Clark Middle School Registration Page

2012-13 Registration/Enrollment information

Schedules not activated or picked up on the assigned day will be dropped from the computer at the end of the day and students will have to reschedule. Your elective choices may be endangered by your failure to activate.

All students must register prior to the beginning of school. If you need assistance determining the school your child will attend, please use our online boundary tools or call Demographics at 907-348-5190. Address verification will be required during registration. Families new to the district may find our Newcomers' Guide helpful.

Pre-registered & returning middle school students
Tues., Aug. 7      8th grade       8 - 11 a.m.      noon - 3 p.m.
Wed., Aug. 8      7th grade      8 - 11 a.m.     noon - 3 p.m.
Wed., Aug. 8      6th, 7th & 8th grades      4 - 7 p.m.
Thur., Aug. 9      6th grade     8 - 11 a.m.     noon - 3 p.m.
Thur., Aug. 9      7th & 8th grades make-up day
*All locations closed 11 a.m. - noon for lunch

Registration forms
To be completed for ALL students for the 2012-13 school year

Anchorage School District (registration form)
This is required to register all students for the 2012-13 school year. Returning ASD students DO NOT need to complete this form. They will receive a pre-printed version at registration.

Release and disclosure of directory information
Use to designate what information may or may not be released about your student.

Survey permission form
This form regards parent/guardian consent for students to participate in certain school surveys.

Media release form
Used to grant parent/guardian permission for use of student information, photos, images, etc. for use in media projects.

Internet agreement for students
Sets out guidelines and permission for use of the district's Internet equipment and systems.

Health Forms
These forms are posted as PDF documents and they require the free Acrobat Reader to be viewed. Most forms are formatted so you can fill them out online, print them and then be mailed or dropped off at the school or department. Please be aware that due to the limitations of the free Adobe Acrobat Reader software you will be unable to save your changes unless you have a full version of Adobe Acrobat.

Health History Form 301
For all students - preschool, kindergarten, returning, new to ASD, and transfers

PPD Tuberculin Skin Test Consent or Exemption Form 363
For kindergarten, new to ASD (never enrolled before), and 7th grade

Required Immunization Statement for Provisional School Enrollment

Student Allergy Anaphylaxis Action Plan
Action plan form for students and staff

Information Release Forms

Authorization for Release of Immunization/TB Records
AK Department of Health and Social Services' authorization to release immunization and/or TB records

Consent for Release of Information
ASD's form authorizing release of health and educational information

Medication Related Forms

Authorization for Self-Carry/Administration of Medicine at School and After-School Activities Form 902
Parent permission form allowing for a responsible, trained student to carry and/or self administer prescription labeled medication for asthma, severe allergic (anaphylactic) reaction, or diabetes.

Long Term Non-Prescription Medication Request
Parent permission form for requesting the district give non-prescription medicine under certain conditions.

Long Term Request for Administration of Prescribed Medication Form 317B
This form or a written statement signed and dated by the physician is required for medication prescribed for more than 15 days.

Short Term Prescription Medication Request Form 317C
Parent permission form for allowing school personnel to administer health care provider prescribed short-term prescription medicines for a period of time not to exceed fifteen days.

Exemption Forms

Religious Exemption
Use this form to request an exemption from immunizations based on the tenets or practices of a church or religious denomination.

Medical Exemption Use this form to request an exemption from immunizations in situations where immunizations would be injurious to the health of the student or other household members.

Students Rights & Responsibility Handbook

This handbook contains most of what you need to know to have a successful year at Clark. It will be your responsibility to read this book and know its contents. If you do only those things you know are right and treat others as you would like to be treated, you will have a wonderful middle school experience. The administrators, teachers and staff are here to help you meet your goals. Work hard, abide by the expectations, and trust others when you need assistance, and success is all be guaranteed during your stay at Clark Middle School.

Sincerely,
Cessilye R. Williams, Principal