Challenger Lift-Off Schedule

Tuesday, August 7, 2018

Students with last name beginning with:

A – C 8:00 am – 9:00 am

D – G 9:00 am – 10:00 am

H – K 10:00 am – 11:00 am

CLOSED 11:00 am – 12:00 pm

L – O 12:00 pm – 1:00 pm

P – S 1:00 pm – 2:00 pm

T – Z 2:00 pm – 3:00 pm

Welcome, Cheetahs, to the 2018-19 school year!

We hope this finds you and your family relaxing and enjoying your

summer vacation. Challenger Lift-Off, our arena-type registration for

students and parents, will take place on Tuesday, August 7, 2018. It may

take an hour to complete Challenger Lift-Off. We have enclosed in this

packet information and handouts to speed up this process.

Challenger Lift-Off is where students, along with their parent(s), will be

able to:

take school picture & receive student ID

turn in medical forms

pay fees for 2018-2019 school year

turn in athletic paperwork

buy spirit items from Student Council

learn about PTA opportunities

pick up schedule

sign up for fall sports and 6th grade sports clinics

deposit money on lunch account (separate check)

check out student iPads

How to use this guide and prepare for registration. You will need to:

Read through this packet and print applicable forms.

Complete required online registration by August 3rd.

Access PayforIt to pay for 2018-2019 and any outstanding fees.

CHALLENGER MIDDLE SCHOOL

Challenger Lift-Off Information

(719) 234-3000 https://challenger.asd20.org/Pages/default.aspx

TABLE OF CONTENTS

Map ............................................. 2

Required before August 3rd ......... 3

Station Breakdown ................... 3-5

Cheetah Communications ........... 5

August 2018 Calendar ................. 6

Permission to Administer

Medication during

School Hours Form/Information

from School Nurse ................... 7-8

Athletic Registration Form .......... 9

Sports Constitution ............... 10-11

Physical Form ........................... 12

PayForIt.net Information ........... 13

Lifetouch Information .......... 14-15

Spirit Wear ................................ 16

First Day of School

6th grade only: Wednesday, August 15

All Students: Thursday, August 16

Back-to-School Night

Thursday, August 16 at 6:00 pm

iPad

Checkout

FRONT

OFFICE C

LIC

/LIB

RA

RY

DISCOVERY ROOM

CAFETERIA

Welcome

Table

School Pictures

Fees

Medical 6th Grade Clinics

Student

Council Rm108

Athletics

Exit

Challenger Lift-Off 2018-2019

Sodex

o

Schedules

Fees

Fees

Fees

Entrance

REQUIRED BEFORE CHALLENGER LIFT-OFF Parents: You must complete the required online registration for your student before August 3rd on Infinite

Campus. There are two parts of the online registration. The first part is to see if your student’s immunizations

are up to date through the Parent Portal. The second part is to update information in the Parent Extended Portal.

All parents have a Parent Portal. If you do not remember your Parent Portal password, click here to reset it. If

you have any problems, you can either call the school or contact the helpdesk at help@asd20.org.

Go to the Logins page on Challenger’s website.

Click on Infinite Campus Parent Portal Access to check your student’s immunization compliance.

o Select your student from the top and then click on Health.

o If your student is non-compliant (red) please make sure you stop at Station 2 at Lift-Off. (See

“Station 2” below for details) If your student is compliant will all immunizations you can skip

Station 2.

Click on Infinite Campus Extended Portal.

o Log in and choose your student’s name (must be completed for each student)

o Complete Emergency and Health Information – Annual health statement, health conditions,

immunizations, emergency contacts, physician information

o Complete Documents and Agreements (See below) – Photo, work, name and 20TV agreements,

student network agreement and student handbook

Photo, Work, Name and 20TV Agreements – It is important to remember that these areas

relate to our school newsletter and weekly Cheetah Chat, as well. There are times that we

would like to recognize your child for accomplishments made throughout the year. If you

indicate “no” to these categories, we will be unable to make such recognitions.

Student Network Agreement and Handbook – Please review both the network agreement

and handbook on the Extended Parent Portal with your student. The handbook includes

detailed information about the attendance policy, disciplinary action, as well as other rules

and expectations.

o Complete Transportation information, if applicable.

PLEASE NOTE: Students with ANY outstanding unpaid fees will NOT be allowed to participate in Lift Off.

Fees can be paid on PayForIt.net or with our bookkeeper PRIOR to Lift Off.

STATION 1 – WELCOME TABLE (REQUIRED) The welcome table will provide you with a two part form that you must get initialed when you visit each station.

Please put your child’s name and grade on the front. The parent volunteers will verify that parents have

completed their student’s online registration (see above). If you have already paid your student’s academic team

fees and athletics fees through PayForIt.net, please bring your receipt. Check the Table of Contents for the

location of the PayForIt.net instructions in this packet.

STATION 2 – MEDICAL (REQUIRED FOR NON-COMPLIANT STUDENTS) Any student that is non-compliant with their immunizations must visit this station. Please check to see if your

student is compliant with the instructions above. Any student that has a health plan or medication may stop by

the Medical Information booth to drop the paperwork/medication off. The health room clerk and the nurse may

be available to answer any quick questions. Below you will find information from the health room clerk and

school nurse.

To protect the health and safety of your child at school, it is the responsibility of the parent to notify the school

nurse about acute and/or chronic health conditions. Please review the parent portal to see if listed health

conditions are current and contact the school nurse, if needed, to update Infinite Campus. District 20 health care

forms must be signed by a physician. Forms include permission to administer medication, health care plans,

permission to self-carry inhalers and EpiPens®, etc. In addition, forms may be obtained from Michelle Van Wijk,

Attendance/Health Clerk or Jane Manderfield, Challenger’s nurse. All medication must be brought in by a parent

at the beginning of the school year with the completed permission form signed by doctor and parent. You may

bring these items to Challenger Lift-Off and drop them off at the Medical Station. Students with asthma, life

threatening allergies, seizures, diabetes, etc. will need a health care plan (updated annually) on file in the health

office. Please call Jane Manderfield, RN, School Nurse, at 499-3480, if you have questions.

STATION 3 – ATHLETICS & 6TH GRADE SPORTS CLINICS (OPTIONAL)

This station is divided into two tables. The first table is for all 7th and 8th graders interested in all sports and any

6th graders interested in cross country, softball, or wrestling. All sports have a fee of $45, with the exception of

football, which is a $65 fee. The second table is for any 6th graders wanting to participate in any of the sports

clinics offered ($25 each).

Challenger’s Athletics website lists the sports offered at Challenger along with the registration dates, season dates,

and cost. Under the “Required Registration Forms”, you will be able to retrieve copies of the Registration, Sports

Constitution, and Sports Physical forms. Please bring a COPY of your student’s completed physical form to

Challenger Lift-Off and turn in at the Athletics table.

Before students may practice for any sport, they must submit the following to the Athletic Office:

Physical form, signed by parents and doctor (good for one calendar year after exam date)

Registration form, signed by parent

Sports Constitution, signed by parent & athlete (good for one school year)

Athletic fee

The CMS Athletics website has a link to the registration form. There are separate registration forms for 6th grade

clinics. Click here to be directed to the Challenger Athletics page.

STATION 4 – STUDENT COUNCIL SPIRIT ITEMS (OPTIONAL) - LOCATED OUTSIDE OF ROOM 108 Hey Cheetahs! Challenger Middle School student council is proud to announce that we will be selling CMS spirit

items. There will be t-shirts, sweatshirts, water bottles, bags, sunglasses, and earbuds available at Challenger

Lift-Off. If you are interested in purchasing Spirit Wear, please print and fill out the attached form and bring in

with you to Lift Off.

STATION 5 – FEES (REQUIRED) At the Fees station, you will be able to pay by cash, credit card, or write one check for all listed items on the Lift-

Off form. Please note that Challenger cannot accept a credit card payment for individual bus ride coupon books.

We will only have one Credit Card table (two stations), so, please plan accordingly.

If you have paid for any of the listed fees, please bring your receipt with you to the fees table to be signed

off. Please note that any spirit wear will need additional payment for items purchased.

STATION 6 – CLASS SCHEDULE (REQUIRED) At this station, students may pick up their class schedules. Parents will receive a part of the Lift-Off Form as a

receipt. Click for Supply Lists on the CMS Homepage.

Every effort was made to place students in their 2018-2019 class requests they made last year. If your student

did not get a class they requested, it is because of time and scheduling conflicts. We appreciate your

understanding.

STATION 7– PTA INFORMATION (OPTIONAL) We are super excited for another year at Challenger with some fun, new events! We would love to have you as a

member! To join our group, please stop by our table at Lift-Off to get all signed up. Membership is $8.00.

BOX TOPS! We will be collecting Box Tops again this year so grab your summer stash and bring them in to

Lift-Off for a special treat!

We have an exciting year planned and volunteers are always welcome. If you wish to share your time and

talents, please contact Michele Banks, PTA President at mmbanks70@hotmail.com. The PTA also has a

Facebook page. Like us at https://m.facebook.com/ChallengerMiddleSchoolPTA/ We hope you join us in

supporting your Challenger student!

STATION 8 – IPAD CHECKOUT(ALL RETURNING 7TH AND 8TH

GRADE STUDENTS) At this station, all students who have paid their $50 iPad fee, have completed the Student Handbook/iPad

Agreement online for the 2018-2019 school year, and updated ALL INFORMATION in Extended Parent

Portal may pick up their iPads and chargers along with instructions for what needs to be done prior to the first

day of school. There is information on how to reset forgotten passwords on the Extended Parent Portal sign-in

page. If you are unable to access your Extended Parent Portal, please contact the D20 Help Desk (PRIOR TO

LIFT-OFF) by calling (719) 234-1777 or emailing help@asd20.org.

STATION 9 – SCHOOL PICTURES & ID CARDS (REQUIRED) Photographers will be at Challenger Lift-Off to take these pictures. Ordering pictures is optional, but all students

must be photographed for their school identification card. You may order your student’s pictures online at

www.mylifetouch.com. You will have 7 days before picture day and 2 days after picture day to place your order

online. Picture ID# CG318445Y0. At the end of ordering online you will be prompted to print a BOARDING

PASS. Please bring this to picture day and give to your Lifetouch photographer. There will be flyers available

the day of Challenger Lift-Off, but there are more options available if you order online. Please come looking

your best and remember to check the handbook about dress code on the Parent Portal.

For students who miss pictures during Challenger Lift-Off, pictures will be taken on 08/17/2018.

All students must be photographed for the required school identification card. All students will be

provided an ID card at registration. There is a $5 fee to replace a lost ID card.

Students may enter the cafeteria at any time to take their school pictures.

STATION 10 – MEAL ACCOUNTS Sodexo staff will collect cash and/or checks for your student’s meal account at Challenger Lift-Off. You may

pay in a lump sum with a check (made out to Sodexo) or pay online at PayforIt.net. Families are encouraged to

complete a Free and Reduced Meal Application to see if they qualify for free or reduced price meals. A regular

school lunch is $2.50. Other food offerings/meals at the a la Carte and Snack Bar Line vary in price. For more

information visit the School Nutrition page on the district’s website. Challenger Middle School now participates

in a breakfast program! Breakfast is available for $1.40, and runs from 7:30 to 7:45 every morning. Some

examples of breakfast options featured throughout the week include cereal, bagels, breakfast sandwiches,

pancakes, French toast, waffles, muffins, eggs, cheese, yogurt, fruit, vegetables, milk and 100% juice.

CHEETAH COMMUNICATIONS 20Alert – Academy School District 20 and Challenger Middle School use 20Alert to communicate

information to families regarding activities, emergencies, and student absences. If you need help

accessing 20Alert information contact the helpdesk at help@asd20.org.

Weekly Cheetah Chats – Sent out weekly on Mondays through 20Alert. The Weekly Cheetah Chat lists

things going on at Challenger for that week. You must have an email address on file in your parent contact

information in Infinite Campus to receive these.

The Challenger Connection – This is a monthly newsletter on Challenger, including a letter from the

principal, Mr. Scott. This newsletter is located on our Challenger Website at www.asd20.org/cms.

Challenger Lift-Off

8 a.m.-3 p.m.

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

29 30 31 1 2 3 4

5 6 7 8 9 10 11

12 13 14

15 16 17 18

19 20 21 22 23 24 25

26

27

28 29 30 31

High Trails and iPad information

Night 6:00 p.m. DISCO

(Parents Only please)

AUGUST 2018

7th Grade FB equipment checkout

3:00-4:30

First Day of School 6th Grade ONLY

ALL Grades Back!

Back to School Night 6-8 p.m.

Make Up Picture Day

(for students who MISSED Lift-Off)

Summer Book Return

XC @ Elizabeth 3:45

FB: 8th @ CMS

3:45 7th @ TCA 3:45

VB @ LPMS 3:45

8th Grade FB equipment checkout

3:00-4:30

Revised: 11-13-2013

PERMISSION TO ADMINISTER MEDICATION DURING

SCHOOL HOURS

TO BE COMPLETED BY HEALTH CARE PROVIDER

(FOR PRESCRIPTION or OVER-THE-COUNTER MEDICATION)

(Complete one form per medication: prescription or over-the-counter medication.)

Name of Student: ___________________________________ Date of Birth: ____________________

Medication: ________________________ Reason for medication: ___________________________

Dosage: _______________________ Route: ___________________ Time: ____________________

If ‘as needed’ (PRN), indicate when dose can be repeated:__________________________________

Special Instructions: _________________________________________________________________

Possible Side Effects: _________________________________________________________________

Start Date: _____________________________ End Date: __________________________________

Name of Health Care Provider (print): _______________________________ Date: _____________

Signature of Health Care Provider with Prescriptive Authority:_____________________________

Office Phone Number: _____________________________ Fax: _____________________________

TO BE COMPLETED BY PARENT/GUARDIAN I understand that whenever possible, medication should be administered at home. I also understand that it

is my responsibility to furnish the medication to school in the original pharmacy-labeled container or over-

the-counter container marked with my child’s name. Any prescription changes will require an additional

signed and completed ‘Permission to Administer Medication’ form.

I give my permission for the school staff to contact the prescribing physician regarding this medication. I

understand that the medication is administered solely at the request of and as an accommodation to the

undersigned parent or guardian. In consideration of the acceptance of the request to perform this service

by the school nurse or other designee employed by Academy District 20, the undersigned parent or

guardian agrees to release Academy District 20 and its personnel from any legal claim which he, she or

their child may now have or may hereafter have arising out of side effects or other medical consequences of

the medication. I hereby give my permission for the student named above to take the above medication at

school as ordered.

Name of Parent/Guardian (print): ______________________________________________________

Medicaid? No_______Yes________ Medicaid # ____________________

Home phone: ____________________ Other phone numbers: ______________________________

Signature of Parent/Guardian: ___________________________________ Date: ________________

From the School Nurse . . . . Jane Manderfield, RN

Immunization Records

Students who receive immunizations over the summer are encouraged to bring a copy of their current

immunization record to Liftoff. Upon receipt, new immunization dates will be uploaded to Infinite Campus

by the School Nurse. Non-compliant notices will be processed beginning in September, with resolution

expected within two weeks for continued school attendance.

Incoming 6th grade students should receive a Tdap booster about this time. Exact timing may vary,

depending on your health care provider’s plan of care. However, most students receive this booster upon

entering 6th grade or around 10-11 years old.

Information regarding Colorado immunization guidelines is available on District 20’s web site under

medical forms or is available on Challenger’s web site at:

https://challenger.asd20.org/Teachers/Jane_Manderfield/Pages/default.aspx.

The annual Personal or Religious Belief Exemption form is also located here.

Health Care Plans and Medications

You can also find blank health care plans at:

https://challenger.asd20.org/Teachers/Jane_Manderfield/Pages/default.aspx

These plans are written annually for asthma, diabetes, severe allergy, seizure, and general health concerns

should your student have an impactful health concern. You will also find the Permission to Administer

Medication form for ALL prescription and over-the-counter medications (except rescue inhaler or Epi-pen

with written parent and health care provider authorization). These signed forms, along with the

associated medications, may be brought to Liftoff.

NEW this school year for the following over-the-counter medications: Ibuprofen, Acetaminophen, anti-

histamine (one dose only), antacids, and cough drops (non-essential oils or non-herbal medications).

Parents may bring the Permission to Administer Medication form, signed ONLY by a parent, along with

the medication to the Health Room. Students may not self-carry these medications or transport to/from

the Health Room. Fevers over 100.5 will result in students being sent home, per District 20 Illness

Guidelines, and Ibuprofen or Acetaminophen will not be given in these cases.

2018-2019 Challenger Cheetahs Athletic Registration Form

$65.00 fee (Football Only). Payable at payforit.net, by cash, or by check (payable to CMS).

$45.00 fee (All other sports). Payable at payforit.net, by cash, or by check (payable to CMS).

Out of school student participating in athletics only. Contact Mrs. Kmetz for additional registration information.

Manager (No fee required)

**Please include Child’s name and sport in the memo line of the check**

Name Gender Grade

Home Phone Address

Adult Shirt Size Weight (Football Only)

**Circle all sports that apply for the school year**

Football Softball Cross Country Volleyball Wrestling Girls’ Basketball Boys’ Basketball Track

Emergency Information

Parent/Guardian Work # Cell #

Email

Parent/Guardian Work # Cell #

Email

Emergency Contact Phone #

Physician Hospital Preference

Allergies or other health concerns to be aware of

Physical Form (not more than 1 year old) is already on file in office.

Physical Form (not more than 1 year old) is attached to this form.

I hereby give my consent for my child to participate in

at Challenger Middle School and I hereby release the School District and hold it and its employees harmless against any liability for injuries my student may incur as a result of participating in the club or activity identified above. I also acknowledge that my student must be picked up at the end of their scheduled practice time, 4:15 for intramural teams and 5:45 for interscholastic teams. I understand that supervision is not provided beyond 15 minutes after practice ends. Also, supervision is not provided beyond 15 minutes after the conclusion of all athletic events.

Parent Signature Date

For office use only:

Sport Physical expiration: Sport Constitution: ________ Paid: Cash __________ Check __________ Payforit __________

2018-2019 CHALLENGER MIDDLE SCHOOL SPORTS CONSTITUTION

Dear Parents/Guardians:

Please take the time to read the following information. These guidelines have been developed to help insure that our athletic seasons are safe and successful here at Challenger. Please read these guidelines with your child and sign the attached signature form specifying that you understand and will participate in our athletic events appropriately. This completed form must be turned in to the athletic office prior to participation in Challenger athletics. Thank you for your assistance, and please feel free to call Jillian Peel, Athletic Director, with any questions or concerns at 234-3021.

SPORTS CONSTITUTION Although transportation is provided to away games, Challenger will not provide transportation back to CMS after the

game/meet. Please make prior arrangements to pick athletes up from away competitions.

There will NOT be any activity buses. All athletes must be picked up at the designated time for their sport (normally 4:15 forintramural teams and 5:45 for interscholastic teams). Supervision is not provided beyond 15 minutes after the end of practice.Also, supervision is not provided beyond 15 minutes after the conclusion of all athletic events.

Students must be in attendance for at least half of the day (3.5 hours) in order to participate in after school activities. Studentsleaving school early due to illness or a non-approved reason will not be allowed to attend or participate in any athletic activityon that day.

At Challenger, academics are our top priority. Athletes that have failing grades in any class will not participate in thegames/meets for the following week.

If there are discipline problems in school it may impact a player’s playing time. If discipline is a constant problem, your childmay be dismissed from the team.

All athletes and spectators will be held to the highest of standards with regards to sportsmanship. Please be courteous and usepositive remarks toward game officials, coaches, players and visiting teams. Remember parents, you are a role model foryour child and are also representing Challenger.

Interscholastic athletes are selected and playing time is based on hard work, attitude and skill level. Some athletes may getmore playing time than others.

Please abide by our 24 hour rule, which states that if you have concerns with a coach, you need to make an appointment withthat coach for the day following the game or practice. Immediately after a game is usually not a good time to have a discussionwith the coach. Please refrain from coaching your child from the sideline.

Team pictures will be made available by an unaffiliated photography studio. You are not obligated to purchase these pictures.

HEALTH INFORMATION FOR PARENTS OF SCHOOL-AGED ATHLETES FROM ACADEMY DISTRICT #20 NURSES It is the parent's responsibility to notify the coach/athletic trainer of any health conditions of their athlete. (physical and

emotional diagnoses), medications, and allergies

Please notify your child's coach/athletic trainer immediately with the following health conditions: diabetes, seizure disorder,heart condition, severe allergies requiring epi-pen (bee sting or sever food allergy), severe asthma.

All athletes should provide their own water bottle for practice and games, and it should be taken home daily and washed. (Donot share water bottles due to risk of meningitis, mononucleosis, strep infections)

Head injuries and concussions are serious health concerns. Please consult your child's physician after a head injury for treatmentissues.

Your child (athlete) should not be in school or participate in their sport if they are ill. Symptoms can include but are not limitedto fever, productive cough, vomiting/diarrhea, undiagnosed skin rash, or any contagious illness.

Contagious Diseases: Athletes who have been diagnosed with strep throat or conjunctivitis (pink eye) require antibiotics fortreatment, and are contagious for 24 hours until on antibiotics. Skin rashes such as impetigo (strep infection) or ringworm(fungus) are also contagious. Please have your students properly diagnosed and treated before returning to practice and games.

WAYS TO PREVENT ILLNESS AND SPREAD OF INFECTION

Practice clothes should be taken home regularly and washed. Students should provide their own towels for practice and games. Students should not share water bottles and should carry their own. Parents, please remind your students to avoid contact with other people's blood to protect them. Please report any contagious diseases and keep your student at home if ill.

RELEASE FOR SCHOOL SPONSORED CLUBS AND INTRAMURAL SPORT ACTIVITIES

Academy School District Twenty strives to provide a safe environment for school approved clubs and intramural sport activities that will stimulate and challenger students; we cannot guarantee an accident will not occur. Voluntary participation in supervised school clubs and sport activities may be one of the least hazardous environments any student is involved in. However, participation in some clubs and sports (e.g., karate, skate board, etc.), includes an inherent risk of injury which may range in severity from minor to long-term catastrophic injury. Although serious injuries are not common in supervised programs, it is impossible to eliminate all risk.

Students participating in a club or sport activity must obey all safety rules, report all physical problems to the club or sport activity supervisor and shall be responsible for the safe condition of their own equipment.

By signing this permission form, we acknowledge that we have read and understand this warning and understand the inherent risks associated with this club or sport activity. We further understand that we are responsible for obtaining any medical, accident, or other insurance that we deem appropriate; the district does not provide student accident insurance. The District makes available to parents student accident insurance information which may be purchased at parent's expense.

I understand that the School District and its employees may have certain legal protections and immunities from liability with respect to any property damage or personal injury that may occur during the activity. The School District and its employees have not waived these protections and immunities. I understand that the School District and its employees may also have certain legal obligations with respect to the activity.

By agreeing to this form, I am not releasing the School District and its employees from any of their legal obligations. However, on behalf of myself, my student, and our family and representatives, I release and hold harmless the School District and its employees from and against all claims for any damages or injuries incurred by my student from any cause, including but not limited to my student's own misconduct or the actions or omissions of third parties. I understand that for purposes of this Release, the term "employees" includes the School District's directors, employees, servants, and volunteers.

PARENT OR GUARDIAN PERMISSION In the event of an emergency, I (we) the undersigned parent or legal guardian give my (our) permission to school authorities to perform first aid and/or arrange for emergency medical services.

Warning: Although participation in supervised intramural/interscholastic athletics and activities may be one of the least hazardous in which any student will engage in or out of school, by its nature, participation in intramural/interscholastic athletics includes a risk of injury which may range in severity from minor to long-term catastrophic. Although serious injuries are not common in supervised school athletic programs, it is impossible to eliminate this risk. Participants can and have the responsibility to help reduce the chance of injury. Players must obey all safety rules, report all physical problems to their coaches, follow a proper conditioning program, and inspect their own equipment daily. By signing this Permission Form we acknowledge that we have read and understood this warning. Parents or students who do not wish to accept the risks described in this warning should not sign this permission form. I hereby give my consent for my son/daughter to compete in athletics for Challenger Middle School.

By signing below, I, the parent or legal guardian of the above student, hereby give my consent for my child to participate in Challenger Middle School’s sports program and I hereby release the School District and hold it and its employees harmless against any liability for injuries my student may incur as a result of participating in the club/sport. I have read and understand the rules and regulations of this document. I understand that my child will be held to these standards and consequences, and I have clarified any questions that I may have with the coaches. I understand that this document can be changed at any time at the discretion of the coaches or Administration, and all decisions made are final.

___________________________ _____________________________ _____________ Participant Signature Printed Name Date

___________________________ _____________________________ _____________ Parent/Guardian Signature Printed Name Date

***GOOD FOR ONE CALENDAR YEAR ONLY***

Middle School Statement by Physician and Parent for Athletic Participation

Physician’s Statement

I hereby certify that I have examined __________________________________________________

and he/she was found physically fit to engage in athletics at Challenger Middle School. Please

indicate sport(s), if any, in which he/she SHOULD NOT participate:

Please indicate by checking the box if the student has been screened for:

Scoliosis

Vision

Hearing

Physician Signature ________________________________________ Date __________________

Parent or Guardian Permission WARNING: Although par ticipation in supervised intramural/interscholastic athletics and activities may be one of the least hazardous in which any student will engage in or out of school, BY ITS NATURE, PARTICIPATION IN INTRAMURAL/INTERSCHOLASTIC ATHLETICS INCLUDES A RISK OF INJURY WHICH MAY RANGE IN SEVERITY FROM MINOR TO LONG-TERM CATASTROPHIC. Although ser ious injur ies are not common in supervised school athletic programs, it is impossible to eliminate this risk. Participants can and have the responsibility to help reduce the chance of injury. PLAYERS MUST OBEY ALL SAFETY RULES, REPORT ALL PHYSICAL PROBLEMS TO THEIR COACHES, FOLLOW A PROPER CONDITIONING PROGRAM, AND INSPECT THEIR OWN EQUIPMENT DAILY. By signing this Permission Form we acknowledge that we have read and understood this warning. PARENTS OR STUDENTS WHO DO NOT WISH TO ACCEPT THE RISKS DE-SCRIBED IN THIS WARNING SHOULD NOT SIGN THIS PERMISSION FORM.

I hereby give my consent for my son/daughter to compete in athletics for Challenger Middle School except those crossed out: football, softball, cross country, wrestling, volleyball, basketball, track and field.

Grade ____________ Student Name (Please Print) ____________________________________

Date _____________ Parent or Guardian’s Signature _________________________________

Date _____________ Student’s Signature ____________________________________________

Paying Online Using PayForIt.net PFI is a Secure Online Payment system which payments can be made by MasterCard, Visa or electronic check (ACH payment). There is a 2.5% service fee on all online payments.

Instructions: 1. Your username and password for PayForIt will be the same credentials you use for the ASD20 Infinite Campus Parent Portal. If you do not know your Parent Portal login information, there is an option on the login screen in PayForIt to have the login emailed to you. You may also contact the Academy School District 20 Help Desk at 234-1777. 2. You will need your Student’s School name, Student ID Number, Full Name, and Current Grade in order to proceed. If necessary, please obtain this information from the Infinite Campus Extended Portal link on www.asd20.org. 3. Log on to www.payforit.net. Please do not sign up for an account. Use your Infinite Campus Parent Portal username and password to login to PayForIt.net. 4. Establish how you would like to pay (Visa, MasterCard, or electronic check) by using the drop down menu in the “My Account” tab, select “My Payment Method.” 5. While in “My Account” verify that your address is correct. Your address needs to match the billing address of the payment method you are using. 6. Indicate the student(s) to attach to your account by using the drop down menu in the “Add/View Students” tab and select “Add Student.” You will need to enter your Student’s School Name, Student ID Number, Full Name, and Current Grade as recorded in Infinite Campus. If you are unsure of any of this information, please contact the Academy School District 20 Help Desk at 234-1777. 7. Any assigned fees such as course fees, book fines, and other non-optional fees can be accessed by the Fees tab. Optional items such as athletics, field trips, clubs, etc. will be listed under the Assigned Fees on the same page. Once you have your account set up, you may use PayForIt as often as you would like. All information entered during sign-up is stored safely and securely as defined by PCI Security Council Standards.

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Order before Picture Day at

F18PPUS © 2018 Lifetouch National School Studios Inc.

Picture Day is Coming

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VISIT:

ENTERyour Picture Day ID

ORDERyour perfect package—and don’t worry about returning anything on Picture Day!

PICTURE DAY IS:Picture Day is:

0Y544813GC

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//:sptth ym . moc.hcuotefil /dIyaDerutcip/hcuotefilym/ 0Y544813GC

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//:sptth ym . moc.hcuotefil /dIyaDerutcip/hcuotefilym/ 0Y544813GC

PACKAGES PAQUETES

B. Deluxe Plus

1 - 8x10

D. Premium Plus

2 - 5x7 4 - 3x5

2 - 8x10 4 - 5x74 - 3x5 12 - 2x3

F. Value Plus

8 - 2x3

G. Ultimate

16 - 2x3

4 - 3x54 - 5x7

3 - 8x10

Portrait CD

8x10 Calendar

8x10 Calendar

BEST VALUE!

INCLUDES 8 - Variety 2x3

INCLUDES 8 - Variety 2x3

INCLUDES 8 - Variety 2x3

INCLUDES 8 - Variety 2x3

2 - 5x7 4 - 3x5

8 - 2x3 Portrait CD

H. Family1 - 8x10 3 - 5x7 4 - 3x5 12 - 2x3

I. Basic 4 - 3x5 8 - 2x3

J. Entry 2 - 3x5 4 - 2x3

A. Deluxe1 - 8x10 2 - 5x7 4 - 3x5 8 - 2x3

C. Premium2 - 8x10 4 - 5x7 4 - 3x5 12 - 2x3 Portrait CD 8x10 Calendar

E. Value2 - 5x7 4 - 3x5 8 - 2x3

72320

ENHANCEMENTS MEJORAS

Name & Grade Con el nombre y el grado

Add to All PortraitsAñade a todos los retratos

Add to Wallets (2x3)Añade a las fotos para la billetera (2x3)

When you pay by check, you authorize us to process the payment as a check transaction, or to use information from your check to make a one-time electronic fund transfer from your checking account. A service fee may be charged on returned checks. Post-dated checks are not accepted.

Cuando pagas con cheque, nos autorizas a procesar el pago como una transacción mediante cheque o a usar la información de tu cheque para realizar una transferencia electrónica de fondos desde tu cuenta de cheques por única vez. Por cheques rechazados se podrá aplicar un cargo. No se aceptan cheques de pago diferido.

PORTRAIT LOOKS (POSE + BACKGROUND) ESTILOS DE RETRATO (POSE + FONDO)

NOTE: Background for your yearbook is selected by your school. Nota: El fondo para tu anuario es seleccionado por tu escuela.

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LOOK CODE

mylifetouch.comOrder before Picture Day at

Encarga antes del Día de la Foto en mylifetouch.com

PICTURE DAY IS: EL DÍA DE LA FOTO ES:

¡Gana y ahorra! Únete a Premios miFamiliaTM cuando encargas en linea.

Earn & Save! Join MyFamily RewardsTM when you order online.

ORName & Grade On All PortraitsEl nombre y el grado en todos los retratos

Basic Retouching(Removes blemishes)El retoque básico quitaimperfecciones.

&

Enhancement Special Offer Especial de realce

SAVE UP TO 25% AHORRA HASTA EL 25%

mylifetouch.com

SHOP ONLINEMore looks & digital productsCustomize your packageFree Shutterfly photo book (see reverse)

Compra por internet. Más estilos y productos digitales, personaliza tu paquete, Álbum fotográfico de Shutterfly gratis (ver al dorso)

Order at mylifetouch.comNo need to return this form for online orders—see you at Picture Day!

Encarga en mylifetouch.com. No es necesario enviar este formulario para los pedidos por internet. ¡Te veré en el día de la foto!

Qty Cantidad

Price Precio

Total Total

LOOK CODE

PACK

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PAQ

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ESA

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SAD

ICIO

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ESEN

HA

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MEN

TSM

EJO

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SUBTOTALSubtotal

TOTALTOTAL

*Name & GradePlease print first name exactly how it should appear on portraits.Aplicación de nombre y grado. Escribe el nombre de pila con letras de imprenta, exactamente como debe aparecer en los retratos.

Student First & Last Name Nombre y apellido del estudiante

Daytime Phone Number Teléfono de contacto durante el día

Student Grade Grado del estudianteTeacher Last Name Apellido del docente

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94$ 42$

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34$

53$

42$

91$

94$ 03$

33$ 11$

25$

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Get your Student Council Merch!

Student’s Last Name:

Student’s First Name:

Student’s Grade Level (circle one): 6th 7th 8th

Order Form: Please put a quantity next to each item that you’d like to purchase.

T-Shirt ($12) ____ XS, ____ S, ____ M, ____ L, ____ XL, ____ XXL

Sweatshirt ($22) ____ S, ____ M, ____ L, ____ XL

Other Spirit Items ____ Water Bottles ($5) ____ Earbuds ($5)

____ Draw-String Backpack ($5) ____ Sunglasses ($2)

____ Standard Portable Charger ($10) ____ Deluxe Portable Charger ($16)

Combo. Package ($45) Comes with a t-shirt, a sweatshirt, a water bottle, earbuds, sunglasses, and a drawstring backpack. Saves you $6!

Total

T-shirts this year are a black triblend material and the

hoodies are black preshrunk wingspan cotton, so neither will

shrink in the wash!

*All Payments go through the fees table, so please wait to pay for everything together at the end of the Lift-Off line. Payments may be made using cash, check, or credit card.

Fill out this form before visiting the Student Council spirit wear table to make

the ordering process faster.

Proceeds help students in hosting school events such as dances and

pep assemblies.