boarding pre-arrival information · an alternative airport for arrival is miami international...

2016-2017

A NORD ANGLIA EDUCATION SCHOOL

BOARDING PRE-ARRIVAL INFORMATION

1NORTH BROWARD PREPARATORY SCHOOL

WELCOME FROM THE HEADMASTER

Dear Family,

Welcome to North Broward Preparatory School. It is my pleasure to extend a very warm welcome to you and all students enrolled for the 2016-2017 school year. Our entire school community looks forward to greeting you upon your arrival on campus!

North Broward Preparatory School is a vibrant community comprised of active and engaged students who enjoy learning and are inspired by incredible teachers. Through our college preparatory curriculum, including the International Baccalaureate (IB) diploma programme, North Broward Preparatory School prepares students to be standouts in college and beyond.

Academic achievement is integrated, complimented and enriched by our fine and performing arts program and new collaboration with The Juilliard School. Outside of the classroom, your student will have the opportunity to participate in a variety of activities including athletic teams, extracurricular clubs, and community service events among others. North Broward Preparatory School is a dynamic place where the fun and challenges of learning can be found in our school classrooms, on our stages and our athletic fields.

As you prepare for the beginning of the school year, please do not hesitate to contact our residential staff or me should you have any questions.

I am looking forward to working with you and your student in the upcoming school year, and I welcome you to our North Broward Preparatory School family.

Sincerely,

ELISE R. ECOFF Headmaster North Broward Preparatory School


TABLE OF CONTENTS

RESIDENTIAL LIFE STAFF DIRECTORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

CHECKLIST OF SIGNED ITEMS TO RETURN. . . . . . . . . . . . . . . . . . . . . . . 4

Student Arrival Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Flight Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

STUDENT HEALTH INFORMATION AND MEDICAL FORMS . . . . . . 7

Health Care Information, Waiver and Permissions Form . . . . . . . . . . . . . . 8

FHSAA Preparticipation Physical Evaluation. . . . . . . . . . . . . . . . . . . . . . . . . 12

Immunization History Form (Grades 7–12) . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Authorization for Administration of Prescription and Non-Prescription Medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Emergency Care Plan for Allergies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Emergency Care Plan for Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Emergency Care Plan for Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Student Health Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

BOARDING PERMISSIONS FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Durable Power of Attorney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Student Permission Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Travel Permission Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Family or Friend Information & Identification Form. . . . . . . . . . . . . . . . . . 27

RESIDENTIAL LIFE INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Student Arrival Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . 30

Student Orientation Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

2016–2017 Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Sample Schedules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Afterschool Activities and Participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Boarding Student Roommate Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . 40

2016-2017 Summer Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Contact Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

APPENDIX A: ATHLETICS FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

International Students Required Athletic Forms. . . . . . . . . . . . . . . . . . . . . 45

FHSAA Consent and Release from Liability Certificate . . . . . . . . . . . . . . . 46

Concussion in Sports — What You Need to Know . . . . . . . . . . . . . . . . . . 50

FHSAA Registration Form for Youth Exchange, Other International or Immigrant Student . . . . . . . . . . . . . . . . . . . . . . . . . . 51

FHSAA Affidavit of Compliance with the Policies on Athletic Recruiting & Non-Traditional Student Participation . . . . . . 52

Permission for Medical Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Athletic Handbook Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

APPENDIX B: INFORMATION FOR SENIORS . . . . . . . . . . . . . . . . . . . . . 57

Checklist for International Students Entering Grade 12. . . . . . . . . . . . . . 58

Community Service Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Community Service Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61


RESIDENTIAL LIFE STAFF DIRECTORY

Welcome to North Broward Preparatory School. The Residential Life Team will be taking care of you while you are at school and are looking forward to meeting you soon. Our team includes:

KERVIN SAUNDERS Director of Residential Life email: [email protected] phone: +1.954.247.0011 x321

PATTI SAMMONS Residential Life Operations Manager email: [email protected] phone: +1.954.247.0011 x384

JOHN THOMASON Activities Coordinator

DEBBIE SCHEIBER Residential Life Student Coordinator email: [email protected] phone: +1.954.247.0011 x214

JONATHAN HENN Residential Life Academics Coordinator email: [email protected] phone: +1.954.247.0011 x315

SANDRA TOPAL, R.N. Upper School Nurse phone: +1.954.247.0011 x310

LAWRENCE STRAINGE Campus Manager – Coconut Creek email: [email protected] phone: +1.954.247.0011 x225

CARLO BRUNO Campus Manager – Coral Springs email: [email protected] phone: +1.954.247.0011 x225

NADIA ROZIER Medical Assistant phone: +1.954.247.0011 x385

mailto:[email protected]







CHECKLIST OF SIGNED ITEMS TO RETURN

Student Arrival

Flight Information with copy of your ticket

Student Health Information and Medical Forms

Health Care Information, Waiver and Permissions Form

FHSAA Preparticipation Physical Evaluation Must be completed by a licensed physician

Immunization History Form (Grades 7–12) Must be completed by a licensed physician

Authorization for Administration of Prescription and Non-Prescription Medication

If Applicable: All forms must be completed by a licensed physician

Emergency Care Plan for Allergies

Emergency Care Plan for Asthma

Emergency Care Plan for Diabetes

Boarding Permissions Forms

Durable Power of Attorney Form

Student Permission Form

Travel Permission Form

Family or Friend Information & Identification Form

Appendix A: Athletics Forms Complete only if your child may be interested in participating on school sponsored athletic team(s)

International Students Required Athletic Forms

FHSAA Consent and Release from Liability Certificate

FHSAA Registration Form for Youth Exchange, Other International or Immigrant Student

FHSAA Affidavit of Compliance with the Policies on Athletic Recruiting & Non-Traditional Student Participation

Permission for Medical Treatment

Athletic Handbook Form

Appendix B: Information for Seniors

Checklist for International Students Entering Grade 12

Community Service Verification

Please complete the forms within this packet and return all forms to [email protected] by August 1, 2016.

Failure to return completed forms may cause your student to be withheld from classes until the completed forms can be obtained.


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STUDENT ARRIVAL INSTRUCTIONS

NORTH BROWARD PREPARATORY SCHOOL

We are looking forward to your arrival on campus by Sunday, August 21, 2016. To help you prepare for your arrival, we would like to provide you with some valuable information about our airport pickup procedures and student orientation.

Important Dates:

• Dorms open on Saturday, August 20, 2016 at 12:00 p.m. (noon).

• Please arrive on campus by 6:00 p.m. on Sunday, August 21, 2016.

• New student orientation will begin at 8:30 a.m. on Monday, August 22, 2016.

Transportation and Airport Arrival Information:

• Book your flight to arrive at Fort Lauderdale-Hollywood International Airport (airport code FLL) An alternative airport for arrival is Miami International Airport (airport code MIA)

• When you arrive at the airport, proceed through customs (for international arrivals) and pick up your luggage at Baggage Claim. After you claim your luggage, you will be met by a driver from ABC Limousine Service in the baggage claim area. The driver will have a sign with your English name on it and North Broward Preparatory School.

• If you cannot find your driver from ABC Limousine Service, please contact: ABC Limousine Service at +1-800-380-1222 or Debbie Scheiber from NBPS at +1-561-900-5716. Do not leave the baggage claim area without your driver or receiving instructions from Debbie Scheiber.

• Once you arrive at the dorms, you will be greeted by a dorm parent and instructed to call home to inform your family that you have arrived safely.

Please complete the Flight Arrival Information sheet and send this page, along with a copy of your ticket(s) or confirmation to [email protected] by August 1, 2016.

For more information, or if you have any questions, please contact the Residential Life Administration Team at [email protected].

Please note: • Students are responsible for notifying NBPS and ABC Limousine Service if their flight is changed or missed and

are required to provide updated flight information once the flight is rescheduled.

• Failure to notify NBPS and ABC Limousine Service may result in additional fees for extended wait times for a "no show".




FLIGHT INFORMATION

Please complete the following information to ensure we know when to expect you and can arrange appropriate transportation.

Arrival Date: Please arrive on campus by 6:00 p.m. on Sunday, August 21, 2016. Dorms open on Saturday, August 20, 2016 at 12:00 p.m. (noon).

Arrival Airport: Fort Lauderdale-Hollywood International Airport (airport code FLL) An alternative airport for arrival is Miami International Airport (airport code MIA)

Flight Information : Please send the following information and the flight purchase confirmation or a copy of your boarding pass to [email protected] by August 1, 2016.

Yes No Do you require Airport Transportation to the North Broward Dorms? (Included in mandatory fees) If No, students must be accompanied by a parent and provide their date/time of arrival.

Yes No Will your parents/family members be traveling with you?

Yes No Are you traveling as an “Unaccompanied Minor”? There will be an additional fee billed to your student account.

Initial FlightAirline:

Flight Number:

Departure Airport: Departure Date: Departure Time:

Arrival Airport: Arrival Date: Arrival Time:

Connecting FlightAirline:

Flight Number:



Final FlightAirline:

Flight Number:





STUDENT HEALTH INFORMATION AND MEDICAL FORMS

Student Health Information and Medical Forms


FHSAA Preparticipation Physical Evaluation (Must be completed by a licensed physician)

Immunization History Form (Must be completed by a licensed physician)


If Applicable to your student. All forms must be completed by a licensed physician




Please complete all of the health information and medical forms in this section, providing complete details on each. Some forms require a signature from your child’s physician.

Failure to return completed forms may cause your child to be withheld from classes until the completed forms can be obtained.

Return all forms to [email protected] by August 1, 2016.


Student’s Last Name Student’s First Name Birth Date (MM/DD/YYYY) Grade

1. PARENTAL INFORMATION

Parent/Guardian 1 (last, first)

Home Address

Home Phone

E-Mail Address

Work Phone Cell Phone

Parent/Guardian 2 (last, first)

Home Address

Home Phone

E-Mail Address

Work Phone Cell Phone

Include copy of Parent/Guardian's government issued ID (license or passport)

Include copy of Parent/Guardian's government issued ID (license or passport)

2. LOCAL EMERGENCY CONTACTS – MUST SPEAK ENGLISH

Contact 1: First and Last Name (print)

Home Phone

Relationship to Student

Work Phone

E-Mail Address

Cell Phone

Contact 2: First and Last Name (print)

Home Phone


Work Phone

E-Mail Address

Cell Phone

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3. PRIMARY CARE PHYSICIAN

Physician’s Name Office Phone

4. DENTIST OR OTHER SPECIALIST (use additional page if necessary)

5. LIST MEDICATIONS YOUR CHILD IS CURRENTLY TAKING. PLEASE INCLUDE THE NAME OF THE MEDICINE, DOSE, ROUTE AND TIME* (use additional page if necessary):

Dentist’s Name

Specialist’s Name & Specialty



Office Phone

Office Phone

Office Phone

Office Phone

Medication 1

Medication 2

Medication 3

Medication 4

6. DESCRIBE ANY ALLERGIES, DIETARY RESTRICTIONS, CHRONIC OR SERIOUS ILLNESS, MEDICAL CONDITION(S), CONCERN(S), OR LIMITATION(S) (use additional page if necessary)

7. MY CHILD WEARS/HAS glasses contact lenses other medical device (describe below or on additional page)

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Health Care Information, Waiver and Permissions Form (continued)

9. MY CHILD USES PRESCRIBED MEDICATIONS OR SUPPLIES, SUCH AS EPI-PENS, SYRINGES, INHALERS, NEBULIZERS, ETC.

Yes No If yes, describe:

10. I/WE UNDERSTAND THAT I/WE MUST INFORM THE SCHOOL OF ANY CURRENT OR PAST MEDICAL CONDITIONS, EXPERIENCES OR PROBLEMS.

I/We have listed below any and all medical, mental, vision, dental, emotional, dietary or physical conditions, restrictions, concerns or allergies that the School should be aware of in dealing with our child.

11. I/WE AUTHORIZE FIRST AID TREATMENT USING BASIC FIRST AID SUPPLIES TO BE PROVIDED TO MY CHILD AS NEEDED.

In the event that a parent or emergency contact cannot be reached, I/We give permission for North Broward Preparatory School to arrange for necessary medical care. I/We understand and agree that I/We will be financially responsible for all aspects of such emergency medical care and I/We indemnify and hold the school harmless for all damages, claims, and amounts paid or due in connection with such emergency medical care.

Parent/Guardian 1 Signature Date




8. MY CHILD HAS BEEN HOSPITALIZED ON THE FOLLOWING DATE(S) FOR THE FOLLOWING REASON(S), PLEASE DESCRIBE:

12. STUDENTS THAT ARRIVE WITHOUT FLORIDA STATE REQUIRED IMMUNIZATION WILL BE IMMUNIZED UPON ARRIVAL.

Any fees will be billed to their school account. If a vaccination is not noted as having been received, and the parent states that the child has had the disease, an antibody titer will be drawn to verify the presence of antibodies. I hereby grant permission for the School and the School’s personnel to take my child for any vaccinations that are required for enrollment, including an antibody titer test.



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14. I/WE HEREBY GIVE CONSENT FOR THE HEALTH CLINIC STAFF OR DESIGNEES OF NORD ANGLIA EDUCATION OR THE SCHOOL’S ADMINISTRATION TO ASSIST WITH THE ADMINISTRATION OF STANDING ORDER MEDICATIONS ON AN AS NEEDED BASIS FOR ACUTE ILLNESSES OR INJURIES TO MY SON/DAUGHTER.

This will include, but is not limited to, acetaminophen, ibuprofen, antihistamine, lozenges, antacids, sunblock, oral anesthetic, anti-itch cream, artificial tears, or other standard over the counter (OTC) medications. I/We understand that residential life staff will assist in the administration of medications after Health Clinic hours as needed.

My son or daughter is allergic to the following medications:



THIS FORM IS TO BE PROVIDED TO THE SCHOOL NURSE. Information on this form generally will remain within the health clinic and may be shared on a “need to know” basis. However, if you want any information contained on this form to be provided to another School employee including a child’s teacher(s), you must provide a written request to the School nurse. This form is not to be used to notify the School of new telephone numbers or name changes. Contact the Residential Life Director for any change in address, name, or phone number.

It is the parents’ responsibility to notify the School nurse of any change in their child’s medical status or medication. For proof of immunization and medical history, each student must have on file an original physician-completed and signed immunization record and physical exam. Parents whose disabled child may need some manner of reasonable accommodation must contact the School nurse.

*Prescribed medications must be in original pharmaceutical containers, with translated doctor’s note if the original container is not in English, and dispensed by the School nurse only. All medications to be dispensed or administered at School must be supported by an Authorization for Administration of Prescription and Non-Prescription Medication form, signed both by the student’s physician and parents. Students are not generally allowed to carry prescription medication while at School. The only exceptions are for Epi-Pens, inhalers, and insulin pens, if supported by a physician order and parental consent and the student is mature enough to be responsible for the appropriate administration. Parents who believe self-administration is appropriate for their child should communicate with the School nurse.

13. I/WE AUTHORIZE FIRST AID TREATMENT USING BASIC FIRST AID SUPPLIES TO BE PROVIDED TO MY CHILD AS NEEDED.

I/We hereby give permission for the School and the School’s personnel to arranged for necessary medical care and authorize the emergency medical treatment of the Student, including surgery, by a physician, hospital, or other provider of healthcare, in the event that I/we cannot be contacted in a timely fashion in order to authorize such treatment.

I/We also authorize the School’s personnel to attend medical appointments with the Student and access medical and billing information from the provider and/or the provider’s office. I/We understand and agree that I/We will be financially responsible for all aspects of such emergency medical care and I/We indemnify and hold the school harmless for all damages, claims, and amounts paid or due in connection with such emergency medical care.



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FHSAA PREPARTICIPATION PHYSICAL EVALUATION

Explain “Yes” answers here: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

We hereby state, to the best of our knowledge, that our answers to the above questions are complete and correct. In addition to the routine medical evaluation required by s.1006.20, Florida Statutes, and FHSAA Bylaw 9.7, we understand and acknowledge that we are hereby advised that the student should undergo a cardiovascular assessment, which may include such diagnostic tests as electrocardiogram (EKG), echocardiogram (ECG) and/or cardio stress test.

Signature of Student: _____________________________________ Date: ____/ ____/ ____ Signature of Parent/Guardian: __________________________________ Date: ____/ ____/ ____

Florida High School Athletic Association

Preparticipation Physical Evaluation (Page 1 of 3)

This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2. This form is non-transferable; a change of schools during the validity period of this form will require page 1 of this form to be re-submitted.

EL2

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Part 1. Student Information (to be completed by student or parent)Student’s Name: ________________________________________________________________________ Sex: _____ Age: _____ Date of Birth: _____/ _____/ _____

School: ____________________________________________________ Grade in School: _____ Sport(s): ________________________________________________

Home Address: _______________________________________________________________________________________ Home Phone: ( _____) _______________

Name of Parent/Guardian: _______________________________________________________________ E-mail: ___________________________________________

Person to Contact in Case of Emergency: _____________________________________________________________________________________________________

Relationship to Student: _______________________ Home Phone: ( _____) ______________ Work Phone: ( _____) _____________ Cell Phone: ( _____) _____________

Personal/Family Physician: ___________________________________________City/State: ___________________________ Office Phone: ( _____) _____________

Part 2. Medical History (to be completed by student or parent). Explain “yes” answers below. Circle questions you don’t know answers to. Yes No1. Have you had a medical illness or injury since your last ____ ____ check up or sports physical?2. Do you have an ongoing chronic illness? ____ ____3. Have you ever been hospitalized overnight? ____ ____4. Have you ever had surgery? ____ ____5. Are you currently taking any prescription or non- ____ ____ prescription (over-the-counter) medications or pills or using an inhaler? 6. Have you ever taken any supplements or vitamins to ____ ____ help you gain or lose weight or improve your performance? 7. Do you have any allergies (for example, pollen, latex, ____ ____ medicine, food or stinging insects)? 8. Have you ever had a rash or hives develop during or ____ ____ after exercise? 9. Have you ever passed out during or after exercise? ____ ____10. Have you ever been dizzy during or after exercise? ____ ____11. Have you ever had chest pain during or after exercise? ____ ____12. Do you get tired more quickly than your friends do ____ ____ during exercise?13. Have you ever had racing of your heart or skipped ____ ____ heartbeats?14. Have you had high blood pressure or high cholesterol? ____ ____15. Have you ever been told you have a heart murmur? ____ ____16. Has any family member or relative died of heart ____ ____ problems or sudden death before age 50?17. Have you had a severe viral infection (for example, ____ ____ myocarditis or mononucleosis) within the last month?18. Has a physician ever denied or restricted your ____ ____ participation in sports for any heart problems?19. Do you have any current skin problems (for example, ____ ____ itching, rashes, acne, warts, fungus, blisters or pressure sores)?20. Have you ever had a head injury or concussion? ____ ____21. Have you ever been knocked out, become unconscious ____ ____ or lost your memory? 22. Have you ever had a seizure? ____ ____23. Do you have frequent or severe headaches? ____ ____24. Have you ever had numbness or tingling in your arms, ____ ____ hands, legs or feet?25. Have you ever had a stinger, burner or pinched nerve? ____ ____

Yes No26. Have you ever become ill from exercising in the heat? ____ ____27. Do you cough, wheeze or have trouble breathing during or after ____ ____ activity?28. Do you have asthma? ____ ____29. Do you have seasonal allergies that require medical treatment? ____ ____30. Do you use any special protective or corrective equipment or ____ ____ medical devices that aren’t usually used for your sport or position (for example, knee brace, special neck roll, foot orthotics, shunt, retainer on your teeth or hearing aid)?31. Have you had any problems with your eyes or vision? ____ ____32. Do you wear glasses, contacts or protective eyewear? ____ ____33. Have you ever had a sprain, strain or swelling after injury? ____ ____34. Have you broken or fractured any bones or dislocated any joints? ____ ____35. Have you had any other problems with pain or swelling in muscles, ____ ____ tendons, bones or joints? If yes, check appropriate blank and explain below: ___ Head ___ Elbow ___ Hip ___ Neck ___ Forearm ___ Thigh ___ Back ___ Wrist ___ Knee ___ Chest ___ Hand ___ Shin/Calf ___ Shoulder ___ Finger ___ Ankle ___ Upper Arm ___ Foot36. Do you want to weigh more or less than you do now? ____ ____37. Do you lose weight regularly to meet weight requirements for your ____ ____ sport?38. Do you feel stressed out? ____ ____39. Have you ever been diagnosed with sickle cell anemia? ____ ____40. Have you ever been diagnosed with having the sickle cell trait? ____ ____41. Record the dates of your most recent immunizations (shots) for: Tetanus: _______________ Measles: _______________ Hepatitus B: ____________ Chickenpox: ____________

FEMALES ONLY (optional)42. When was your first menstrual period? _______________________43. When was your most recent menstrual period? _________________44. How much time do you usually have from the start of one period to the start of another? _______________________________________45. How many periods have you had in the last year? _______________46. What was the longest time between periods in the last year? ________

Revised 03/16

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Part 3. Physical Examination (to be completed by licensed physician, licensed osteopathic physician, licensed chiropractic physi-cian, licensed physician assistant or certified advanced registered nurse practitioner). Student’s Name: _____________________________________________________________________________________________ Date of Birth: _____/_____/_____ Height: _____________ Weight: _____________ % Body Fat (optional): ____________ Pulse: _________ Blood Pressure: ____ / ____ ( ____/____ , ____ /____ ) Temperature: _____________ Hearing: right: P ______ F _____ left: P _____ F _____Visual Acuity: Right 20/_______ Left 20/_______ Corrected: Yes No Pupils: Equal _________ Unequal _________FINDINGS NORMAL ABNORMAL FINDINGS INITIALS*MEDICAL

1. Appearance ________ ________________________________________________________________________ ____________

2. Eyes/Ears/Nose/Throat ________ ________________________________________________________________________ ____________

3. Lymph Nodes ________ ________________________________________________________________________ ____________

4. Heart ________ ________________________________________________________________________ ____________

5. Pulses ________ ________________________________________________________________________ ____________

6. Lungs ________ ________________________________________________________________________ ____________

7. Abdomen ________ ________________________________________________________________________ ____________

8. Genitalia (males only) ________ ________________________________________________________________________ ____________

9. Skin ________ ________________________________________________________________________ ____________

MUSCULOSKELETAL

10. Neck ________ ________________________________________________________________________ ____________

11. Back ________ ________________________________________________________________________ ____________

12. Shoulder/Arm ________ ________________________________________________________________________ ____________

13. Elbow/Forearm ________ ________________________________________________________________________ ____________

14. Wrist/Hand ________ ________________________________________________________________________ ____________

15. Hip/Thigh ________ ________________________________________________________________________ ____________

16. Knee ________ ________________________________________________________________________ ____________

17. Leg/Ankle ________ ________________________________________________________________________ ____________

18. Foot ________ ________________________________________________________________________ ____________* – station-based examination only

ASSESSMENT OF EXAMINING PHYSICIAN/PHYSICIAN ASSISTANT/NURSE PRACTITIONER I hereby certify that each examination listed above was performed by myself or an individual under my direct supervision with the following conclusion(s):

____ Cleared without limitation

____ Disability: _____________________________________________________ Diagnosis: ___________________________________________________________

_______________________________________________________________________________________________________________________________________

____ Precautions: ________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

____ Not cleared for: __________________________________________________________________________ Reason: ___________________________________

_______________________________________________________________________________________________________________________________________

____ Cleared after completing evaluation/rehabilitation for: ______________________________________________________________________________________

____ Referred to ______________________________________________________________________________ For: ______________________________________

_______________________________________________________________________________________________________________________________________

Recommendations: _______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

Name of Physician/Physician Assistant/Nurse Practitioner (print): __________________________________________________________ Date: _____/_____/_______

Address: _______________________________________________________________________________________________________________________________

Signature of Physician/Physician Assistant/Nurse Practitioner: ____________________________________________________________________________________

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This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2.This form is non-transferable; a change of schools during the validity period of this form will require page 1 of this form to be re-submitted.

EL2Revised 03/16

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This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2.This form is non-transferable; a change of schools during the validity period of this form will require page 1 of this form to be re-submitted.

EL2Revised 03/16

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ASSESSMENT OF PHYSICIAN TO WHOM REFERRED (if applicable) I hereby certify that the examination(s) for which referred was/were performed by myself or an individual under my direct supervision with the following conclusion(s):

____ Cleared without limitation

____ Disability: _____________________________________________________ Diagnosis: ___________________________________________________________

_______________________________________________________________________________________________________________________________________

____ Precautions: ________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

____ Not cleared for: __________________________________________________________________________ Reason: ___________________________________

____ Cleared after completing evaluation/rehabilitation for: ______________________________________________________________________________________

Recommendations: _______________________________________________________________________________________________________________________

Name of Physician (print): ___________________________________________________________________________________________ Date: ____/____/_______

Address: _______________________________________________________________________________________________________________________________

Signature of Physician: ___________________________________________________________________________________________________________________ Based on recommendations developed by the American Academy of Family Physicians, American Academy of Pediatrics, American Medical Society for Sports Medicine, American Orthopae-dic Society for Sports Medicine and American Osteopathic Academy for Sports Medicine.

Student’s Name: _____________________________________________________________________________________________

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Immunization History Form (Grades 7–12)

Student Name (last, first)

Physician’s Signature Phone

Physician’s Stamp

Date

MUST BE COMPLETED BY A LICENSED PHYSICIAN – PLEASE WRITE IN ENGLISH

PLEASE NOTE: Students with uncertified immunization records will be fully vaccinated as part of their well physical upon arrival and their student account will be charged. If the student or parent(s) have religious or philosophical reasons to opt-out of vaccines, these must be detailed in writing and placed in the student’s medical file.

Entering Grade Sex Birth Date (MM/DD/YYYY) Age

Immunization History:

Date Date Date

(3) DTP or

(3) DTaP

(1) Tdap

(3) IPV/OPV (Polio)

(2) MMR or

(2) Measles

(2) Mumps

(1) Rubella

(3) Hepatitis B

(1) Varicella or date of disease (MM/DD/YYYY)

* (1) Meningitis *Recommended

Notes:Immunization Requirements for School Entrance:DTP or DTaP (3); Tdap (1); Polio (3); MMR (2); Hepatitis B (3); Varicella (1) OR Disease Date

Tdap One vaccine of Boostrix or Adacel brand vaccine

MMR Must have evidence of 2 Measles, 2 Mumps and 1 Rubella or 2 MMRs (First MMR or Measles vaccine must be administered on or after the first birthday)

Meningitis Recommended for all residential boarding students within 10 years

INSTRUCTIONS: Each of the three sections must be completed by the appropriate person as follows: Parts I and III by Parent/Guardian; Part II by Physician. Please return the completed form to the School nurse.


Parent/Guardian

Home Phone

Address

Work Phone Mobile Phone


I. STUDENT INFORMATION (to be completed by Parent/Guardian)

II. ACTION PLAN (to be completed by Physician). Please complete all spaces.

This request is to be effective for the School Year 2016 - 2017 or earlier stop date:

1. Prescription Medication

Dosage Amount

Condition for Which Drug is to be Given

Note any untoward side effects

Generic Name (if used)

Time(s) to be Administered at School


Dosage Amount






Dosage Amount





No Yes, if supervised Yes, Unsupervised

Inhalant Prescriptions: This student is both capable and responsible for self-administering this medication:

16



4. Non-Prescription Medication

Dosage Amount


5. Non-Prescription Medication

Dosage Amount


Please administer according to manufacturer’s label for recommended time schedule when needed at school for the conditions or symptoms listed here

Please administer according to manufacturer’s label for recommended time schedule when needed at school for the conditions or symptoms listed here

Print Physician’s Name

Physician’s Signature

Physician’s Address

Date

III. PARENTAL PERMISSION (To be completed by Parent/Guardian). Form is void if not completed.

I request the designated School personnel or its agents to assist my child in the administration of the above named prescription and non-prescription medications. I give permission for my child to take this medication while in School or while participating in School activities away from the School site. I understand that (1) there is no liability on the part of the School, its personnel, or agents, and hereby release and waive any claims or actions against such persons or entity as the result of the administration of this medication to my child when the person administering the medication acts as an ordinarily reasonably prudent person would have acted under the same or similar circumstances; (2) this mediation must be brought to the School only by a responsible adult; (3) this medication must be in its original labeled container with an English translated doctors note and prescription form; (4) this medication will be destroyed if it is not picked up within one week following the above stop date or one week after the close of the current school year, or when the medication prescription expires, whichever occurs first. I hereby authorize the exchange of medical information regarding my child’s treatment plan between the physician and School health personnel.

Medication orders must be renewed by the attending physician and release signed by the parent/guardian annually. Each medication or any change in medication requires a new form. The parent/guardian will be responsible for ensuring that medicines provided for the School have not expired.

Please note: All prescriptions, medical documentation and medication must be translated to English.

Parent/Guardian Signature Date


II. ACTION PLAN (continued)

17


Authorization for Administration of Prescription and Non-Prescription Medication (continued)

18




Address

Parent/Guardian 1

Parent/Guardian 2

Emergency Contact

Home Phone

Work Phone

Work Phone

Work Phone

Mobile Phone

Mobile Phone

Mobile Phone

Physician Phone


COMPLETE THIS FORM ONLY IF YOUR CHILD HAS ALLERGIES

Symptoms of an allergic reaction may include any/all of these (please check the boxes to indicate typical reaction(s)):

Mouth: Itching and Swelling of Lips, Tongue or Mouth, Mouth “Feels Hot”

Throat: Itching, Tightness in Throat, Hoarseness, Cough

Skin: Hives, Itchy Rash, Swelling of Face and Extremities

Stomach: Nausea, Abdominal Cramps, Vomiting, Diarrhea

Lung/Heart: Shortness of Breath, Repetitive Cough, Wheezing; Thready Pulse, Passes Out

Other:

Treatment (The severity of symptoms can change quickly. It is important that treatment is given immediately):

Notify healthcare provider onsite, notify administration and keep patient calm until EMS arrives.

ALLERGIES — Is the allergy life threatening? Yes No

List Allergens:

Give Benadryl as follows:

Give Epi Pen (AND CALL 911) as follows:

Reaction:


Physician’s Stamp

Date

I permit my child to be self-directed in carrying and self-administering medication (i.e., Epi Pen, inhaler, etc.) if criteria is met.

Yes No

19




Address

Parent/Guardian 1

Parent/Guardian 2

Emergency Contact

Home Phone

Work Phone

Work Phone

Work Phone

Mobile Phone

Mobile Phone

Mobile Phone

Physician Phone


COMPLETE THIS FORM ONLY IF YOUR CHILD HAS ASTHMA

Symptoms of an asthma episode may include any/all of these (please check the boxes to indicate typical responses(s)):

Changes in Breathing: Coughing, Wheezing, Breathing through Mouth, Shortness of Breath

Reports: Chest Tight/Pain, Can’t Catch Breath, Dry Mouth, “Neck Feels Funny,” Doesn’t Feel Well, Speaks Quietly

Appears: Anxious, Sweating, Nauseous, Fatigued, Shoulders Hunched Over and Cannot Straighten up Easily

Other:

Signs of an asthma emergency (select all that apply):

Peak flow of or below

Breathing with chest or neck pulled in, sits hunched over, nostrils flare when inhaling, difficulty walking and talking

Blue-gray discoloration of lips and fingernails

Failure of medication to reduce worsening symptoms with no improvement 15-20 minutes after initial treatment

Respirations greater than 30/minute; pulse greater than 120/minute

Other:

Treatment:• Stop activity immediately. Help to a comfortable seated position. Encourage pursed-lip breathing and fluids to decrease thickness

of lung secretions.• Give following medications: • If no relief in 15-20 minutes, call 911, to report you have an asthma emergency. Notify healthcare provider onsite, notify administration

and keep patient calm until EMS arrives.

ASTHMA

Triggers:


Physician’s Stamp

Date

20




Address

Parent/Guardian 1

Parent/Guardian 2

Emergency Contact

Home Phone

Work Phone

Work Phone

Work Phone

Mobile Phone

Mobile Phone

Mobile Phone

Physician Phone

Please check boxes to indicate typical symptom(s) and treatment(s):

Hyperglycemia symptoms may include any/all of the following:

Gradual onset

Extreme thirst, very frequent urination, drowsiness

Flushed skin, heavy breathing, blurred vision

Vomiting, fruity or wine-like odor to breath

Severe symptoms include: STUPOR and UNCONSCIOUSNESS

Hyperglycemia Treatment

Stay with student

Notify school nurse immediately

Call 911 to access Emergency Medical Services - transport to hospital by ambulance

Notify parents/guardians (don’t delay treatment by calling -

obtain treatment for student FIRST)

Hypoglycemia symptoms may include any/all of the following:

Shaking, fast heartbeat, sweating, anxiety, irritability

Complaints of hunger, impaired vision, weakness or fatigue

Onset may be sudden and can progress to insulin shockSevere symptoms include: very pale appearance, feels faint, loss of consciousness, seizure activity

Hypoglycemia Treatment

Stop any activity immediately

Accompany student to the Health Office. Notify school nurse immediately

If on a field trip, provide glucose: 4 oz. juice, glucose tabs, hard candy, soda (not diet)

Notify parents/guardians (don’t delay treatment by calling - obtain treatment for student FIRST)

Hypoglycemic Emergency: Follow these steps in an emergency:

Glucagon ordered: Yes No

If Glucagon is ordered, it should be given by a willing, trained volunteer if student is unconscious, unresponsive or having a seizure.

After Glucagon is given, call 911.

Notify parents. Students receiving Glucagon without their parent/guardian present should be sent to the hospital by ambulance. A staff member accompanies the student to the ER if the parent/guardian is not present with supervision for other students present.

Other:


COMPLETE THIS FORM ONLY IF YOUR CHILD HAS DIABETES

DIABETES


Physician’s Stamp

Date


STUDENT HEALTH INSURANCE

Each non-U.S. citizen student receives health insurance as part of your mandatory fees to help cover the costs of many types of illnesses and injuries that may happen during the academic year. U.S. citizens are not eligible for coverage and will need to provide proof of health insurance. Please see below for coverage details and eligibility.

Health Insurance Coverage:Student health insurance plan covers the usual, reasonable and customary (URC) charges for eligible expenses in the location where you (the student) receive treatment. Students may be charged a deductible per illness or injury that will be either charged to their student account or they will be required to pay out of pocket. Additional charges beyond the URC charges will be added to the student account.

The student health insurance policy does not cover dental, vision, podiatry, dermatology and other specialist visits. Students requiring this type of medical care can buy additional coverage through the health insurance provider directly or will be required to pay at the time of service.

Eligibility:• Non-U.S. Citizens: The student health insurance fee covers non-U.S. citizens on a student health insurance

travel policy.

• Dual Citizens: If a student has dual U.S. citizenship and their primary residence is outside of the USA, the student is eligible for coverage under this health insurance policy.

• U.S. Citizens: If the student is solely a U.S. citizen, they are not eligible for coverage under this health insurance policy, even if their permanent residence is outside the USA. Students with U.S. citizenship will need to provide proof of health insurance coverage in compliance with the Affordable Care Act and will be refunded the Nord Anglia Education student health insurance fee.

All applicable health insurance information will be distributed to families at the beginning of the 2016-2017 school year. Please contact [email protected] if you have any questions about the student health insurance policy or fees.



BOARDING PERMISSIONS FORMS

Checklist of Signed Forms to Return

Durable Power of Attorney Form




Please complete all of the forms in this section and provide complete details on each. It is essential that we begin the school year with accurate and complete information so we can provide your student with the safest and most productive experience.

Return all forms to [email protected] by August 1, 2016.


PLEASE NOTE: THIS DOCUMENT REQUIRES LEGAL NOTARIZATION

We, , parents and lawful guardians

of , (DOB / / )

appoint North Broward Preparatory School Residential Life Staff, or such alternate that North Broward Preparatory School shall appoint, as our attorneys-in-fact with full power to carry out all acts specified herein from August 10, 2016 until May 27, 2017. This power of attorney shall not be affected by our subsequent disability or incapacity or the inability to contact us or communicate with us concerning our child. The following powers are granted to our attorneys-in-fact to be used for the benefit and behalf of our child:

I. TRAVEL AND TRANSPORTATION a. To purchase tickets and travel permits; b. To arrange transportation and travel plans; c. To accompany our child during travel; d. To remove our child from Florida; e. To travel with our child by airplane, train, bus, boat or motor vehicle; f. To sign and deliver any releases of liability or consents to participation that may be needed in order for our child to join in and

participate in activities, experiences and travel; and, g. To arrange and authorize evacuation or emergency transportation.

II. MEDICAL CARE AND TREATMENT a. To arrange, authorize or withhold authorization for medical, vision, or dental care, hospitalization and surgical procedures; b. To authorize admission to clinics, hospitals, laboratories, surgeries or doctors’ offices; c. To enter into agreements for care and to incur costs, fees and expenses for care; d. To arrange for discharge, transfer from, or change in type of care; e. To arrange for consultation, diagnosis or assessment as may be required for proper care and treatment; f. To authorize and dispense medicines, drugs, prescriptions, therapies and rehabilitative treatments, such as epi-pens, syringes,

inhalers, nebulizers, etc.; and g. To receive, release, discuss, disclose, and exchange medical, psychological, counseling, and other confidential health information

relating to our child with medical professionals and applicable Dorm Parents.

III. RIGHTS AND DUTIES a. To act in loco parentis; b. To set up any bank accounts that our attorneys-in-fact deem necessary to take care of our child while he/she is attending the

School and to make deposits or withdrawals in any such account that is deemed necessary to take care of our child; c. To take all actions necessary to properly care for our child and to permit our child to fully engage in all school activities, including,

without limitation, to sign and deliver any releases of liability or consents to participation that may be needed in order for our child to join in and participate in School activities; and

d. To take all actions necessary to make appropriate travel arrangements for any travel necessary for our child, including, but not

limited to, return travel to (home country) .

Neither North Broward Preparatory School Residential Life Staff nor North Broward Preparatory School (including its officers, directors, trustees, shareholders, managers, partners, employees, staff, volunteers, and supervisors and their successors and assigns) shall incur any liability whatsoever acting under authority of this Durable Power of Attorney, including without limitation, by reason of the giving any authority or consent to treatment hereunder, and there is no obligation on the School or the North Broward Preparatory School Residential Life Staff to be available to exercise this power of attorney should the minor need medical, vision or dental attention.

Parents, jointly and severally, on their own behalf and on behalf of the minor (collectively the “Releasors”), hereby waive, release and discharge, and covenant not to sue, the School, and its officers, directors, trustees, shareholders, managers, partners, employees, staff, volunteers, and supervisors and their successors and assigns, or North Broward Preparatory School (collectively the “Releasees”) from any and all liability and/or claims, suits, damages, injury, disability, death, costs and expenses, in any way related to the authority exercised under this Durable Power of Attorney, including without limitation, to any medical treatment or procedure as a result of any consent hereunder, including any acts or omissions by any person, whether caused by the sole or joint negligence or tortious act or omission of the Releasees or any third party (collectively the “Claims”). The Releasors hereby knowingly and voluntarily waive, to the fullest extent permitted by law, the benefits of any statute, law, rule, or common law which may limit the scope of this Waiver and Release.

23


Durable Power of Attorney

In the event that this Waiver and Release is found to be invalid, unenforceable, or void, in whole or in part, for any reason, then the Releasors acknowledge and agree that in no event, including, without limitation, the negligence or gross negligence of the Releasees, or any of them, shall the Releasees’ aggregate liability to Releasors or any other person exceed any applicable insurance limits, and in no event shall Releasees, or any of them be liable to any person for special, incidental, consequential, or punitive damages or for any indirect damages such as, but not limited to, exemplary damages or lost earnings, lost revenues or loss of consortium, or companionship (even if the Releasees have been advised of the possibility of such damages) whether based upon statute, contract, tort, negligence, strict liability, or otherwise.

We have signed our names to this Durable Power of Attorney this day of , 20 .

Before the undersigned Notary Public, personally appeared ,

parents and lawful guardians of who is/are personally

known to me/or who produced identification (type of ID) , and who did/did not take an oath.

Given under my hand and official seal this day of , 20 .

Print Parent/Guardian Name 1 Parent/Guardian 1 Signature Date

Print Parent/Guardian Name 2s Parent/Guardian 2 Signature Date

County

State

Notary Public

My commission expires

Notary Seal

24


Durable Power of Attorney (continued)

25




1. BOARDING ADDENDUMWe am/are the said Parent(s) and/or Guardian(s) of the above-named student (“Student”) who is currently enrolled in Nord Anglia Education Boarding Program at the Nord Anglia Education School, indicated above by (the “School”). We herein acknowledge that Nord Anglia Education, the School and the administrators of the School shall set forth such rules and guidelines as may be necessary for the welfare of the Student during his/her enrollment in the boarding program. Such rules may include necessary and reasonable discipline. I and the Student understand and agree that the Student is bound by the School’s honor code during all times, and the Student’s enrollment in the boarding program does not relieve the Student of any obligation of the honor code or any consequences as may be occasioned by a violation thereof. The School retains the right to determine, in its sole discretion, that the Student shall be withdrawn from the boarding program or the School. Withdrawal of the Student from the boarding program or the School, for any reason at any time, does not relieve the undersigned of the responsibility for the entire year’s tuition and fees. In addition, in the event that the Student is withdrawn from the boarding program or the School, I agree to be responsible for the costs associated with the Student’s transportation back to our home, both for the Student (one-way) and for one (1) chaperone from the School (round trip).

Parent/Guardian Signature

2. RELEASE OF EDUCATION RECORDSAs part of the college application process, unless specifically requested otherwise in writing, I authorize the release of the Student’s transcript containing a list of courses and grades earned as well as any other educational records to the extent required or requested by the educational institutions to which the Student applies. I authorize the School to submit descriptive statements or letters of recommendation in support of the Student’s application when requested. I understand that these statements and letters are confidential, and I hereby waive my and the Student’s right to review their content. I recognize that it is the School’s responsibility to notify any educational institution to which the Student has applied or has been accepted as to any change in the Student’s status or qualifications at the School through the end the Student’s enrollment at the School, including the Student’s conduct, and I hereby irrevocably authorize such notification. I understand that it is the Student’s responsibility to have all admission test scores (SAT, SAT Subject Tests, ACT) sent directly from the testing agencies to all universities and colleges to which the Student applies, and if applicable to the NCAA Clearinghouse. The Student is also responsible for having AP and TOEFL scores sent directly from those respective agencies. I understand that the School does not routinely provide class rank of its Students. However, I hereby authorize release of the Student’s class rank if such is requested as a consequence of the Student’s application for admission to any college or university or in connection with any scholarship application.I understand that in the event that more than ten admissions packets are requested, additional fees may be charged to cover costs.


3. RELEASE OF LIABILITYI agree to indemnify the School and Nord Anglia Education for all injury, loss or damage to the person or property of others caused by the Student. I verify that the above indicated permissions are valid for 2016-2017 school year. Further, I understand that the School endeavors to enforce regulations that pertain to the health and safety of its students, but that it cannot be the insurer of the Student’s health and safety. I, therefore, release and hold harmless Nord Anglia Education, the School, its officers, agents and employees from any injury, loss or damage beyond applicable insurance coverage, for injuries to or sickness of the Student, reserving, however, any rights against others responsible. I further agree to release and hold Nord Anglia Education, the School and/or their parents, subsidiaries, related, and affiliated companies harmless from and against all claims, judgments, costs, or other expenses arising out of bodily injuries or property damage suffered by the Student during his/her enrollment in the boarding program and/or from activities of the Student during his/her stay; excluding, however, from any act of negligence by Nord Anglia Education, the School and/or its parents, subsidiaries, related, and affiliated companies. I have executed a medical authorization form allowing the School to procure, at my expense, any medical care reasonably required by the Student during the time the Student is a boarding.


4. PHOTO RELEASEI, agree to allow Nord Anglia Education and the School, their nominees and assigns (collectively, the “Nord Anglia Education”) the right to record the Student’s image, voice and performance by any and all mechanical, electrical, digital and photographic means in connection with his or her attendance of the School and other related activities (such recordings and any portion thereof and all copies and reproductions thereof, together with the use of the Student’s name in connection therewith, are collectively referred to as the “Released Material”). I hereby consent to and grant to Nord Anglia Education the worldwide perpetual right to use, reproduce, exhibit, distribute, broadcast, edit or otherwise exploit the Released Material in any and all media now known or hereinafter devised. I understand and agree that the Released Material is and shall remain the sole property of Nord Anglia Education. I acknowledge that neither the Student nor I will be compensated for any uses made of the Released Material. This release shall be binding on me as well as on the Student, my heirs, executors and assigns. This release shall be governed in accordance with the laws of the State of Florida, United States of America. I hereby warrant that I am the parent or guardian of the Student and free to give this permission, consent and release which I have read and understand.


26



Student’s Last Name Student’s First Name

1. SCHOOL TRIP PERMISSIONI understand that during the student’s enrollment in the Boarding Program, the student may, from time to time, be offered the opportunity to take field trips sponsored by North Broward Preparatory School and the North Broward Boarding Program. These trips may involve overnight stays away from the school and the residential facility. By execution of this Agreement, I expressly grant permission for my son/daughter to participate in such field trips as well as permission for the school and/or Nord Anglia Education to take my son/daughter outside the residential boundaries on such field trips. I hereby agree to release and hold North Broward Preparatory School and Nord Anglia Education harmless from and against all claims, judgments, costs, or other expenses arising out of bodily injuries or property damage suffered by the student during the trip, excluding, however, from any act of gross negligence by North Broward Preparatory School or Nord Anglia Education. I hereby agree to assume full responsibility for the payment of all debts incurred by my son/daughter during his/her participation in such events and to reimburse the School any damages suffered by it due to acts of the Student during such.


2. PERMISSION TO LEAVE RESIDENTIAL BOUNDARIESAs part of the Boarding Program, I understand that my son/daughter may be granted permission from the Residential Life Staff to leave the residential boundaries for a specific period of time without direct supervision. In order to be granted such permission, I understand that my son/daughter must sign out with Residential Life Staff, he/she must carry a charged phone with a U.S. number, he/she must be in the company of other students, or with a friend or family member designated on the next page, and he/she is expected to communicate clearly and honestly with staff about his/her whereabouts. I understand that this is a unique privilege that requires a high level of personal responsibility and trust between Residential Life Staff and my son/daughter and also full collaboration with our family. I understand that permission to leave campus may be limited or revoked by Residential Life Staff in the event that rules put in place to ensure the safety of the Student are not followed.

I understand that by granting permission to my child to leave the residence with any of the designated family members or friends (or other family members or friends later permitted), my child will not be the responsibility of the School or of Nord Anglia Education once released to such individual and during my child’s period of absence from the residence. As such, I understand that neither the School nor Nord Anglia Education assume liability or responsibility of any kind once my child is released to the family member or friend and/or during my child’s period of absence from the residence. By signing below, I expressly accept all risks and responsibilities associated with my child leaving the residence and during his/her absence therefrom. I hereby release and hold the School, Nord Anglia Education, and their respective agents, administrators, managers, employees, related entities, and trustees harmless from and indemnify them against all claims, demands, suits, charges, fees, attorneys’ fees, costs, damages, liens, liabilities, and actions of any kind whatsoever arising out of, pertaining to, or connected with, directly or indirectly, my child leaving the residence and/or my child’s period of absence therefrom. The types of claims I hereby release include contract claims, statutory claims, torts of any kind, negligence, intentional acts, or any other type of claim.


3. PERMISSION TO LEAVE RESIDENTIAL BOUNDARIES UNDER THE SUPERVISION OF FAMILIES OF STUDENTS OF NORTH BROWARD PREPARATORY SCHOOL:

I grant my son/daughter permission to stay overnight with families of students of North Broward Preparatory School.

I grant my son/daughter permission to leave Residential Boundaries in vehicles driven by parents of North Broward Preparatory School.

I grant permission for my son/daughter to leave campus in vehicles driven by students of North Broward Preparatory School (Grades 9–12).


Birth Date (MM/DD/YYYY) Grade

Yes

Yes

Yes

No

No

No

27




PERMISSION FOR STUDENT TO LEAVE THE RESIDENCE WITH A FAMILY MEMBER OR FRIENDBy completing this form, I am giving my son/daughter permission to leave the residence and spend time with the family member or friend listed below. To ensure the safety of your student, North Broward Preparatory School residential life staff request all family members or friends be over the age of 25, or are a blood relative. When the family member or friend comes to pick up your student, they will be asked to show a state or government issued photo ID. A member of the North Broward Preparatory School staff will also meet briefly with the family member or friend to ensure they understand their responsibility, plan to act in the best interest of your student and commit to open communication with our staff as necessary.

IMPORTANT GUIDELINESThese guidelines are followed for the safety and security of your student:

• Students must receive permission to leave the residence with a family member or friend directly from their parent(s) or agent.

• When first visiting a student, family members or friends will need to come to the residence to meet our staff, provide a copy of identification, provide a plan of their time with the student and provide their contact information.

• Additional documentation and weekend leave forms may be required prior to a student being allowed to leave campus with the family member or friend.

• Students may not use the same email account as their parent(s) in order to give themselves permission to leave the residence. This type of email is fraud and will lead to severe disciplinary consequences.

Our school’s top priority is the safety, security and health of your student, and it is extremely important that we trust and have good communication with the individuals who spend time with your student outside the North Broward Preparatory School residence and residential boundaries.

Requests may be denied at the discretion of the Dorm Parent or Residential Life Staff.

REQUIRED FOR EACH FAMILY MEMBER OR FRIEND – PLEASE DO NOT LEAVE ANY SECTION BLANK

FAMILY MEMBER OR FRIEND Name

Phone Number(s)

Email

Current Address


Date of Birth (MM/DD/YYYY) *family member or friends are required to be over the age of 25

I grant permission for my child to leave campus with above named family member or friend.

I grant permission for my child to leave campus in vehicles driven by above named family member or friend.

I grant permission for my child to stay overnight on weekends and school holidays with above named family member or friend.

Yes No

Yes No

Yes No


28


Family or Friend Information & Identification Form (continued)

REQUIRED FOR EACH FAMILY MEMBER OR FRIEND – PLEASE DO NOT LEAVE ANY SECTION BLANK

ADD ADDITIONAL GUARDIANS ON A SEPARATE SHEET AND INCLUDE WITH THE PACKET.


Phone Number(s)

Email

Current Address




Phone Number(s)

Email

Current Address









Yes

Yes

No

No

Yes

Yes

No

No

Yes

Yes

No

No


RESIDENTIAL LIFE INFORMATION

The following section contains information to help you prepare for your arrival at school. Please review the frequently asked questions, student orientation calendar, academic calendar and additional information in this section. If you have any questions, please let us know at [email protected].



STUDENT ARRIVAL FREQUENTLY ASKED QUESTIONS

Who do I call if I have a problem with my flight, connecting flights or if I cannot find my driver?• Call Debbie Scheiber (at NBPS) at +1.561.900.5716

• If you cannot find your driver, call ABC Limousine Service at +1.800.380.1222

Is the transportation service included in my mandatory fees?Yes, transportation from the airport to the dorm upon arrival is included in your mandatory fees.

• There may be an additional fee if you are flying as an “Unaccompanied Minor” and will be charged to your account. Please let us know if you will be traveling as an Unaccompanied Minor via the Flight Information Form

Transportation is included in your mandatory fees for the following trips to/from the airport:

• Arrival at beginning of academic year (August)

• Departure for winter break (December)

• Arrival from winter break (January)

• Departure at end of the academic year (May)

Additional transportation will be provided on request and at an additional cost. You will be required to pay for the transportation at the time of service.

What if my parent is flying with me? Does this change the transportation arrangements?• If your parent is flying with you at the beginning of the academic

year, please let us know and we can arrange transportation for your parent to a local hotel. There is an additional fee for additional stops, which will be charged to your student account.

• Please contact the Residential Life Administration Team at [email protected] to arrange additional stops.

If my parent is flying with me, what can they expect during my new student orientation week?• There will be a new parent orientation on Tuesday, August 23

that your parent(s) can attend. This is an all-day event for parents to learn more about our school, tour the facilities and meet with the North Broward Preparatory High School administration and staff. If your parent is interested in attending the new parent orientation please contact the Residential Life Administration Team at [email protected].

• Parents are not able to attend your New Student Orientation, but your parents are able to visit you or pick you up after the new student orientation activities conclude each day. It is recommended that you spend as much time in the dorm and sleep in the dorm each night to begin getting settled into dorm life and building relationships with your dorm mates and dorm parents.

What can I expect during new student orientation week?• You will have five full days of activity to ensure you are prepared

for the new school year at NBPS. You can expect to take placement tests to determine which academic classes you should enroll in and you will also attend the NBPS Success Academy.

• You can expect to receive your school uniform as well as take trips to the store to buy necessary items for your dorm room.

• There will also be organized activities to help you get to know your dorm mates and dorm parents.

What should I bring with me? • You should bring appropriate clothing for after school activities

and weekend activities. Clothing should be in good overall condition and should not have any profanity, drug or alcohol references or inappropriate images.

• Storage in each room is limited, so please pack accordingly.

• Once you arrive, there will be trips to local stores to purchase items you need for your room and your dorm parents can help advise you as to what you might need. Weekly trips are offered to the stores throughout the school year to refill or purchase additional supplies that you may need.

What will be provided for me?• The following items will be provided for you upon your arrival:

• Bed linens (one set includes fitted sheet, top sheet, blanket, pillow and pillow case)

• Towels (one set includes wash cloth, hand towel and bath towel)

• Bedroom furniture (including desk, chair and bed)

• Cell phone

• Laptop

• School uniforms

If you have any questions, please contact the Residential Life Administration Team at [email protected].





STUDENT ORIENTATION SCHEDULE

SATURDAY & SUNDAY, AUGUST 20–2112:00–4:00pm CC Vans to Dennis Uniform

1:00–5:00pm CS Vans to Dennis Uniform

MONDAY, AUGUST 228:00am Bus to CC from CS

8:30–9:00am Breakfast

9:00–9:30am Student Union Welcome Address

9:30–10:30am Placement Testing

10:30–2:30pm Group Rotations

12:00–1:00pm Lunch

5:30–6:30pm Dinner

TUESDAY, AUGUST 238:00am Bus to CC from CS


9:30am–11:00am Testing

12:00–1:00pm Lunch

1:00–2:00pm Placement Testing

2:15–3:30pm Honor Code, Expectations and Handbook


6:45–10:00pm Magnolia Movie Theater

WEDNESDAY, AUGUST 248:00am Bus to CC from CS


9:00–9:45am IB Presentation/ Team building

12:00pm–1:00pm Lunch

1:00–2:30pm Fine Arts Bonanza


6:30–8:00pm Walmart/Target Trip

THURSDAY, AUGUST 257:00am Bus to CC from CS


8:30am–3:30pm Success Academy

11:45am–12:35pm Lunch


FRIDAY, AUGUST 267:00am Bus to CC from CS


8:25am–3:30pm Dennis Uniform Tech Training Physicals/Immunizations

11:25am–12:15pm Lunch

4:00pm Bus to CS

5:45–10:00pm Dave & Busters Welcome Party!!!

SATURDAY, AUGUST 27Returning Students Arrive

6:15–9:45pm CC Sawgrass Mall & Movies

6:15–9:45pm CS Sawgrass Mall & Movies

SUNDAY, AUGUST 281:00–4:30pm Back To School Party!!!

CC = Coconut Creek CS = Coral Springs


2016–2017 CALENDAR

S M T W T F S *Gray shading indicates school is closed to students

AUGUST 1 2 3 4 5 67 8 9 10 11 12 13

14 15 16 17 18 19 2021 22 23 24 25 26 2728 29 30 31

20

22 26 29

Residential Facilities Open at 12:00 p.m. for Prefects and New StudentsNew Residential Student Orientation Begins at 8:30 a.m. High School Success AcademySchool Starts

SEPTEMBER 1 2 34 5 6 7 8 9 10

11 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30

5 NO SCHOOL - Labor Day

OCTOBER 12 3 4 5 6 7 89 10 11 12 13 14 15

16 17 18 19 20 21 2223 24 25 26 27 28 2930 31

NOVEMBER 1 2 3 4 56 7 8 9 10 11 12

13 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30

21 - 25 21 - 25 26

NO SCHOOL - Fall Break (including Thanksgiving) Residential Life Fall TripResidential Facilities Open at 12:00 p.m.

DECEMBER 1 2 34 5 6 7 8 9 10

11 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30 31

16

19 - Jan 3

Semester EndsResidential Facilities Close at 12:00 a.m. (midnight) NO SCHOOL - Winter Break

JANUARY 1 2 3 4 5 6 78 9 10 11 12 13 14

15 16 17 18 19 20 2122 23 24 25 26 27 2829 30 31

2 Residential Facilities Open at 12:00 p.m. (noon)4 Classes Resume

FEBRUARY 1 2 3 45 6 7 8 9 10 11

12 13 14 15 16 17 1819 20 21 22 23 24 2526 27 28

MARCH 1 2 3 45 6 7 8 9 10 11

12 13 14 15 16 17 1819 20 21 22 23 24 2526 27 28 29 30 31

3 6 - 10 6 - 10 11

Residential Facilities Close at 12:00 a.m. (midnight) NO SCHOOL - Spring BreakResidential Life Spring Break TripResidential Facilities Open at 12:00 p.m. (noon)

APRIL 12 3 4 5 6 7 89 10 11 12 13 14 15

16 17 18 19 20 21 2223 24 25 26 27 28 2930

MAY 1 2 3 4 5 67 8 9 10 11 12 13

14 15 16 17 18 19 2021 22 23 24 25 26 2728 29 30 31

1 - 19 AP/IB Exams19 8th Grade Move-Up Ceremony26 Senior Graduation Day28 Residential Seniors Depart from Residential Facilities

JUNE 1 2 34 5 6 7 8 9 10

11 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30

2 5 - 7 7 8

Upper School ExamsUpper School Exams LAST DAY OF SCHOOLResidential Facilities Close at 12:00 p.m. (noon)

16


SAMPLE SCHEDULES

MONDAYTIME ACTIVITY

4:00-5:00p After School Extra Help (at CC)

4:05p Bus from CC to CS

4:15-5:45p Free / Down Time

5:15p CC Bus to CS

6:00-6:45p Dinner (CC & CS)

7:00p CC Bus to CS

7:00-9:00p Prep Time

Weekend Signups

Signup for Weekend Activities By 10pm


10:00p Dorm Check-in (Chores, Evening Prep)

TUESDAYTIME ACTIVITY



CC 4:00-5:00p CS 4:45-5:45p

After School Activities

5:15p CC Bus to CS


6:30p CS Bus to CC


7:00 CC Bus to CS



WEDNESDAYTIME ACTIVITY

2:45p Van Trip to Bank / Post Office

3:05p Coral Springs Bus from CC to CS

3:15p CC Bus to Target/Walmart

4:00p CS Bus to Target/Walmart

5:15p CC Bus to CS


7:00p CC Bus to CS




THURSDAYTIME ACTIVITY



CC 4:00-5:00p CS 4:45-5:45p

After School Activities

5:15p CC Bus to CS


6:30p CS Bus to CC


7:00 CC Bus to CS



Sample Residential Weekly Schedule



SAMPLE SCHEDULES (CONTINUED)

18:25a - 9:15a

29:20a - 10:10a

310:15a - 11:05a

411:10a - 12:00p

5a 1st Lunch

2nd 5b Lunch

61:50p - 2:40p

72:45p - 3:35p

Monday Tuesday Wednesday thursday friday

1

8:25a - 9:55a

3

10:05a - 11:35a

1st 5a Lunch

72:45p - 3:35p

5b2nd

Lunch

12:05p-12:55p

12:55p-1:45p 12:55p-1:45p

12:05p-12:55p

1:10p - 2:00p

11:40a-12:30p11:40a-1:10p

12:30p-2:00p

BREAK

2

8:25a - 9:55a

4

10:05a - 11:35a

6

1:05p - 2:35p

1st Lunch

12:20p - 1:00pAdvisory

11:40a-12:20p

Collaboration andStaff MeetingsProfessionalDevelopment

BREAK

2nd Lunch

Advisory11:40a-12:20p

12:20p - 1:00p

18:25a - 9:15a

29:20a - 10:10a

310:15a - 11:05a

411:10a - 12:00p

5a 1st Lunch

2nd 5b Lunch

61:50p - 2:40p

72:45p - 3:35p

12:05p-12:55p

12:55p-1:45p 12:55p-1:45p

12:05p-12:55p

18:25a - 9:15a

29:20a - 10:10a

310:15a - 11:05a

411:10a - 12:00p

5a 1st Lunch

2nd 5b Lunch

61:50p - 2:40p

72:45p - 3:35p

12:05p-12:55p

12:55p-1:45p 12:55p-1:45p

12:05p-12:55p

EXTRA HELP: 7:45a - 8:20a and 3:40p - 4:00p

Sample Daily Academic Fusion Schedule

Sample Residential life Weekday Bus Schedule


Times Times Times Times

4:05p

5:15p

4:05p 4:053:05

3:00p

4:00p 5:15p 4:00p

7:00p 7:00p 7:00p

4:00p

CC to CS CC to CS CC to CS CC to CS

CC to CS

CC to CS

CC to CS

CC to CS CC to CS

Monday Tuesday Wednesda Thursday

Coconut Creek

CC to Target/Walmart

CoralSprings

CS to Target/Walmart

Van tripsfor AfterSchool

Activities

Van tripsfor AfterSchool

Activities

7:00p

Times Monday Times Tuesday Times Wednesday Times Thursday


AFTERSCHOOL ACTIVITIES AND PARTICIPATION

Middle School Afterschool Activities (Sample from 2015-2016 School Year)

ATHLETIC TEAMS• Basketball

• Swimming

• Volleyball (girls)

• Football (boys)

• Cross Country Ice Hockey (boys)

• Tennis

• Track and Field

• Lacrosse

• Soccer

• Baseball (boys)

• Golf

EXTRA-CURRICULAR CLUBS• Robotics Club

• Debate Team

• Art Club

• Book Rave

• Ecology Club

• French Club

• Harry Potter Club

• Investment Club

• Junior Thespians

• Math Club

• National Junior Honor Society

• National Junior Spanish Honor Society

• Student Government

• Ronald McDonald House Charities

FINE ARTS PROGRAMS• Orchestra

• Dance Team

• Theatre

• Band

• Choir

• Thespian Troupes

Afterschool Activity Participation

All boarding students at NBPS are required to participate in afterschool activities. Students may choose to participate in school-sponsored athletics, fine arts programs and/or extra-curricular clubs. There may be an additional fee to participate in some school-sponsored activities.

If students are not participating in a school-sponsored activity, they will be required to participate in residential clubs.


AFTERSCHOOL ACTIVITIES AND PARTICIPATION (CONTINUED)

High School Afterschool Activities (Sample from 2015-2016 School Year)

ATHLETIC TEAMS• Basketball

• Swimming

• Baseball (boys)

• Softball (girls)

• Football (boys)

• Soccer

• Lacrosse

• Flag Football (girls)

• Cross Country

• Track and Field

• Golf

• Tennis

• Volleyball (girls)

• Ice Hockey (boys)

EXTRA-CURRICULAR CLUBS• Robotics Team

• Debate Team

• Spanish Club

• Multicultural Club

• Book Club

• Chinese Language and Culture Club

• Creative Writing Club

• French Club

• Key Club

• Journalism Club

• Mu Alpha Theta Math Team

• National Honor Society

• NB Sparkles

• One Meal at a Time

• Operation Smile

• Ronald McDonald House Charities

• A Spring of Hope

• Astronomy Club

• Badminton Club

• Kids Helping Heroes

• Volantis Business Entrepreneur Club

FINE ARTS PROGRAMS• Orchestra

• Dance Team

• Band

• Jazz Band

• Guitar

• Theatre

• Thespian Troupes

• National Art Honor Society

• Choir


FREQUENTLY ASKED QUESTIONS

Who should I contact in an emergency?Please contact the Residential Life Administrative Team at [email protected]

ACADEMICS

Who attends North Broward Preparatory School?North Broward Preparatory School students are a mixture of both day students from the surrounding communities and boarding students. Our total upper school population is approximately 1,100 students of which 315 are boarding students from 28 different countries.

What happens during New Student Orientation?New student orientation is a wonderful time for you to learn about living and learning at North Broward Preparatory School. During new student orientation you will take part in the following activities:

• Tour the school and learn about school procedures

• Take academic placement tests

• Schedule your classes for the first semester

• Become familiar with your residence, dorm parents and dorm mates

• Learn residential rules and procedures

• Purchase school uniforms (one set is included in your mandatory fees)

• Visit the store to purchase necessary personal items

When will I receive my class schedule?You will receive your class schedule during orientation week after you submit all required enrollment documents, have completed your placement tests and have spoken with your Academic Advisor.

What are the resources for learning English?North Broward Preparatory School offers various levels of English for Speakers of Other Languages (ESOL) classes for our residential students. The academic placement tests taken during new student orientation will determine which, if any, ESOL classes are right for you.

Extra help is available, if needed, with teachers before and/or after school. The residential program provides students with extra support once a week and students needing additional help or tutoring can request a peer tutor through the residential program or from the National Honor Society. Families can also sign their student up for private tutoring sessions at an additional cost. If you are interested in coordinating extra help or tutoring sessions, please contact the Academic Coordinator, Mr. Henn, at [email protected].




FREQUENTLY ASKED QUESTIONS (CONTINUED)

LIVING IN THE DORMS

Will I have roommates?Yes, you will have roommates. Depending on the size of your room, you could have 1, 2 or 3 roommates.

How are roommates assigned?Several factors are considered when assigning roommates, including: gender, nationality, age, language ability and years in attendance at North Broward Preparatory School. Emphasis is placed on ensuring the rooms are culturally diverse but students can complete the residential roommate interest survey found within this packet to help us coordinate roommate assignments.

Where will I eat my meals?Coral Springs residents:

• Breakfast and Dinner are eaten at the residence

• Lunch is eaten in the cafeteria on campus during your assigned lunch hour

Coconut Creek residents:

• All meals are eaten in the cafeteria on campus

• Lunch is eaten in the cafeteria during your assigned lunch hour

How will I stay healthy?Our weekly menu is created by a team of Chefs and Certified Nutritionists and includes a variety of protein, vegetables, fruits and grains. The culinary team is able to meet a variety of student dietary needs due to allergies or religious beliefs upon request. There is also a residential student committee that works with the culinary staff to ensure student needs and preferences are being met.

Students are also provided with a variety of opportunities to stay fit at North Broward including joining a school athletic team, joining after school or evening activities like soccer, basketball or the weight room, or signing up for a local gym.

How will I clean my clothing?Washing machines and dryers are available in the dorms and students are able to use them at no cost. Any outside laundry service that you use will need to be paid for by the student.

Can I leave campus on the weekend?Yes! You can leave campus with family members or friends on the weekend if your parent(s) and/or agent give you permission. Family members or friends can be identified on the Family or Friend Information and Permission Form within this packet. Additional documentation and completed weekend leave forms may be required prior to students being allowed to leave campus.

Students are not able to leave campus alone, without permission from your parent(s) and/or agent and without being in the direct supervision of an identified family member or friend.

ITEMS TO BRING

What should I bring? You should bring appropriate clothing for after school and weekend activities. Clothing should be in good overall condition and should not have any profanity, drug or alcohol references or inappropriate images. You should also bring proper closed toed shoes for school formal dress days.

While the weather in South Florida is generally warm, there are several weeks of cooler weather and students should bring a jacket for those cooler days.

What should I not bring?Do not bring items that are offensive, prohibited or illegal including: cigarettes, lighters, drugs or drug paraphernalia, weapons, knives or alcohol. Students bringing these and other items deemed to be illegal or dangerous into the dorms or onto the North Broward Preparatory School campus will face disciplinary action up to and including expulsion.

What will be provided for me?The following items will be provided for you upon your arrival:

• Bed linens (one set includes fitted sheet, top sheet, blanket, pillow and pillow case)

• Towels (one set includes wash cloth, hand towel and bath towel)

• Bedroom furniture (including desk, chair and bed)

• Cell phone

• Laptop

• School uniforms


FREQUENTLY ASKED QUESTIONS (CONTINUED)

What cell phone and computer will I receive?You will receive a cell phone with a U.S. phone number so dorm parents and residential staff can reach you at any time. The cell phone has unlimited domestic calling, and unlimited domestic and international texting. You will be able to receive international calls on the cell phone, but it cannot make outbound international phone calls.

If you choose, and with your parent’s or agent’s permission, you may purchase your own personal phone and data plan when you arrive. Personal phone plans are not paid by North Broward Preparatory School and remain the financial responsibility of the student and their family.

You will also be given a new laptop computer which meets North Broward Preparatory School specifications.

Can I bring my own cell phone and computer?You may bring your own phone and computer, however, North Broward Preparatory School is not responsible for any loss, damage, technical issues, viruses or any other issues related to personal electronic items. Desktop computers are not permitted in the residences. Personal phone plans are not paid by North Broward Preparatory School and remain the financial responsibility of the student and their family.

All cell phones are required to have a U.S. phone number so you can be easily reached by dorm parents or residential staff. If you choose to use your phone and it has an international phone number, then you will also be required to carry our North Broward Preparatory School supplied phone when you leave the dorms.

What should I buy once on campus?Once you arrive on campus, we will take you to the store to buy any essentials you may need including toiletries, clothes hamper and additional bed linens or towels. Your dorm parents can help recommend the items you might need.

Should I bring my own medicines?Do not bring any medicine unless it is prescription medication with a translated doctor’s note and prescription form. For your safety and the safety of the other residential students, you are not able to keep any type of medication in your room or on your person. All medication, including prescription and non-prescription (over the counter) medication, must be given to your dorm parent upon arrival. All prescription medication(s)

must be identified on the Authorization for Prescription Medication Form and also include a translated and signed doctors note. All medication(s) will be dispensed by the North Broward Preparatory School nurse and/or your dorm parent.

Should I bring money?Spending money is recommended but in small amounts. For your safety and security, please do not plan to keep large amounts of cash on hand. During orientation week, students can be taken to open a U.S. bank account to safely store their money.

LIVING IN FORT LAUDERDALE

What is the weather like in Fort Lauderdale?The weather in Fort Lauderdale and South Florida is pleasant and sunny the majority of the year. While the weather is generally warm, there are several weeks of cooler weather and students should bring a jacket for those cooler days.

Average High Temperatures by Month

75F 24C

77F 25C

78F 25.5C

82F 28C

85F 29C

89F 31C

90F 32C

90F 32C

89F 31C 86F

30C 81F 27C 77F

25C

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

What are some local points of interest?• Annual Fort Lauderdale International Boat Show

• Broward Center for the Performing Arts

• Fort Lauderdale Museum of Art

• The Museum of Discovery and Science

• World class shopping

• Local beaches and state parks

• Professional sporting events


BOARDING STUDENT ROOMMATE PREFERENCES

In an effort to pair students with similar interests or habits please check the boxes that describe you and your preferences:PERSONALITY:

Outgoing

Quiet

Organized/Neat

Disorganized/Messy

Other:

INTERESTS:

Athletics

Art (painting, drawing, photography, film, etc.)

Games (video games, computer games, etc.)

Music

Books

Movies

Other:

PREFERENCES:

Likes quiet space to study

Likes background noise/music to study

Early riser (before 9am on the weekends)

Late riser (after 9am on the weekends)

Likes to go to sleep early

Likes to stay up late

Other:

If you prefer to be placed in a room with people that you already know, please list the full names of up to two people you would like to room with. Many factors are taken into consideration when assigning roommates, including gender, grade, and home country. While listing names does not guarantee you will receive your request we will try to accommodate all reasonable requests.

Please list up to two full names of individuals you would like to room with:

1.

2.

First Name

Nickname

Last Name

Grade (2016-2017 School Year) Male/Female


2016-2017 SUMMER READING

As you prepare to join us in August, please be aware of the Summer Reading requirements for the English Department. All students are expected to read one core summer reading book from the below grade-level list, and be prepared to do learning activities the first two weeks of Trimester 1. Alternatively, if there is a challenge with language ability or time restraints, you may read the graphic novel listed below for grades 9 or 10, or choose three of the short stories for grades 11 or 12.

The books are available in both hard copy and digital formats.

SUMMER READING CORE BOOKS

9th Grade Core Text The Boy who Harnessed the Wind

by William Kamkwamba

ISBN: 9780061730337

(or)

9th Grade Graphic Novel AlternativeMs. Marvel: Volume1, No Normal

by G. Willow Wilson; artist, Adrian Alphona

ISBN-10: 078519021X

10th Grade CORE TextThe Absolutely True Diary of a Part-Time Indian by Sherman Alexie

ISBN: 9780316013967

(or)

10th Grade Graphic Novel AlternativeNimona

by Noelle Stevenson

ISBN-10: 0062278231

11th Grade Welcome to the Monkey House

by Kurt Vonnegut (short stories)

ISBN: 9780385333504

12th Grade Strange Pilgrims

by Gabriel Garcia Marquez (short stories)

ISBN: 9781400034697


MAP

NORTH BROWARD PREPARATORY SCHOOL7600 Lyons Rd Coconut Creek, FL 33073


FORT LAUDERDALE-HOLLYWOOD INTERNATIONAL AIRPORT

Distance from Fort Lauderdale-Hollywood International Airport: 43km (approximately 25 minute drive)

Atlantic Ocean


CONTACT INFORMATION

Nord Anglia Education, North America International Admissions Team

Email: [email protected]

Phone: +1.212.232.0266 ext. 826

Address: 1 Morris Street, 19th Floor New York, NY 10004 USA

www.nordangliaeducation.com

North Broward Preparatory School Residential Life Administrative Team

Email: [email protected]

Phone: +1.954.247.0011 ext. 321

Address: 7600 Lyons Road Coconut Creek, FL 33073 USA

www.nbps.org

We look forward to your child joining the North Broward Preparatory School Residential Life program for the 2016-2017 academic year. If you have any questions prior to your arrival, please contact us at:



http://nordangliaeducation.com


http://nbps.org

The forms in the following section are to only be completed by students interested in participating in North Broward Prep sponsored extracurricular athletic (sport) activities. The following forms are required by the North Broward Prep Athletics Department and Florida High School Athletic Association (FHSAA) in order to be eligible to participate in school sponsored athletics activities. Some forms must be completed by and signed by a licensed physician.

By completing and submitting these forms, there is no guarantee that your student will be selected to participate on an athletic team that requires a try out. For additional information about the athletic program at North Broward Preparatory School, please contact the North Broward Athletic Department at [email protected].

Interested students should complete and return the following athletics forms:

International Students Required Athletic Forms

FHSAA Consent and Release from Liability Certificate

FHSAA Registration Form for Youth Exchange, Other International or Immigrant Student

FHSAA Affidavit of Compliance with the Policies on Athletic Recruiting & Non-Traditional Student Participation

Permission for Medical Treatment

Athletic Handbook Form


APPENDIX A: ATHLETICS FORMS


INTERNATIONAL STUDENTS REQUIRED ATHLETIC FORMS

45

2016 – 2017

International Students – Required Athletic Forms

Students Name: ____________________________________________________ Grade: ___________

__________ FHSAA Pre-Participation Physical Evaluation Form (EL2 – Revised 3/16) *Must be signed & dated by a doctor (3 pages) __________ FHSAA Consent and Release of Liability Certificate (EL3 – Revised 4/16)

*Must sign and date all pages (4 pages)

__________ “Concussion in Sports – What You Need to Know” Video (Certificate of Completion)

*Must watch entire video & submit Certificate of Completion __________ Registration of Youth Exchange, Other International/Immigrant Student (EL4)

__________ Affidavit of Compliance w/ Policy on Recruiting (GA4) *Must be filled out by new incoming students grades 10th – 12th

__________ Copy of signed & executed 1-20 Form (F1 Visa) or I-94 Documentation (Other Visa)

__________ Copy of Passport & Visa

__________ Copy of original language transcripts (since entering 8th Grade up until current Grade)

__________ Copy of translated transcripts (since entering 8th Grade up until current Grade)

__________ NBPS Permission To Treat Form

__________ NBPS Student-Parent Athletic Handbook Form

FHSAA CONSENT AND RE-LEASE FROM LIABILITY CER-TIFICATE Florida High School Athletic Association

Consent and Release from Liability Certificate (Page 1 of 4)This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the most recent signature.This form is non-transferable; a change of schools during the validity period of this form will require this form to be re-submitted.

EL3Revised 04/16

Part 1. Student Acknowledgement and Release (to be signed by student at the bottom)I have read the (condensed) FHSAA Eligibility Rules printed on Page 4 of this “Consent and Release Certificate” and know of no reason why I am not eligible to represent my school in interscholastic athletic competition. If accepted as a representative, I agree to follow the rules of my school and FHSAA and to abide by their decisions. I know that athletic participation is a privilege. I know of the risks involved in athletic participation, understand that serious injury, including the potential for a concus-sion, and even death, is possible in such participation, and choose to accept such risks. I voluntarily accept any and all responsibility for my own safety and welfare while participating in athletics, with full understanding of the risks involved. Should I be 18 years of age or older, or should I be emancipated from my parent(s)/guardian(s), I hereby release and hold harmless my school, the schools against which it competes, the school district, the contest officials and FHSAA of any and all responsibility and liability for any injury or claim resulting from such athletic participation and agree to take no legal action against FHSAA because of any accident or mishap involving my athletic participation. I hereby authorize the use or disclosure of my individually identifiable health information should treatment for illness or injury become necessary. I hereby grant to FHSAA the right to review all records relevant to my athletic eligibility including, but not limited to, my records relating to enrollment and attendance, academic standing, age, discipline, finances, residence and physical fitness. I hereby grant the released parties the right to photograph and/or videotape me and further to use my name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, promotional and commercial materials without reservation or limitation. The released parties, however, are under no obligation to exercise said rights herein. I understand that the authorizations and rights granted herein are voluntary and that I may revoke any or all of them at any time by submitting said revocation in writing to my school. By doing so, however, I understand that I will no longer be eligible for participation in interscholastic athletics.

Part 2. Parental/Guardian Consent, Acknowledgement and Release (to be completed and signed by a parent(s)/guardian(s) at the bot-tom; where divorced or separated, parent/guardian with legal custody must sign.) A. I hereby give consent for my child/ward to participate in any FHSAA recognized or sanctioned sport EXCEPT for the following sport(s):

__________________________________________________________________________________________________________________________________List sport(s) exceptions here

B. I understand that participation may necessitate an early dismissal from classes. C. I know of, and acknowledge that my child/ward knows of, the risks involved in interscholastic athletic participation, understand that serious injury, and even death, is possible in such participation and choose to accept any and all responsibility for his/her safety and welfare while participating in athletics. With full understanding of the risks involved, I release and hold harmless my child’s/ward’s school, the schools against which it competes, the school district, the contest officials and FHSAA of any and all responsibility and liability for any injury or claim resulting from such athletic participation and agree to take no legal action against the FHSAA because of any accident or mishap involving the athletic participation of my child/ward. I authorize emergency medical treatment for my child/ward should the need arise for such treatment while my child/ward is under the supervision of the school. I further hereby authorize the use or disclosure of my child’s/ward’s individually identifiable health information should treatment for illness or injury become necessary. I consent to the disclosure to the FHSAA, upon its request, of all records relevant to my child/ward’s athletic eligibility including, but not limited to, records relating to enrollment and attendance, academic standing, age, discipline, finances, residence and physical fitness. I grant the released parties the right to photograph and/or videotape my child/ward and further to use said child’s/ward’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, promotional and commercial materials without reservation or limitation. The released parties, however, are under no obligation to exercise said rights herein.D. I am aware of the potential danger of concussions and/or head and neck injuries in interscholastic athletics. I also have knowledge about the risk of continuing to participate once such an injury is sustained without proper medical clearance. READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF MY CHILD’S/WARD’S SCHOOL, THE SCHOOLS AGAINST WHICH IT COMPETES, THE SCHOOL DISTRICT, THE CONTEST OFFICIALS AND FHSAA USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERI-OUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM MY CHILD’S/WARD’S SCHOOL, THE SCHOOLS AGAINST WHICH IT COMPETES, THE SCHOOL DISTRICT, THE CONTEST OFFICIALS AND FHSAA IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO RE-FUSE TO SIGN THIS FORM, AND MY CHILD’S/WARD’S SCHOOL, THE SCHOOLS AGAINST WHICH IT COMPETES, THE SCHOOL DISTRICT, THE CONTEST OFFICIALS AND FHSAA HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

E. I agree that in the event we/I pursue litigation seeking injunctive relief or other legal action impacting my child (individually) or my child’s team participa-tion in FHSAA state series contests, such action shall be filed in the Alachua County, Florida, Circuit Court. F. I understand that the authorizations and rights granted herein are voluntary and that I may revoke any or all of them at any time by submitting said revocation in writing to my school. By doing so, however, I understand that my child/ward will no longer be eligible for participation in interscholastic athletics. G. Please check the appropriate box(es):____ My child/ward is covered under our family health insurance plan, which has limits of not less than $25,000.

Company: ____________________________________________________________ Policy Number: ____________________________________ My child/ward is covered by his/her school’s activities medical base insurance plan. ____ I have purchased supplemental football insurance through my child’s/ward’s school.

I HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE (Only one parent/guardian signature is required)

__________________________________________________ ____________________________________________________ _______/_______/____________Name of Parent/Guardian (printed) Signature of Parent/Guardian Date


I HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE (student must sign)

__________________________________________________ ____________________________________________________ _______/_______/____________Name of Student (printed) Signature of Student Date

– 1 –

School: __________________________________________ School District (if applicable): __________________________

46

EL3Revised 04/16Florida High School Athletic Association

Consent and Release from Liability Certificate for Concussions (Page 2 of 4)This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the most recent signature.

Concussion InformationConcussion is a brain injury. Concussions, as well as all other head injuries, are serious. They can be caused by a bump, a twist of the head, sudden deceleration or acceleration, a blow or jolt to the head, or by a blow to another part of the body with force transmitted to the head. You can’t see a concussion, and more than 90% of all concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. All concussions are potentially serious and, if not managed properly, may result in complications including brain damage and, in rare cases, even death. Even a “ding” or a bump on the head can be serious. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, your child should be immediately removed from play, evaluated by a medical professional and cleared by a medical doctor.

Signs and Symptoms of a Concussion:Concussion symptoms may appear immediately after the injury or can take several days to appear. Studies have shown that it takes on average 10-14 days or longer for symptoms to resolve and, in rare cases or if the athlete has sustained multiple concussions, the symptoms can be prolonged. Signs and symptoms of concussion can include: (not all-inclusive)

• Vacant stare or seeing stars • Lack of awareness of surroundings • Emotions out of proportion to circumstances (inappropriate crying or anger) • Headache or persistent headache, nausea, vomiting • Altered vision • Sensitivity to light or noise • Delayed verbal and motor responses • Disorientation, slurred or incoherent speech• Dizziness, including light-headedness, vertigo(spinning) or loss of equilibrium (being off balance or swimming sensation) • Decreased coordination, reaction time• Confusion and inability to focus attention • Memory loss • Sudden change in academic performance or drop in grades • Irritability, depression, anxiety, sleep disturbances, easy fatigability • In rare cases, loss of consciousness

DANGERS if your child continues to play with a concussion or returns too soon:Athletes with signs and symptoms of concussion should be removed from activity (play or practice) immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to sustaining another concussion. Athletes who sustain a second concussion before the symptoms of the first concussion have resolved and the brain has had a chance to heal are at risk for prolonged concussion symptoms, permanent disability and even death (called “Second Impact Syndrome” where the brain swells uncontrollably). There is also evidence that multiple concussions can lead to long-term symptoms, including early dementia.

Steps to take if you suspect your child has suffered a concussion:Any athlete suspected of suffering a concussion should be removed from the activity immediately. No athlete may return to activity after an apparent head injury orconcussion, regardless of how mild it seems or how quickly symptoms clear, without written medical clearance from an appropriate health-care professional (AHCP).In Florida, an appropriate health-care professional (AHCP) is defined as either a licensed physician (MD, as per Chapter 458, Florida Statutes), a licensed osteopathicphysician (DO, as per Chapter 459, Florida Statutes). Close observation of the athlete should continue for several hours. You should also seek medical care and inform your child’s coach if you think that your child may have a concussion. Remember, it’s better to miss one game than to have your life changed forever. When in doubt, sit them out.

Return to play or practice:Following physician evaluation, the return to activity process requires the athlete to be completely symptom free, after which time they would complete a step-wise protocol under the supervision of a licensed athletic trainer, coach or medical professional and then, receive written medical clearance of an AHCP.

For current and up-to-date information on concussions, visit http://www.cdc.gov/concussioninyouthsports/ or http://www.seeingstarsfoundation.org

Statement of Student Athlete ResponsibilityParents and students should be aware of preliminary evidence that suggests repeat concussions, and even hits that do not cause a symptomatic concussion, may lead to abnormal brain changes which can only be seen on autopsy (known as Chronic Traumatic Encephalopathy (CTE)). There have been case reports suggesting the development of Parkinson’s-like symptoms, Amyotropic Lateral Sclerosis (ALS), severe traumatic brain injury, depression, and long term memory issues that may be related to concussion history. Further research on this topic is needed before any conclusions can be drawn.

I acknowledge the annual requirement for my child/ward to view “Concussion in Sports-What You Need to Know” at www.nfhslearn.com. I accept responsi-bility for reporting all injuries and illnesses to my parents, team doctor, athletic trainer, or coaches associated with my sport including any signs and symptoms of CONCUSSION. I have read and understand the above information on concussion. I will inform the supervising coach, athletic trainer or team physician immediately if I experience any of these symptoms or witness a teammate with these symptoms. Furthermore, I have been advised of the dangers of participa-tion for myself and that of my child/ward.

__________________________________________________ ____________________________________________________ _______/_______/____________Name of Student-Athlete (printed) Signature of Student-Athlete Date


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School: _________________________________________ School District (if applicable): __________________________

47

Florida High School Athletic AssociationConsent and Release from Liability Certificate for Sudden Cardiac Arrest and Heat-Related Illness (Page 3 of 4)This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the most recent signature.

EL3Revised 04/16

– 3 –

Sudden Cardiac Arrest InformationSudden cardiac arrest is a leading cause of sports-related death. This policy provides procedures for educational requirements of all paid coaches and recommends added training. Sudden cardiac arrest is a condition in which the heart suddenly and unexpectedly stops beating. If this happens, blood stops flowing to the brain and other vital organs. SCA can cause death if it’s not treated within minutes.

Symptoms of sudden cardiac arrest include, but not limited to: sudden collapse, no pulse, no breathing. Warning signs associated with sudden cardiac arrest include: fainting during exercise or activity, shortness of breath, racing heart rate, dizziness, chest pains, extreme fatigue.

It is strongly recommended all coaches, whether paid or volunteer, are regularly trained in CPR and the use of an AED. Training is encouraged through agencies that provide hands-on training and offer certificates that include an expiration date.

Automatic external defibrillators (AEDs) are required at all FHSAA State Series games, tournaments and meets. The FHSAA also strongly recommends that they be available at all preseason and regular season events as well along with coaches/individuals trained in CPR.

What to do if your student-athlete collapses:1. Call 9112. Send for an AED3. Begin compressions

FHSAA Heat-Related Illnesses Information People suffer heat-related illness when their bodies cannot properly cool themselves by sweating. Sweating is the body’s natural air conditioning, but when a person’s body temperature rises rapidly, sweating just isn’t enough. Heat-related illnesses can be serious and life threatening. Very high body temperatures may damage the brain or other vital organs, and can cause disability and even death. Heat-related illnesses and deaths are preventable.

Heat Stroke is the most serious heat-related illness. It happens when the body’s temperature rises quickly and the body cannot cool down. Heat Stroke can cause perma-nent disability and death.

Heat Exhaustion is a milder type of heat-related illness. It usually develops after a number of days in high temperature weather and not drinking enough fluids.

Heat Cramps usually affect people who sweat a lot during demanding activity. Sweating reduces the body’s salt and moisture and can cause painful cramps, usually in the abdomen, arms, or legs. Heat cramps may also be a symptom of heat exhaustion.

Who’s at Risk? Those at highest risk include the elderly, the very young, people with mental illness and people with chronic diseases. However, even young and healthy individuals can succumb to heat if they participate in demanding physical activities during hot weather. Other conditions that can increase your risk for heat-related illness include obesity, fever, dehydration, poor circulation, sunburn, and prescription drug or alcohol use.

By signing this agreement, the undersigned acknowledges that the information on Sudden Cardiac Arrest and Heat-Related Illness have been read and under-stood. I acknowledge optional educational opportunities in cardiac arrest at www.nfhslearn.org. Please go to www.fhsaa.org/departments/health for further instructions to view the courses. I have been advised of the dangers of participation for myself and that of my child/ward.



School: _________________________________________ School District (if applicable): __________________________

48

Florida High School Athletic AssociationConsent and Release from Liability Certificate (Page 4 of 4)This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the most recent signature.

EL3Revised 04/16

Attention Student and Parent(s)/Guardian(s) Your school is a member of the Florida High School Athletic Association (FHSAA) and follows established rules. To be eligible to represent your school in interscholastic athletics, in an FHSAA recognized sport (i.e. bowling, competitive cheerleading, girls flag football, lacrosse, boys volleyball, water polo and girls weightlifting or sanctioned sport (i.e. baseball, basketball, cross country, tackle football, golf, soccer, fast-pitch softball, swimming & diving, tennis, track & field, girls volleyball, boys weightlifting and wrestling), the student:

1. This form is non-transferable; a separate form must be completed for each different school at which a student participates.

2. Must be regularly enrolled and in regular attendance at your school. If the student is a home education student or attends a charter school or Florida Virtual School - Full time Program or a special/alternative school or certain small non-member private schools, the student must declare in writing his/her intention to participate in athletics to the school at which the student is permitted to participate. Home education students and students attending small non-member private schools must be approved through the use of a separate form prior to any participation. (FHSAA Bylaw 9.2, Policy 16 and Administrative Procedure 1.8)

3. Must attend school within 10 days of the beginning of each semester to be eligible during that semester. (FHSAA Bylaw 9.2)

4. Must maintain at least a cumulative 2.0 grade point average on a 4.0 unweighted scale prior to the semester in which the student wishes to participate. This GPA must include all courses taken since the student entered high school. A sixth, seventh or eighth grade student must have earned at least a 2.0 grade point average on 4.0 unweighted scale the previous semester. (FHSAA Bylaw 9.4)

5. Must not have graduated from any high school or its equivalent. (FHSAA Bylaw 9.4)

6. Must not have enrolled in the ninth grade for the first time more than four school years ago. If the student is a sixth, seventh or eighth grade student, the student must not participate if repeating that grade. (FHSAA Bylaw 9.5)

7. Must have signed permission to participate from the student’s parent(s)/legal guardian(s) on a form (EL3) provided the school. (Bylaw 9.8)

8. Must be less than 19 years 9 months old to participate in high school; 16 years 9 months old to participate in junior high school; and 15 years 9 months old to participate in middle school, otherwise the student becomes ineligible to participate at that level. Students entering 9th grade in 2014-15 and thereafter must not turn 19 before September 1st, otherwise the student becomes ineligible to participate. (FHSAA Bylaw 9.6)

9. Must undergo a pre-participation physical evaluation and be certified as being physically fit for participation in interscholastic athletics (form EL2).

10. Must be an amateur. This means the student must not accept money, gift or donation for participating in a sport, or use a name other than his/her own when participating. (FHSAA Bylaw 9.9)

11. Must not participate in an all-star contest in a sport prior to completing his/her high school eligibility in that sport. (FHSAA Policy 26)

12. Must display good sportsmanship and follow the rules of competition before, during and after every contest in which the student participates. If not, the student may be suspended from participation for a period of time. (FHSAA Bylaw 7.1)

13. Must not provide false information to his/her school or to the FHSAA to gain eligibility. (FHSAA Bylaw 9.1)

14. Youth exchange, other international and immigrant students must be approved by the FHSAA office prior to any participation. Exceptions may apply. See your school’s principal/athletic director. (FHSAA Policy 17)

15. Must refrain from hazing/bullying while a member of an athletic team or while participating in any athletic activities sponsored by or affiliated with a member school.

If the student is declared or ruled ineligible due to one or more of the FHSAA rules and regulations, the student has the right to request that the school file an appeal on behalf of the student. See the principal or athletic director for information regarding this process.

By signing this agreement, the undersigned acknowledges that the information on the Consent and Release from Liability Certificate in regards to the FHSAA’s established rules and eligibility have been read and understood.



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CONCUSSION IN SPORTS — WHAT YOU NEED TO KNOW

Directions for viewing the “Concussion in Sports — What You Need To Know” course:

1. Go to www.nfhslearn.com.

2. Create a login and a password.

3. Click on “Concussion in Sports - What You Need to Know” under Great Free Courses.

4. Click “Order Now” (the video is free).

5. Select an option and click “Continue.”

6. Select “Florida” as your state.

7. Click “Checkout.”

8. Click “Complete Purchase” (there should not be a charge unless you are purchasing other videos).

9. Click “Here” on your receipt page. This takes you to your own account page.

10. The video will be under “My Available Courses.” Click “Begin” to watch the video. The video is approximately 20 minutes long. The system has the ability to stop at a certain point and pick back up at that point when you come back to the video.

For help viewing the course, please contact the help desk at NFHS. There is a tab on the upper right hand corner of www.nfhslearn.com.

Once Complete, either print the certificate and bring it in to me or save the certificate as a pdf and email it to me at [email protected].

http://www.nfhslearn.com

http://www.nfhslearn.com

http://[email protected]

FHSAA REGISTRATION FORM FOR YOUTH EXCHANGE, OTHER INTERNATIONAL OR IMMIGRANT STUDENT

EL4Revised 10/15


This form must be completed, filed with all required documentation for any youth exchange, other international or immigrant (withoutPermanent Resident status) student and approved by the FHSAA office each year before the student is allowed to participate ininterscholastic competition. All supporting documents must be scanned and attached to this file.

Registration Form for Youth Exchange,Other International or Immigrant Student

Name of Member School: City:

1. Name of Student as it appears on birth certificate, visa, passport (Surname/Given Name):

6. Country of Citizenship of Student:

(Proof of age attached; reference Bylaw 9.6.4.1) Gender:

2. Visa Class:

4. Currently enrolled in grade:

8. Name of Parent (not the host parent):

9. List the following information for ALL previous schools attended since entering the 8th grade/year (original and translated transcripts attached):

School Year8th

School Name City/State/Country

School Year9th


School Year10th


School Year11th


10.

11. Name of Person in Florida with whom the student resides:

12. Address of Person in Florida with whom the student resides:

13. Phone number of Person in Florida with whom the student resides:

17. :

15. Date last attended previous school: Date first attended current school:

18. For F-1 and J-1 Visa Students Only:

16.Name of School/City/State/Country

19. ATTACHMENTS TO BE PROVIDED:FIRST YEAR STUDENTS 1. Proof of Age; and 2. I-20 A-B Form or DS-2019 Form or I-94 Form or Other Immigration Documents; and 3. Original Language Transcripts; and 4. Int'l Transcript-GPA Calculator Form (Grades 9 - 12 only) RETURNING, PREVIOUSLY APPROVED STUDENTS 1. I-20 A-B Form or DS-2019 Form or I-94 Form or Other Immigration Documents; and 2. An official school transcript or the Int'l Transcript-GPA Calculator Form (Grades 9 - 12 only)

This student is residing at a boarding school approved by the Association...SKIP TO #14

14. Date entered the 9th grade/year (if applicable):

This student attended another high school in the United States.

This student is a receiving financial aid from the following approved financial aid agency

3. Date of Birth:{mm/dd/yyyy}

This student will be attending this school for the full school year.

{month and year}

{mm/dd/yyyy} {mm/dd/yyyy}

Other Non - Immigrant Visa Class (if applicable): {if "Other", specify}:

7. If this is a returning, previously approved student, then specify:

PLEASE ALLOW A MINIMUM OF TEN (10) BUSINESS TO PROCESS THIS FORM.

Click here for the Int'l Transcript-GPA Calculator Form

5. Sports in which the student wishes to participate (enter -- for no sport):

Fall 1 Fall 2 Winter 1 Winter 2 Spring 1 Spring 2

51

FHSAA AFFIDAVIT OF COMPLI-ANCE WITH THE POLICIES ON ATHLETIC RECRUITING & NON-TRADITIONAL STUDENT PARTICIPATION


Affidavit of Compliance with the Policies onAthletic Recruiting & Non-Traditional Student Participation

GA4

– 1 –

For: Any student who changes attendance to a member school at any time, regardless of whether the change occurs during the school year or during thesummer period between school years, including youth exchange, international and immigrant students, or is a “Non-Traditional” student (i.e. homeeducation, certain charter and special school, certain private school, etc.) participating for your school. This form is not required for students entering from a terminating grade school (i.e. 5th grade to 6th, 8th grade to 9th grade).

Action: Must be read and signed in the presence of a notary public by the student and his/her parent(s)/legal guardian(s) appointed by a court of competentjurisdiction. This form only needs to be done once for each change of schools or change in participation as a “Non-Traditional” student at amember school.

Due date: MustbereceivedbytheschoolonorbeforethefirstdayofpracticeasestablishedontheFHSAACalendarforthefirstsportinwhichthestudentwishes to participate, as posted on the FHSAA Website.

Required by: FHSAA Policies.Purpose: To heighten the awareness of and compliance with rules prohibiting athletic recruiting on the part of student-athletes, their parents/legal guardians, and

member schools, as well as participation with a member school as a “Non-Traditional” student.Verification: Page 3 will be checked for completeness. Submission of this form DOES NOT grant eligibility.

TO: STUDENT-ATHLETE

This school that you have chosen to attend, or participate for as a “Non-Traditional” student, is a member of the Florida High School Athletic Association (FHSAA). The FHSAA has rules that prohibit a member school from making any effort to encourage or entice a student to attend there for athletic purposes. This is called athletic recruiting, and it is not permitted on the high school level. The Florida Legislature, in fact, has directed the FHSAA to “adoptbylawsthatspecificallyprohibittherecruitingofstudentsforathleticpurposes.”Floridalawalsoregulatestheparticipationininterscholasticathletics by “Non-Traditional” students.

What follows is an explanation of athletic recruiting rules, as well as regulations related to participation by “Non-Traditional” students, and the penalties for violating them. You and your parent(s) or legal guardian(s) must read this document and declare that you were not recruited to attend the school for athleticpurposesandthatyouareawareoftheregulationsregardingparticipationasa“Non-Traditional”studentbysigningtheattached“AffidavitofCompliance”inthepresenceofanotarypublic.Thesignedaffidavitmustbesubmittedtothememberschoolpriortoadatenotearlierthanthefirstdayofpracticeofthefirstsportinwhichthestudentwishestoparticipate,aspostedontheFHSAAWebsite.

Pleasereadthisinformationcarefully.Signtheaffidavittruthfullyandhonestly.Donotsigntheaffidavitifyouhaveanyquestionsabouttheserulesorbelieve that aviolationof these rulesmayhaveoccurred. Instead,haveyour school’s athleticdirector contact theFHSAAOfficebyphoneat352.372.9551 ext. 340 or by e-mail at [email protected]. Violations of these rules and regulations can and do result in severe penalties for the schoolandthestudent-athlete.Makinganinaccuratestatementbysigningtheaffidavitwhenyouknowyoushouldnotwillonlymakethesepenaltiesworse for all involved if violations are later determined to have occurred.

What is athletic recruiting?Athletic recruiting is any attempt by any employee or athletic department staff member of an FHSAA member school, a representative of the school’s athletic interests or a third party to pressure, urge or entice a student who does not attend that school to change his/her attendance there for the purpose of athletic participation. This occurs when the school employee, athletic department staff member or representative of the school’s athletic interests makes improper contact with the student or a member of his/her family in an effort to pressure or urge the student to go to that school OR promises, offersorgivesthestudentanimpermissiblebenefitinanefforttoenticethestudenttogotothatschool.

Who is “a representative of the school’s athletic interests?”Any person, business or organization that participates in, assists with, and/or promotes a school’s athletic program is considered to be a representative of the school’s athletic interests. This includes, but is not limited to:• A student-athlete or other student participant in the athletic program at that school;• The parents, guardians or other family members of a student-athlete or other student participant in the athletic program at that school;• Immediate relatives of a coach or other members of the athletic department staff at that school;• A volunteer with that school’s athletic program;• A member of an athletic booster organization of that school;• Aperson,businessororganizationthatmakesfinancialorin-kindcontributionstotheathleticdepartmentorthatisotherwiseinvolvedinpro-

moting the school’s interscholastic athletic program.

What is improper contact with a student who does not attend a school?Any contact or communication of any kind with a student who does not attend a particular school, or a member of the student’s family, in attempt to pressure, urge or entice the student to change attendance to a different school for athletic reasons is improper. The improper contact can either be in person,throughwrittenorelectronicmeanssuchasletters,flyers,e-mails,textmessages,socialmediaorthroughathirdparty.Didsomeonetalkyouinto changing to this school to play athletics? Did someone urge you to change to this school to play athletics? If so, you may have been athletically recruited.

What is an impermissible benefit?Animpermissiblebenefitisanybenefitthatispromised,offeredorgiventoastudentoramemberofhis/herfamilybutisnotofferedorgenerallymade available to all students who apply to or attend the school. Did someone promise, offer or give you anything more than what any other student who attends this school is generally promised, offered or given that caused you to decide to change to this school? If so, it probably is an impermissible benefit.

Revised 06/15

52

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GA4

What is a “third party”?A “third party” is an independent person, business or organization who may or may not be a representative of the school’s athletic interests.

What are the penalties for violations of athletic recruiting rules by a member school?A member school that violates athletic recruiting rules will be assessed one or more of the following penalties:• A public reprimand;• Afinancialpenalty;• Forfeitureofallcontestsandawardswoninwhichthestudentwhowasathleticallyrecruitedorreceivedanimpermissiblebenefitparticipatedor

contributed;• One or more forms of probation (administrative, restrictive or suspension) for one or more years;• Prohibition against participating or coaching in certain competitions, including state playoffs, for one or more years in the sport(s) in which the

violation(s) occurred;• Prohibition against participating in any competitions for one or more years in the sport(s) in which the violation(s) occurred;• Restricted membership for one or more years during which some or all of the school’s membership privileges are restricted or denied;• Expulsion from membership in the FHSAA.

What are the penalties for a student who is found to have been athletically recruited or receives an impermissible benefit?Astudentwhoisathleticallyrecruitedorreceivesanimpermissiblebenefitwillbeineligibleforathleticcompetitionforoneormoreyearsattheschoolwhere the violation occurred, and may be declared ineligible for athletic competition at all FHSAA member schools for one or more years.

What are the regulations regarding the participation of “Non-Traditional” students?A Non-Traditional student is eligible to participate provided:• The student meets the same residency requirements as other students in the school at which he/ she participates; and• The student meets the same standards of acceptance, behavior and performance as required of other students in extracurricular activities; and• The student registers with the school his/her intent to participate in interscholastic athletic competition as a representative of the school, utilizing

theofficialAssociationprocessasapprovedbytheExecutiveDirector,priortoadatenotearlierthanthefirstdayofpracticeforthesport(s)inwhich he/she wishes to participate, as posted on the FHSAA website; and

• The student complies with all FHSAA regulations, including eligibility requirements regarding age and limits of eligibility, and local schoolregulations during the time of participation; and

• The student provides proof of basic medical insurance coverage and both independently secured catastrophic insurance coverage and liabilityinsurance coverage which names the FHSAA as an insured party in the event the school’s insurance provider does not extend coverage to suchstudents; and

• The student provides his/her own transportation to and from the school; and• Thestudentprovidestoschoolauthoritiesallrequiredforms(including,butnotlimitedto,theEL2,EL3,EL3CHand,whereapplicable,theEL7,

EL7V, EL12, EL12V and EL14) and provisions.

What are the penalties for violations of regulations regarding “Non-Traditional” student by a member school?Allowing students to participate without properly registering a non-traditional student will subject the school to a monetary penalty.


Affidavit of Compliance with the Policies onAthletic Recruiting & Non-Traditional Student Participation

Revised 06/15

53

GA4Florida High School Athletic Association

Affidavit of Compliance with the Policies onAthletic Recruiting & Non-Traditional Student ParticipationThe student/parent must complete, obtain all applicable signatures before a notary public and submit this form to the school on or before the first day of practice for the first sport in which the student wishes to participate,asestablischedontheFHSAACalendar. Submission of this form DOES NOT grant eligibility. The student must be ELIGIBLE in all other respects.

Revised 06/15

– 3 –

We, the undersigned, being sworn, certify that the following statements are true:

1. Student {full legal name} _________________________________________________________________________________________ (“THIS STUDENT”),

who was born on {date} _____________________________________, 19/20 ______, and who is currently in the {number} ______th grade, now attends or wishes to

participate for {school now attending/participating for}________________________________________________________________________(“THISSCHOOL”),

commencing on {date} _________________________________, 20 ______.

THIS STUDENT has previously attended/participated for {list all previous secondary schools beginning with the most recent and working back in time}

_____________________________________________________________________________________________________________________________________.

2. Ihavereadandunderstandthedefinitionofathleticrecruiting,includingtheexplanationoftheterms“representativesoftheschool’sathleticinterests”,“impropercontact”and“impermissiblebenefit”,orIhavereadandunderstandtheregulationsregardingparticipationasa“Non-Traditional”student.

3. Noemployee,athleticdepartmentstaffmember,representativeoftheathleticinterestsofTHISSCHOOL,anypersonororganizationactingontheirbehalforathird party has had communication, directly or indirectly, through intermediaries, or otherwise with THIS STUDENT or any member of his/her family in an attempt to pressure,urgeorenticeTHISSTUDENTtochangeattendancetoTHISSCHOOLforthepurposeofparticipationininterscholasticathletics.

4. Noemployee,athleticdepartmentstaffmember,representativeoftheathleticinterestsofTHISSCHOOL,anypersonororganizationactingontheirbehalforathirdpartyisgiving,hasgiven,hasofferedorpromisedtogive,directlyorindirectly,throughintermediaries,orotherwiseanyimpermissiblebenefittoTHISSTUDENTor anymember of his/her family for the purpose of participation in interscholastic athletics.

5. IfTHISSTUDENThasparticipatedonanon-schoolteamaffiliatedwithTHISSCHOOLpriortoattendingTHISSCHOOLthatTHISSTUDENThassignedaGA6 Form.

6. IfTHISSTUDENTisa“Non-Traditional”student,THISSTUDENThassubmittedtoTHISSCHOOLtheEL2,EL3,EL3CHformsand,whereapplicable,theEL7, EL7V, EL12, EL12V and EL14 forms prior to a date not earlier than the first day of practice of the first sport in which the student wishes to participate, as posted on the FHSAA Website..

7.IfTHISSTUDENTisayouthexchange(J-1andF-1Visas),internationalorimmigrantstudent,THISSTUDENThassubmittedtoTHISSCHOOLtheEL2,EL3,EL3CHformsand,whereapplicable,theEL4Form.

I understand that I am swearing or affirming under oath to the truthfulness of the statements made in this affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment. I further understand that the penalties for knowingly making a false statement may subject THIS SCHOOLtofines,forfeitures,probationsandpossibleexpulsionfrommembershipintheFHSAA,andmaysubjectTHISSTUDENTtoalossofathleticeligibility.

FOR STUDENT/PARENT(S)/LEGAL GUARDIAN(S):

_______________________________________________/_______________ STATEOFFLORIDA,COUNTYOF________________________________Signature of Student Date

Sworntooraffirmedbeforemeon{date}____________________________. [Notary Seal:]

_______________________________________________________________ Printed Name of Student

_______________________________________________/ _______________ Signature of Parent/Legal Guardian Date

_______________________________________________________________ _______________________________________________________________Printed Name of Parent/Legal Guardian Signature of Notary

_______________________________________________/ _______________ _______________________________________________________________Signature of Parent/Legal Guardian Date Printed Name of Notary

NOTARYPUBLIC_______________________________________________________________ My commission expires: _____________________________, 20_____.Printed Name of Parent/Legal Guardian

Personally known to me _____

ORProducedIdentification_____

TypeofIdentificationProduced_____________________________________

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PERMISSION FOR MEDICAL TREATMENT

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Permission for Medical TreatmentI, the undersigned parent or legal guardian of __________________________________, understand that my

(Student’s Name)

child is involved in activities of the North Broward Preparatory School’s Athletic Program that could lead to

injuries and the need for medical attention. I do hereby authorize the athletic training staff and/or coaching staff

of the North Broward Preparatory Schools’ Athletic Department to secure any and all medical treatment for my

student athlete in the event that I am not present, with the understanding that every possible effort will be made

to contact me. I understand that the Athletic Training Staff will perform only procedures that are within their

training. I understand that I may have contact with Athletic Training Students under the direct supervision of

the Certified Athletic Trainer. In the event that my child is injured and emergency care is needed, I give

permission to the qualified personnel to treat my child.

Student Name: ______________________________________________________ Grade: _______________

Parent Contact Information:Parent Name: _________________________________________ Home Phone: _______________________Work Phone: _________________________________ Cell Phone: _________________________________Address: _________________________________________________________________________________

Other Emergency Contact Information:Name: _____________________________________________ Home Phone: _________________________Work Phone: _________________________________ Cell Phone: _________________________________Address: _________________________________________________________________________________

Parent Signature: __________________________________________________ Date: _________________

ATHLETIC HANDBOOK FORM

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STUDENT–PARENT ATHLETIC HANDBOOK FORM

North Broward Preparatory School

The Student‐Parent Athletic Handbook is available to view and/or download on the North Broward Prep Athletic Website (www.nbps.org/life/athletics). Once the Handbook is completely read, the student‐athlete and the parent(s)/guardian(s) must sign and date this form.

I have read and fully understand the Student‐Parent Athletic Handbook and agree to comply with all the rules and regulations.

Athlete’s Name: _________________________________________________ Grade: _____________________

Athlete’s Signature: ______________________________________________ Date: ______________________

I have read and fully understand the Student‐Parent Athletic Handbook and agree to comply with all the rules and regulations.

Parent/Guardian’s Name: _____________________________________________________________________

Parent/Guardian’s Signature: ______________________________________________ Date: ______________

Parent/Guardian’s Name: _____________________________________________________________________

Parent/Guardian’s Signature: ______________________________________________ Date: ______________

**This form must be signed and dated and turned into the Athletic Department before the student‐athlete can participate in any athletic contest**

The following section contains information for seniors (grade 12) only. Students in other grades do not have to provide the items requested.

If you have any questions, please let us know at [email protected].


APPENDIX B: INFORMATION FOR SENIORS



CHECKLIST FOR INTERNATIONAL STUDENTS ENTERING GRADE 12

COMMUNITY SERVICE REQUIREMENTSNorth Broward Preparatory School requires students to complete community/volunteer service hours to graduate. Students can use the Community Service form to document summer volunteer service. The following is a list of hours required to graduate depending on the grade you enrolled at NBPS: • If you started at NBPS in grade 9 you need 100 hours to graduate. • If you started at NBPS in grade 10 you need 85 hours to graduate. • If you started at NBPS in grade 11 you need 60 hours to graduate. • If you started at NBPS in grade 12 you need 30 hours to graduate.

If you volunteer over the summer please bring back a letter from the organization. The letter should be on the organization, school or charity’s letterhead and should include:• Date(s) you volunteered• Brief description of what you did• Total number of hours you volunteered• Signature of supervisor with contact information

Places to volunteer for community service hours include, but are not limited to, the following:

school orphanageretirement facilitymuseum

hospitalgovernment organization non-profit organizationreligious organization

community parklibrarygovernment

Helping a relative or family friend does not count as community service. Working at a business/corporation, even if you are not getting paid, does not qualify as community service. That is considered an internship and you can use that experience as part of your college resume.

PHOTOS FOR GRADUATIONIn preparation for your graduation ceremony please send us the photos listed below. Photos should be of the student only. Photos can be emailed directly to Debbie Scheiber at [email protected]. Please put name of student as subject of message. • 1 baby/toddler photo (this photo will also be used in the yearbook) • 1 elementary/middle school photo• 1 current photo (this photo is due by Winter Break)

OFFICIAL TRANSLATED TRANSCRIPTSThe North Broward Preparatory School transcript only reflects courses taken at NBPS. University admissions require transcripts showing grades 9, 10 and 11. Please obtain 5-10 complete official transcripts, translated into English from your other middle/high school. Bring them to your college advisor in the fall. These transcripts will be sent to the universities that you will be applying to.



CHECKLIST FOR INTERNATIONAL STUDENTS (CONTINUED)

TOEFL EXAMAll international seniors will need to take at least one TOEFL exam by September 30th of their senior year. One TOEFL exam must be taken locally. Please see Residential Life Student Handbook for a list of approved testing locations.

SAT/ACT EXAMSAll students should take at least one SAT/ACT exam by the end of the their junior year and at least one additional SAT/ACT exam during their senior year. Many students may also need to take the SAT Subject test. Although most colleges do not require SAT Subject test, the more selective, competitive colleges do require them. Please talk to your college advisor if it will be necessary for you to take the SAT Subject test and when to take them.

CREDIT/DEBIT CARDAll universities require students to pay an application fee as part of the application process. These fees will vary from $30 to $75. Students need to be prepared to pay for the application fee online. Many international credit/debit cards are not accepted when paying these fees or when registering for TOEFL, so please have a U.S. credit card.

RESUMEWork on developing your resume of activities such as awards earned, extra-curricular participation, volunteering experiences and/or employment. You will need this information when you begin to work on your college applications.

RESEARCH COLLEGES USING THE NAVIANCE PROGRAM (returning students only)You have received a registration card for Naviance, which includes your user name and password. The website for Naviance is http://connection.naviance.com/nbps. Students should go online and investigate this useful college search program. For help with Naviance, see your college advisor.

http://connection.naviance.com/nbps

COMMUNITY SERVICE VERIFI-CATION


COMMUNITY SERVICE VERIFICATION

2016 - 2017 Beginning with the ninth grade, students are required to spend 15 hours during their freshman year, 25 hours during their sophomore year, 30 hours during their junior year, and 30 hours during their senior year in community service, for a total of 100 hours. Please refer to your student handbook for additional information. Please return completed form to Kim Blow, Guidance.

STUDENT NAME: _________________________________PRINT NAME PLEASE

CURRENT GRADE: _____

Instructions: Complete the following information for community service hours earned. You may document up to three activities on each community service verification form. This form must be completed in order to receive credit for hours performed.

NAME OF COMMUNITY SERVICE PROGRAM: _________________________________________ COMMUNITY SERVICE DESCRIPTION:

SUPERVISOR’S SIGNATURE: _______________________ SUPERVISOR’S PHONE # : (_____) _______ - __________

SERVICE DATE: ____/____/_____

SERVICE HOURS EARNED: _____



SERVICE DATE: ____/____/_____




SERVICE DATE: ____/____/_____


Please return completed form to Debbie Scheiber, Residential Office 60


COMMUNITY SERVICE EXAMPLES

When submitting letters for community service you need to make sure it contains the following information:

• Name of Organization/Place where you volunteered

• Date(s) you volunteered (can be a range of time, ex. Aug. 1-20, 2016)

• Brief description of what you did

• Total number of hours volunteered

• Name and contact information of supervisor

• Please have your community service documents written/translated into English