Oasis Enrollment - Oasis Charter Public School

Child's Information

Name(Required)

First Middle Last

Child's Nickname

Birth Date

Birth Place

Gender(Required)

Male

Female

Grade Child Will Enter 2023-2024(Required)

District of Residence(Required)

Last School Attended

Student Lives With(Required)

Family Information

Untitled(Required)

Mother

Step Mother

Guardian

Name

First Last

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Separare Mailing Address?

Yes

Mailing Address

Street Address Address Line 2 City State ZIP Code

Home/Mobile Phone(Required)

Work Phone

Untitled(Required)

Father

Step Father

Guardian

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Separare Mailing Address?

Yes

Mailing Address

Street Address Address Line 2 City State ZIP Code

Home/Mobile Phone(Required)

Work Phone

Parent Education Level: Check the response that describes the highest education level of parent/guardian(s):

Not a high school graduate

Some College (includes AA degree)

Graduate school/postgraduate training

High school graduate

College graduate

Ethnicity / Race

Ethnicity: Is this student/staff member Hispanic or Latino?(Required)

No, not Hispanic or Latino

Yes, Hispanic or Latino

The above part of the question is about ethnicity, not race. No matter what you selected above, please continue to answer the following by marking one or more boxes to indicate what you consider your race to be. MUST ANSWER BOTH QUESTIONS.

Race: What Is the race of this student? (Select one or more)(Required)

Special Education

Has your child ever been evaluated for special education or received special education services?(Required)

Yes

If yes, please answer the following:

Which class or service did your child attend? (Check all that apply).(Required)

SPEECH

LH/SDC

ED/SDC

CH/SDC

ADAPTIVE P.E.

OTHER

Has your child ever attended a special education class?

Yes

If so, when

Was this in a

Public School

Private School

Name of School

Residence

Where is your child/family living? (Federally mandated by NCLB: Please check appropriate box)(Required)

In a single family permanant residence (house, apartmentm, condo,mobile home)

Doubled-up (sharing housing with other families/individuals due economic hardship, loss, or other reason))

In a sheltered or transitional housing program

In a motel/hotel

Unsheltered (car/campsite)

Parent/Guardian Signature(Required)

OCPS will not discriminate on the basis of race, color, sex, national and ethnic origin, age, religion, or disability in the administration of its educational, admission and athletic policies and other school-administered programs.

EMERGENCY FORM

Child's Name

First Last

Emergency Contacts In case my child becomes ill or injured at school and parent contact cannot be made, you may contact or release my child to the following: The following people are also allowed to pick my child up after school.

Emergency Contact Name 1(Required)

Relationship

Phone

Emergency Contact Name 2(Required)

Relationship

Phone

Emergency Contact Name 3(Required)

Relationship

Phone

Health Care Provider(Required)

Health Care Provider Phone

Name of Medical Insurance(Required)

Policy Number

Medical Condition

Yes

My Child receives regular care for the following medical conditions

Allergies

Date of last reaction

Check all that apply(Required)

Requires Epinephrine

Asthma

Diabetes

Insuline Required

Seizures

Does your child have any other major health issue(s)? Please list

Is your child taking medication(s)?

Please list one medication and frequency per line

Other children in the family

List one name, age and relationship per line

In an emergency, when we cannot be contacted, the school authorities or parent volunteers have our permission to use their best judgment in the interest of our child’s health and welfare. The school assumes no financial responsibility or legal liability. If emergency service involving medical action or treatment is required and neither parent nor the family physician can be reached for consent, the parent hereby consents to the rendering of such emergency medical service for the above named students as shall be necessary in the opinion of the adult performing supervision.

Signature of Parent or Guardian(Required)

HOME LANGUAGE SURVEY

The California Education Code requires schools to determine the language(s) spoken at home by each student and the dates they first enrolled in schools in the United States. This information is essential for schools to provide meaningful instruction for all students. Your cooperation in helping us meet this important requirement is requested. Please answer the following questions and return this form to the office. Thank you for your help.

Name

First Last

FIRST ENROLLED IN A CALIFORNIA PUBLIC SCHOOL:

DATE FIRST ENROLLED IN ANY SCHOOL IN THE UNITED STATES:

Which language did your son or daughter learn when he or she first began to talk?

What language does your son or daughter most frequently use at home?

In what language do you most frequently speak to your son or daughter?

What language is spoken most often by the adults at home?

Signature of Parent or Guardian(Required)

Income Survey

Child's Name

First Last

How many adults are there in the household?

How many children are there in the household?

For School use only, total monthly income:

Please circle all services that you are receiving:

CalFRESH

CalWORKS

Kin-GAP

FDPIR

This information is confidential and will only be used to determine eligibility for state funds through the California Department of Education for the school year 23-24. This information will not be divulged for any other reason.

Signature of parent/guardian(Required)

Field Trip Permission

My child

First Last

has my permission to participate in the following school authorized field trips:

Select all that are authorized

Lunchtime playground activities and Enrichment Club activities.

School field trips within walking distance of school.

School field trips involving car pooling with parent volunteers as drivers. (Parents will be notified with additional Form)

Parent/Guardin Fieldtrip permission signature(Required)

I hold Monterey County Office of Education, the UCEN Board of Directors, and Oasis Charter Public School, its Faculty, Agents and Employees harmless from any and all liability or claims which may arise out of or in connection with my child’s participation in any school authorized field trip.

In an emergency when I cannot be contacted, the school authorities have my permission to use their best judgment in the interest of my child’s health and welfare. The school assumes no financial responsibility. If emergency services involving medical action or treatment is required and neither parent nor the family physician can be reached for consent, I consent to the rendering of such emergency medical service for the above named student as shall be necessary in the opinion of the medical staff rendering service.

PERMISSION SLIP FOR PHOTOGRAPHING YOUR CHILD

From time to time we take pictures during activities. We would like your permission to use these pictures on our website, advertisement, or in our tri-fold. We will never reference your child by name or provide any specific information regarding your child. We also will never sell these pictures; we will use them exclusively for Oasis purposes.

Please take a moment to let us know your preferences regarding our use of photos of your children:

YES, I grant you permission to use photos of my child.

NO, Please do use any photos of my child.

Parent/Guardian’s Signature:

Family Participation AGREEMENT for 2023-2024

By enrolling my child at Oasis Charter Public School, in agreement with the school’s charter, I commit to support the school and my child’s education by:

Attending BOTH All Family Meetings.

Please initial

Attending the parent-teacher conferences.

Please initial

Participating in school wide events.

Please initial

Having my child to school on time and making every effort to ensure my child attends school every day.

Please initial

Supporting the Oasis Charter Public School by modeling appropriate behavior at school.

Please initial

Parent/Guardian’s Name

First Last

Parent/Guardian’s Signature

Family Participation Options

Classroom Support Position ● Coordinate with your child’s teacher to help with needs in the classroom.

Individual Support Position (Do you have a talent/skill you would like to share with Oasis?)

School-wide Leadership Position ● Leadership position on the OCC, be a Program Coordinator. School-wide Support Position ● Participate on a school wide committee, help with recess duty, or maintenance needs. ● School-wide events to participate in for the 2023-2024 school year include: School Camping Carnival (Sept) BBQs (Fall or Spring) Harvest Feast (Nov) Book Fairs School Dances Gala Boxland (May) 6th grade promotion (Jun)

List all children that are students of Oasis

One per line

Parent/Guardian’s Signature

Homeless Children and Youth Services Program Student Housing Questionnaire

Child's Name

First Last

PLEASE SELECT BELOW WHICH BEST DESCIBES YOUR CURRENT LIVING ARRANGEMENT

Rent or own a home, mobile home, apartment, or condominium.

Moving from place to place/couch surfing

Living in car, RV, park, campsite, encampment, or on the street

Sharing housing with other(s) due to loss of housing,economic hardship, natural disaster, lack of adequate housing

Living in a residence with inadequate facilities (no water, no heat, or no electricity), shed, or unconverted garage

Temporarily living in a motel or hotel due to loss of housing, economic hardship, natural disaster, or similar reason

Staying in a shelter (family shelter, domestic violence shelter, youth shelter) or transitional housing

PLEASE LIST ANY ADDITIONAL CHILDREN LIVING WITH YOU – They qualify for services, too!

List one child per line with their birthdate

Parent/Guardian’s Signature(Required)

Kindergarten Acknowledgement & Agreement

Child's Name(Required)

First Last

I (we) acknowledge and agree to the Kindergarten program that Oasis will offer to my child for the 2023-2024 school year. The program is based on the following: An appropriate and well-designed play-based approach which supports children to develop the following skills:

An appropriate and well-designed play-based approach which supports children to develop the following skills: ➢ Social, Emotional, Cognitive, and Academic(Required)

Please Initial

Developmentally Appropriate Activities ➢ Organized games and planned academic/learning centers(Required)

Please Initial

Evaluations and Assessments ➢ Observations, student’s work, narratives and rubrics Developmental Reading Assessment (DRA), and EasyCBM(Required)

Please Initial

Children born after September 1st 2018.(Required)

Please Initial

**School Hours if your child is NOT ready for a full day of school: 8:30am- 12:30pm Monday through Friday . This determination will be made by teachers and administrators with the collaboration of parents. A meeting will be held before determination is made.(Required)

Please Initial

Parent/Guardian’s Signature

Oasis Charter Public School

Child's Information

Family Information

Ethnicity / Race

Special Education

Residence

EMERGENCY FORM

HOME LANGUAGE SURVEY

Income Survey

Field Trip Permission

PERMISSION SLIP FOR PHOTOGRAPHING YOUR CHILD

Family Participation AGREEMENT for 2023-2024

Family Participation Options

Homeless Children and Youth Services Program Student Housing Questionnaire

Kindergarten Acknowledgement & Agreement

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Non-Discrimination Policy