durante los 10 primeros das de clase y prometen trabajar en colaboracin para promover una
enseanza positiva y una buena experiencia de aprendizaje para cada estudiante. Este contrato es un acuerdo para
trabajar en colaboracin y asegurar el xito de nuestros objetivos mutuos.

Como estudiante, yo prometo
usar los libros de texto apropiadamente,
evitar daar y perder los libros de texto,
pagar por los libros de texto que yo dae o pierda.
Firma del Estudiante_____________________________________________
Fecha______________________________

Como padre/guardin de ___________________________________________, yo prometo
animar al uso apropiado de los libros de texto y vigilar los libros de texto que mi hijo trae de la escuela
apoyar al personal de la escuela en su esfuerzo de proveer a mi hijo con los libros de texto necesarios para el
aprendizaje
vigilar los libros de texto que mi hijo trae a casa de la escuela
animar a mi hijo a que sea responsable del uso adecuado de los libros de texto
regresar los libros de texto al final del ao escolar o si mi hijo se traslada a otra escuela dentro o fuera del distrito
pagar por los libros de texto daados o perdidos
Firma del Padre/Guardin__________________________________________
Fecha_____________________________

Como maestro, yo prometo
explicar mis expectativas y objetivos educativos a los estudiantes y a los padres en la orientacin y durante el ao
asignar libros de texto a los estudiantes y evaluar detenidamente los libros antes de entregarlos a los estudiantes
proveer un ambiente educativo de retos y afectuoso, utilizando los libros de texto como una herramienta de
enseanza para apoyar el Plan General de Estudios de Carolina del Norte
mantener un registro preciso de los libros de texto
recoger y hacer un recibo para los libros de texto daados o perdidos

Firma del Maestro________________________________________________
Fecha______________________________
El director, como el lder de instruccin de la escuela, se compromete a proveerle a su hijo los libros de texto que se
necesiten para apoyar el Plan General de Estudios de Carolina del Norte. La participacin de los padres es esencial
mientras trabajamos para dar a su hijo la major experiencia educativa posible.

FOR SCHOOL USE ONLY (Para Uso Exclusivo de la Escuela)
Issued Textbooks for the _____ - _____ School Year
Subject Course # Title Book # Condition Cost Teacher #
1.
2.
3.
4.
5.
6.
7.

Participation in Physical Education
(Grades K-12)
All students shall participate in physical education. No student shall be permitted to waive or
substitute other classes for the physical education requirement except as follows: Suitably
adapted physical education shall be included as part of the Individualized Education Program for
students with a chronic health problem, other disabling conditions, or other special needs that
preclude following the Physical Education portion of the Essential Standards:
http://www.ncpublicschools.org/acre/standards/new-standards/. (IDEA:
http://www2.ed.gov/policy/ speced/leg/idea/idea.pdf ).

Name of student:_____________________________________________________________________
Teacher:_______________________________________________________________
Grade:_____________________________________
School:_____________________________________________________________________________
Please Check One:
My child is able to fully participate in physical education.
I would like the physical education teacher to be aware of the following health concerns (e.g., diabetes, allergic
reactions, asthma, heart conditions) that may require modifications or a specially designed physical education
program:


Signature of parent/guardian:___________________________________
Date:_______________________________

Participacin en las Clases de Educaci n Fsica
(Grado K-12)
Todos los estudiantes deben participar en la clase de educacin fsica. No se le permitir que
ningn estudiante renuncie o la substituya por otras clases exceptuando: La educacin fsica
adaptada incluida como parte del programa de Educacin Individualizada del Estudiante con
problemas mdicos crnicos, otras discapacidades u otras necesidades especiales que impiden
seguir con la seccin de Educacin Fsica del Plan de Estudios de Carolina del Norte,
http://www.ncpublicschools.org/acre/standards/new-standars-.
(IDEA:http;//www2.ed.gov/policy/speced/leg/idea/idea.pdf ).
Nombre del
estudiante_______________________________________________________________________________
Maestro_______________________________________________________________
Grado______________________________________
Escuela_______________________________________________________________________________________
_________
Por favor, marque una opcin:
Mi hijo puede participar totalmente en la clase de educacin fsica.
Me gustara que el maestro de educacin fsica supiera las siguientes condiciones mdicas que requieren
modificaciones o un programa de educacin fsica especialmente diseado (ejemplo: diabetes, alergias, asma y
condiciones cardacas).
_____________________________________________________________________________________________

Firma de padre/guardin____________________________________________
Fecha___________________________

Photo and Video Release Form
I grant Charlotte-Mecklenburg Schools the unlimited right to use and/or reproduce photographs*, likenesses or the
voice of my child in any legal manner and for the internal or external promotional and informational activities of
Charlotte-Mecklenburg Schools. I also agree to allow my child to be interviewed and/or photographed* by
representatives of the external news media and CMS Communications in relation to any and all coverage of
Charlotte-Mecklenburg Schools in which he/she is involved. I also agree to allow my childs work and/or
photograph* to be published on the Charlotte-Mecklenburg Schools website/Intranet Web pages and in CMS
publications. I further understand that by signing this release, I waive any and all present or future compensation
rights to the use of the above stated material(s).

School
name:_____________________________________________________________________________________

Students name:_________________________________________ Homeroom
teacher:_________________________

Parent/guardian signature:___________________________________________Date:________________________

Parent/guardian name (Print):_____________________________________________________________________

Parent/guardian address:_________________________________________________________________________

* Photograph in this Release Form is intended to only refer to photos and videos of
your child alone. Group photographs and videos (two or more children), with no
additional identifying information, are considered Directory Information. Please review
the FERPA information sheet in the Parent-Student Handbook.

This information to be completed by school officials only.

Your
Name:________________________________________________________Date:___________________________
_

Type of Material
o Photograph
o Slide
o Videotape
o Other (please specify)_________________________________________________________________________
Use of Material
(Please provide additional information such as name of news outlet, brochure, purpose of presentation, etc.)
o News outlet_________________________________________________________________________________
o CMS website/Intranet site(s)___________________________________________________________________
o Brochure____________________________________________________________________________________
o PowerPoint presentation_______________________________________________________________________


Please complete form and return to your students school.


Please complete form and






Planilla para la Autorizacin de la Toma de Foto
s y Vdeosretu
Yo autorizo a las escuelas de Charlotte-Mecklenburg el derecho ilimitado a usar y/o reproducir
fotografas*, semejanzas o la voz de mi hijo de cualquier forma legal para el uso promocional interno o
externo y para actividades informativas de las escuelas de Charlotte-Mecklenburg. Tambin estoy de
acuerdo en permitir que se entreviste a mi hijo y/o sea fotografiado* por los representantes de los medios
de comunicacin externos y de CMS Communications en relacin a cualquiera y toda la cobertura de las
escuelas de Charlotte-Mecklenburg en las que el/ella este participando. Tambin estoy de acuerdo en
permitir que se publique el trabajo de mi hijo y/o fotografa* en las pginas Web de las escuelas de
Charlotte-Mecklenburg, publicaciones de CMS o de CMS TV. Tambin estoy de acuerdo de que el
trabajo y/o fotos de mi hijo se publiquen en el sito Web y las pginas de Internet de Charlotte-
Mecklenburg y en las publicaciones de CMS. Tambin entiendo que al firmar esta autorizacin, renuncio
a cualquier compensacin por los presentes o futures derechos para el uso de los material(s) arriba
mencionados.

Nombre de la
escuela_________________________________________________________________________________
Nombre de la estudiante_____________________________________ Nombre del maestro___________________
Firma del padre/guardin__________________________________________
Fecha____________________________
Nombre del padre/guardin (escriba en imprenta)____________________________________________________
Direccin del
padre/guardin_________________________________________________________________________
* Cuando se refiere a fotografa, en sta planilla, nicamente se refiere a las fotografas y
los videos de su hijo slo. Las fotografas de grupo y los videos (dos o ms nios), sin
informacin de identificacin adicional, se consideran como Informacin del Directorio. Por
favor, consulte la hoja de informacin de la Ley Federal de los Derechos de Educacin y
Privacidad de la Familia (FERPA) en el Manual de Padres-Estudiantes.rn to

This information to be completed by school officials only.
(Esta informacin debe ser completada solo por personal de la escuela)
Your Name:_____________________________________________________________ Date:_
_________________________________
Your
Name:________________________________________________________Date:___________________________
_

Type of Material
o Photograph
o Slide
o Videotape
o Other (please specify)_________________________________________________________________________
Use of Material
(Please provide additional information such as name of news outlet, brochure, purpose of presentation, etc.)
o News outlet_________________________________________________________________________________
o CMS website/Intranet site(s)___________________________________________________________________
o Brochure____________________________________________________________________________________
o PowerPoint presentation_______________________________________________________________________







S
MEDICATION AUTHORIZATION FOR CMS STUDENTS
School name:_____________________________ Telephone:_____________________
Fax:_______________________
To the parent or guardian of:________________________________________ Birth date:_____________________
In order to help protect your childs health, your consent and written authorization from a licensed healthcare
provider are required when it is necessary for your child to receive either prescription or non-prescription medicines
in the Charlotte-Mecklenburg Schools. No medications will be given to your child at school until this authorization
has been received. A separate form is required for each medicine. New authorization forms are required every year
at the beginning of school, whenever the dose or directions change, or when a new medicine is prescribed. It is your
responsibility to provide all medicines to be given at school. Each medicine must be in an appropriately labeled
original container from the pharmacy or healthcare providers office. Most pharmacies will provide an extra
container for school use upon request. A completed authorization is also required for the administration of non-
prescription medicines at school.
----------------------------------------------------------------------------------------------------------------------------- ---------------
PARENT OR GUARDIANS PERMISSION: I give permission for my child to receive the medicine
described below during school hours. I understand that it is my responsibility to purchase and supply this medicine.
On behalf of my child, I absolve the Charlotte-Mecklenburg Board of Education and their agents and employees
from any and all liability whatsoever that may result from my child taking this medicine at school.
Signature of parent or guardian:______________________________________ Date:_ _______________________
Contact numbers_______________________________________________________________________________
(pager or mobile, work, home telephone #s)
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FOR LICENSED HEALTHCARE PROVIDER USE ONLY: (Please write legibly using lay terms.)
Medication
prescribed:_______________________________________Strength/dose:__________________________
Specific Directions:
[include exact amount to give, at what time and/or how often, relationship to meals, specific indications, e.g. if prn
(as needed)]
Purpose of medication:__________________________________________________________________________
Relationship to meals, if applicable:________________________________________________________________
How often and at what time (hour):_________________________________________________________________
Specify side effects or adverse reactions: ___________________________________________________________
Other instructions (including emergency situations):__________________________________________________
Please check all appropriate items. If either of the first two items is checked, please complete the form on
page 6.
Please allow this student to self-administer this medication while at school during school hours. (must complete
the form on page 6)
This student should carry the medication with him/her at all times during the school day, while at school
sponsored events, or while in transit to or from school or school-sponsored activities. (must complete the form on
page 6)
This medication is to be used for emergencies only. It is necessary for this student to receive this medication
during school hours in order to maintain or improve health and to benefit from school attendance. Please notify the
principal and/or school nurse and parents/guardians if there are any problems.

Signature of healthcare provider:_____________________________Providers last name (Print):_____________

Practice name or address:_____________________________________________________________________

Telephone:______________________________________ Fax:_____________________

Date:______________________
-------------------------------------------------------------------------------------------------------------------------------------
For School Use Only :
Signature of healthcare provider:__________________________ Providers last name (Print):______________
complete form and return to your students school.

Autorizacin para Tomar Medicamento s para los
Estudiantes de CMS
Nombre de la escuela________________________________ Telfono___________________
Fax:_________________
Para el padre o guardin de______________________________________ Fecha de nacimiento_______________

Para poder proteger la salud de su hijo, se requiere que usted y un mdico que ejerza la profesin, lo autoricen por
escrito cuando su hijo tenga que tomar medicinas con o sin receta mdica en el sistema escolar de Charlotte-
Mecklenburg. No se le administrarn medicinas a su hijo hasta que no recibamos sta autorizacin. Se requiere una
planilla por separado para cada una de las medicinas. Se requiere una autorizacin nueva todos los aos al inicio del
ao escolar o cuando la dosis o las instrucciones cambien o cuando se recete una nueva medicina. Es su
responsabilidad el proporcionar a la escuela de todas las medicinas que se tienen que administrar. Cada medicina
debe estar etiquetada correctamente en su frasco original de la farmacia o del consultorio del doctor. La mayora de
las farmacias le darn un frasco adicional para la escuela si lo solicita. Tambin se requiere una autorizacin para
poder administrar en las escuelas las medicinas sin recetas.

Permiso del padre o guardin: Yo doy permiso a que se le d a mi hijo sta medicina durante el horario
escolar. Comprendo que es mi responsabilidad el comprar y suministrar sta medicina. En nombre de mi hijo
absuelvo a la Junta Directiva de Educacin de Charlotte-Mecklenburg, a sus agentes y empleados de cualquier tipo
de responsabilidad que pudiera resultar por el hecho de que mi hijo tome sta medicina en la escuela.

Firma del padre o guardin_________________________________________
Fecha_____________________________
Nmeros de
telfonos________________________________________________________________________________
(localizador, celular, casa, trabajo etc.)

FOR LICENSED HEALTHCARE PRO VIDER USE ONLY: (Please write legibly using lay terms.)
(Para Uso Exclusivo del Mdico)
Medication prescribed:________________________________________ Strength/dose:_______________________

Specific Directions:
[include exact amount to give, at what time and/or how often, relationship to meals, specific indications, e.g. if prn
(as needed)]
Purpose of
medication:________________________________________________________________________________
Relationship to meals, if
applicable:___________________________________________________________________
How often and at what time
(hour):____________________________________________________________________
Specify side effects or adverse reactions:
_____________________________________________________________
Other instructions (including emergency situations):_________________________________________________

Please check all appropriate items. If either of the first two items is checked, please complete the form on
page 6.
Please allow this student to self-administer this medication while at school during school hours. (must complete
the form on page 6)
This student should carry the medication with him/her at all times during the school day, while at school-
sponsored events, or while in transit to or from school or school-sponsored activities. (must complete the form on
page 6)
This medication is to be used for emergencies only. It is necessary for this student to receive this medication
during school hours in order to maintain or improve health and to benefit from school attendance. Please notify the
principal and/or school nurse and parents/guardians if there are any problems

Signature of healthcare provider:________________________ Providers last name (Print):_________________
Practice name or
address:__________________________________________________________________________
Telephone:_____________________________________ Fax:______________________
Date:______________________
For School Use Only: (Para Uso Exclusivo de la Escuela)
Signature of healthcare provider:_____________________________ Providers last name (Print):____________
Parent Revocation of Student Internet Access
Parents who do not want their child to be able to access the CMS Network or
use the Internet while at school must complete this form and return it to their
childs school.

I do not want my child, ________________________________, to be allowed to use a
Charlotte-Mecklenburg Schools computer to access the CMS Network or the Internet. By my
signature below, I also acknowledge that without access to the Internet and the CMS Network,
my child will not be able to do all or some of the following activities that use the CMS Network
or the Internet while at school:

Use any computer on the CMS Network (this is because networked computers
automatically access the Internet and the CMS Network and require students to accept the
Student Internet Use Agreement before they can use the computer for any purposes)
Access the school media center catalog of books
Use online learning tools such as Accelerated Reader
Do online research
Work with another student who is using a networked computer

Students full name (printed):
Last:_________________________________ First:______________ __________ Middle:____________________
Date of birth:__________________________________ Student ID#:____________________ Grade:________
School:_ __________________________________________________
Homeroom teacher:_______________
Address:______________________________________________________
Home telephone:_____________________
Parents name
(Printed):______________________________________________________________________________
Address (if different from students):_________________________________________________________________
Phone numbers:
Home:_______________________________________________Work:_________________________
Parent/guardian
signature:_______________________________________Date:______________________________




















Negacin de los Padres para el Acceso de Internet
del Estudiante



Para los padres que no quieran que sus hijos tengan acceso a la Red de CMS o
el uso de Internet en la escuela, deben completar esta planilla y regresarla a la
escuela de sus hijos.

Yo no quiero que a mi hijo,________________________________________, se le permita el
uso de los computadores de Charlotte-Mecklenburg Schools para acceder a la Red de CMS o de
Internet. Con mi firma, adems entiendo que sin el acceso a Internet y a la Red de CMS mi hijo
no podr realizar todas o algunas de las siguientes actividades que usa la red de CMS o el
Internet cuando se encuentre en la escuela:

Usar cualquier computador de la Red de CMS (esto se debe a que todos los
computadores conectados en Red automticamente tienen acceso al Internet y a la red de
CMS y para ser aceptado se requiere que el estudiante acepte el Acuerdo del Uso de
Internet del Estudiante antes de poder usar el computador para cualquier propsito)
Acceso al catlogo de libros de la biblioteca de la escuela
Usar herramientas de aprendizaje en Internet tal como, Accelerated Reader
Hacer investigaciones usando el Internet
Trabajar con otro estudiante que este usando un computador de la red

Nombre completo del estudiante (letra imprenta)

Apellido______________________________________ Nombre________________ Segundo
Nombre_____________

Fecha de nacimiento____________________________ No. de ID del estudiante_________ Grado______________

Escuela____________________________________________________ Nombre del
Maestro______________________

Direccin_________________________________________________ Telfono de la
casa________________________

Nombre del padre/guardin (letra imprenta)_ ________________________________________________________

Direccin (si es diferente a la del estudiante)__________________________________________________________

Nmeros de Telfono: Casa____________________________________
Trabajo________________________________

Firma del padre/guardin__________________________________
Fecha___________________________________







Charlotte-Mecklenburg Schools
20132014
Student Rights, Responsibilities and Character Development Handbook

CODE OF STUDENT CONDUCT
Student and Parent Acknowledgement and Pledge
The Code of Student Conduct has been developed to help your child receive quality instruction in an
orderly educational environment. The school needs your cooperation in this effort. Therefore, please
(1) review and discuss the Code of Student Conduct with your child and (2) sign and return this sheet
to your childs school. Should you have any questions when reviewing the Code of Student Conduct,
please contact your childs school principal. You may access an electronic copy of the handbook on
the CMS website: www.cms.k12.nc.us. You may also access a paper copy at your childs school or
at any Charlotte Mecklenburg library branch.

NOTE: FAILURE TO RETURN THIS ACKNOWLEDGEMENT AND PLEDGE WILL NOT
RELIEVE A STUDENT OR THE PARENT/GUARDIAN FROM BEING RESPONSIBLE
FOR KNOWING OR COMPLYING WITH THE RULES CONTAINED WITHIN THE CODE
OF STUDENT CONDUCT.

I have reviewed the Code of Student Conduct, and I understand the rights and responsibilities
contained therein.
Parent:__________________________________________________________________________

To help keep my school safe, I pledge to show good character, work to the best of my ability and
adhere to the guidelines established within the Code of Student Conduct.
Student:_________________________________________________________________________

Date:_________________________________________