Parental Permission Forms

Our district requires all students of all clubs to have parents sign permission slips before the student can even attend any meetings. When our club first became official, the classroom was packed for the meeting. When we passed out the permission forms, over half of the students said there was no way their parents would sign. They looked so disappointed and haven't returned. Here is our form:

Dear Parent/Guardian,

Your student, __________, would like to be part of this year's Gay-Straight Alliance Club (GSA).
(  )HS GSA Club membership is available for all interested persons belonging to the student body of
(  )HS, whether gay, straight, transgender, or anywhere on the spectrum of identification. The purpose of GSA Club is to promote a supportive and affirmative environment that is friendly and respectful of all students of (  )HS regardless of their sexual orientation, gender identity, and gender expression. The goal for GSA Club is to end all forms of discrimination. Club activities will focus on service and support to students and the community.

(  )HS is committed to providing its students with a safe and caring environment. Discrimination is the main cause of bullying among youth. Research suggests that the presence of a GSA Club in a high school reduces bullying and other discriminatory behaviors among the entire student body, even those not involved in GSA Club.

The GSA Club will meet on campus, once a week after school for approximately 1 hour. Please be aware that in our meetings, students may share their personal views and experiences, as appropriate to the discussion, activity or topic that day. Every effort will be made to respect family privacy, and there is no intent to discuss inappropriate issues or topics; however, the law requires that we remind you that unexpected subjects may arise as students express their feelings. (Ex. Religious beliefs, family relationships, politics, emotional difficulties, income, etc...). Also, if a guest speaker has been invited to attend a meeting, a 2-week prior notice to parents and students on the details of the speaker and the topic being covered will be given via e-mail. All upcoming events and meeting agendas will be posted on the (  )HS GSA Club's website.

The GSA Club advisor is (     ). Please call or email with any questions or concerns you may have at  (    ) or (     ).

Please sign this form indicating whether you give permission for your student to participate in GSA Club this year. Thank you!

____ I give my student permission to participate in the GSA Club for the 2013-2014 year.

____ I do not want my student to participate in the GSA Club for the 2013-2014 year.


Parent/Guardian Printed Name: ______________________________

Parent/Guardian Signature: _________________________________ Date ___________

Parent email: ____________________________________________

Student Signature: ________________________________________ Date ___________

Student email: ___________________________________________

District's Bullying Policy

District's Bullying Policy Link

POLICY NO. 5181 -- BULLYING

1.0 PHILOSOPHY

• Alpine School District is committed to provide students with safe and secure learning environments and believes a student’s ability to achieve academically can be reduced by bullying. Bullying can affect a student’s attendance as well as his/her sense of well-being. Bullying may result in physical illness, mental and emotional anguish and long-term social consequences.

2.0 DEFINITIONS

1. 2.1 Bullying is defined as aggressive behavior that is intended to cause harm or distress, exists in a relationship in which there is an imbalance of power or strength and may be repeated over time. Bullying may be physical, verbal/written or psychological.
2. 2.2 Physical bullying includes, but is not limited to, pushing, grabbing, pinching, shoving, poking, tripping, kicking, hitting and destroying property.
3. 2.3 Verbal/written bullying includes, but is not limited to, name calling, mean teasing, spreading false rumors, intimidation, sexual comments, harassing and threatening comments which are communicated verbally, in writing or through electronic media. (Cyber bullying)
   1. 2.3.1. Cyber bullying means using e-mail, web pages, text messaging, blogs, instant messaging, three-way calling or messaging or any other electronic means for aggression, intimidation, or harassment against another person. Examples include, but are not limited to, sending mean, vulgar, or threatening messages or images; posting inappropriate pictures of or sensitive, private information about the victim; pretending to be someone else to hurt that person; rude comments; lies; stalking; threats; extortion; harassment; and transmission of unflattering or embarrassing photographs.

3.0 PROHIBITION OF BULLYING

• Alpine School District prohibits bullying of students by other students at school or at school related functions (Ref: Utah Code 53A-11a-301). All victims of bullying and all persons with knowledge of bullying should report the incident(s) immediately. Actions to be taken are outlined in Policy No. 5180 DISCIPLINE and its associated Rules and Regulations and Procedures. S.C.R. 1 (2006) Resolution Encouraging School Boards to Adopt Policy Prohibiting Bullying.

Board Approved: March 13, 2007

Board Reviewed: April, 2012

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District's Policy for Senior-High School Clubs

District's Club Policy Link

Policy No. 5530

1.0 SCHOOL CLUBS-SENIOR HIGH SCHOOLS ONLY

1. 1.1 General Provisions
   1. 1.1.1 Students are encouraged to enter into social activities of the school. All clubs and/or social groups shall:
      1. 1.1.1.1 Exist for the benefit of all students of the school.
      2. 1.1.1.2 Extend membership opportunities to all registered students.
      3. 1.1.1.3 Be organized in such a way that membership cannot be determined, even in part, by the popular vote of the club membership.
      4. 1.1.1.4 All clubs must adhere to standards of conduct set in Policy 5182 - Safe Schools.
      5. 1.1.1.5 Submit charters, constitutions, and by-laws which are consistent with the rules and regulations herein stated and which shall be approved by the school principal, the school faculty, the superintendent and the board of education.
      6. 1.1.1.6 Be under the sponsorship of one or more faculty members.
      7. 1.1.1.7 In order to be eligible to participate in any club, a student must return a signed parental permission form for that club.
2. 1.2 Skiing Clubs
   1. 1.2.1 Senior high schools may sponsor ski clubs.
   2. 1.2.2 The clubs may organize and conduct cross-country or downhill ski activities outside of school time for their club members.
   3. 1.2.3 Students must meet the general school requirement of purchasing the school accident insurance policy or having a completed insurance waiver form on file at the school.
   4. 1.2.4 Instruction and supervision prior to and during the activity are to be in keeping with the general requirements of prudence and reason.
   5. 1.2.5 Transportation to and from the activity must be on a licensed public carrier.
3. 1.3 Hiking Clubs
   1. 1.3.1 Senior high schools may sponsor hiking clubs.
   2. 1.3.2 Students may not engage in cliff climbing, rappelling or similar activities.

Board Approved: February 23, 1982

Board Approved: February 14, 2006

Board Reviewed: March 5, 2013

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