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Olentangy Hyatts Middle School Back-to-School Information 2015-2016 The start of school will be here soon. We will welcome students back on Wednesday, August 12th. School will start at 7:40am and dismissal will be at 2:45pm. Please see the dates and times for “Back to School Day”. All forms will be available for printing from the Olentangy District website in June. Visit www.olentangy.k12.oh.us and choose Hyatts Middle School. Forms will also available for pick up at the school starting Monday, August 3 rd from 8:00 AM - 3:30 PM for those who need paper copies. Back-to-School Day Schedule: Wednesday, August 5 th 7 th & 8 th Grades 9:00 – 11:00 AM 4:00 – 6:00 PM Thursday, August 6 th 6 th Grade WEB ORIENTATION 9:00 am-11:30 AM Student drop off will be in the back of the building. 6 TH grade parents can enter the front of the building after student drop off to pick up pre- ordered school supplies, drop off forms, pay fees, visit the office etc. Student pick up will be in the front of the building at 11:30 AM (Incoming 6 th Graders will have photos taken during WEB Orientation and should bring his/her picture envelope to WEB if you wish to order photos). Thursday, August 6 th MAKE UP TIMES 6 th & 7 th & 8 th Grades 4:00-6:00pm All Grades: Student schedules with locker information will be distributed Emergency medical forms should be completed and returned at schedule pick up. All forms will be available on the Hyatts web page. 6 th Graders are required to provide a completed Olentangy Health Update Form as well. School photos will be taken during these times. Picture envelopes and money must be presented when pictures are taken if you wish to order. (If you are not placing an order, pictures are still required for student ID’s). Envelopes will be mailed to your home by HR Imaging and will also be available at the school. Preordered school supply pick up Basic fee payments accepted for student fee’s.(6 th $36.00; 7 th $48.00; 8 th $29.00). This payment will not include electives. Café payments accepted for your child’s lunch account Logo Wear will be available for purchase

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Page 1: Olentangy Hyatts Middle School Back-to-School Information ... · Olentangy Hyatts Middle School Back-to-School Information 2015-2016 The start of school will be here soon. We will

Olentangy Hyatts Middle School

Back-to-School Information 2015-2016

The start of school will be here soon. We will welcome students back on

Wednesday, August 12th. School will start at 7:40am and dismissal will be at

2:45pm. Please see the dates and times for “Back to School Day”. All forms will be

available for printing from the Olentangy District website in June. Visit

www.olentangy.k12.oh.us and choose Hyatts Middle School. Forms will also

available for pick up at the school starting Monday, August 3rd from

8:00 AM - 3:30 PM for those who need paper copies.

Back-to-School Day Schedule:

Wednesday, August 5th 7th & 8th Grades 9:00 – 11:00 AM

4:00 – 6:00 PM

Thursday, August 6th 6th Grade WEB ORIENTATION 9:00 am-11:30 AM

Student drop off will be in the back of the building. 6TH grade parents can

enter the front of the building after student drop off to pick up pre-

ordered school supplies, drop off forms, pay fees, visit the office etc.

Student pick up will be in the front of the building at 11:30 AM

(Incoming 6th Graders will have photos taken during WEB Orientation and

should bring his/her picture envelope to WEB if you wish to order photos).

Thursday, August 6th MAKE UP TIMES 6th & 7th & 8th Grades 4:00-6:00pm

All Grades:

Student schedules with locker information will be distributed

Emergency medical forms should be completed and returned at schedule

pick up. All forms will be available on the Hyatts web page. 6th Graders are

required to provide a completed Olentangy Health Update Form as well.

School photos will be taken during these times. Picture envelopes and

money must be presented when pictures are taken if you wish to order. (If

you are not placing an order, pictures are still required for student ID’s).

Envelopes will be mailed to your home by HR Imaging and will also be

available at the school.

Preordered school supply pick up

Basic fee payments accepted for student fee’s.(6th $36.00; 7th $48.00; 8th

$29.00). This payment will not include electives.

Café payments accepted for your child’s lunch account

Logo Wear will be available for purchase

Page 2: Olentangy Hyatts Middle School Back-to-School Information ... · Olentangy Hyatts Middle School Back-to-School Information 2015-2016 The start of school will be here soon. We will

OLENTANGY  LOCAL  SCHOOLS  CALENDAR  2015-­‐2016  SCHOOL  YEAR  

Approved  by  the  Board  of  Education  October  23,  2014  

AUGUST  2015  S   M   T   W   T   F   S               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            

             SEPTEMBER  2015    

S   M   T   W   T   F   S       1   2   3   4   5  6   H7   8   9   10   11   12  13   14   15   16   17   18   19  20   !21   22   23   24   25   26  27   28   29   30                      

OCTOBER  2015  S   M   T   W   T   F   S           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                

NOVEMBER  2015  S   M   T   W   T   F   S  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   H26   27   28  29   !30            

             DECEMBER  2015  

S   M   T   W   T   F   S       1   2   3   4   5  6   7   8   9   10   11   12  13   14   15   16   ◄17   ■18   19  20   21   22   23   24   H25   26  27   28   29   30   31      

 

AUGUST  2015  

10   Teacher  work  day  10   Elementary  Open  House  11   Convocation  &  building  meetings  12   First  day  of  school  

 SEPTEMBER  2015  

7   Labor  Day  –  No  school  21   Professional  development  –  No  school  

 OCTOBER  2015  

15   End  of  first  quarter  16   COTA  Day    –  No  school  

 NOVEMBER  2015  

25   Conference  Exchange  Day  –  No  school    26/27  Thanksgiving  break  

30   Professional  Development  –  No  school    

DECEMBER  2015    17   End  of  second  quarter;  end  1st  semester  

18   Teacher  Work  Day  –  No  school  WINTER  BREAK  ~  DEC.  21,  2015~JAN.  1,  2016  

JANUARY  2016  4   Classes  resume;  begin  2nd  semester  18   M.L.  King,  Jr.  Day  –  No  school  

 FEBRUARY  2016  

12   Professional  Development  –  No  school  15   Presidents'  Day  –  No  school  

 MARCH  2016  

18   End  of  the  third  quarter  25   Conference  Exchange  Day  –  No  school  

 SPRING  BREAK  ~  MARCH  28-­‐APRIL  1,  2016  

 MAY  2016  

20   Last  day  of  school    (Two-­‐hour  early  dismissal  for  K-­‐5)  

23   Teacher  work  day    30   Memorial  Day  

 

LEGEND  ▲   First/Last  days  of  school  H   Holiday  ■   Teacher  work  day  ►   Start  of  grading  period  ◄   End  of  grading  period  !   Professional  Development  day  ◘   Two-­‐hour  early  dismissal  

JANUARY  2016  S   M   T   W   T   F   S             1   2  3   ►4   5   6   7   8   9  10   11   12   13   14   15   16  17   H18   19   20   21   22   23  24   25   26   27   28   29   30  31                            

FEBRUARY  2016  S   M   T   W   T   F   S     1   2   3   4   5   6  7   8   9   10   11   !12   13  14   H15   16   17   18   19   20  21   22   23   24   25   26   27  28   29      

             

MARCH  2016  S   M   T   W   T   F   S       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      

             APRIL  2016  

S   M   T   W   T   F   S             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                

MAY  2016  S   M   T   W   T   F   S  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   H30   31          

             JUNE  2016  

S   M   T   W   T   F   S         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      

Page 3: Olentangy Hyatts Middle School Back-to-School Information ... · Olentangy Hyatts Middle School Back-to-School Information 2015-2016 The start of school will be here soon. We will

OLENTANGY LOCAL SCHOOL DISTRICT Our mission is to facilitate maximum learning for every student

2015‐16 Interim and Report Card Dates for Elementary and Secondary Schools 

FIRST NINE WEEKS Interim End Date  FRIDAY 9/11/15 

INTERIM GRADES ARE DUE  THURSDAY 9/17/15 BY 8:00 AM 

Interims Available to Parents  THURSDAY 9/17/15 

1ST QUARTER ENDS  THURSDAY 10/15/2015 

QUARTER GRADES ARE DUE  MONDAY 10/26/15 BY 8:00 AM 

Principals Verify Grades  TUESDAY 10/27/15 BY NOON 

Grades Available to Parents  FRIDAY 10/30/15 

SECOND NINE WEEKS Interim End Date  FRIDAY 11/13/15 

INTERIM GRADES ARE DUE  THURSDAY 11/19/2015 by 8:00 AM 

Interims Available to Parents  THURSDAY 11/19/2015 

2ND QUARTER ENDS  THURSDAY 12/17/15 

QUARTER GRADES ARE DUE  THURSDAY 1/7/16 BY 8:00 AM 

Principals Verify Grades  FRIDAY 1/8/16 BY NOON 

Grades Available to Parents  THURSDAY 1/14/2016 

THIRD NINE WEEKS Interim End Date  FRIDAY 2/5/16 

INTERIM GRADES ARE DUE  THURSDAY 2/11/16 BY 8:00 AM 

Interims Available to Parents  THURSDAY 2/11/2016 

3RD QUARTER ENDS  FRIDAY 3/18/16 

QUARTER GRADES ARE DUE  MONDAY 4/4/2016 BY 8:00 AM 

Principals Verify Grades  TUESDAY 4/5/2016 BY NOON 

Grades Available to Parents  FRIDAY 4/8/2016 

FOURTH NINE WEEKS Interim end date  FRIDAY 4/22/16 

INTERIM GRADES ARE DUE  THURSDAY 4/28/16 BY 8:00 AM 

Interims available to parents  THURSDAY 4/28/16 

4TH QUARTER ENDS  FRIDAY 5/20/16 

QUARTER GRADES ARE DUE   MONDAY 5/23/16 

Principals Verify Grades  TUESDAY 5/24/16 

Grades Available to Parents  TUESDAY 5/31/16 

Ja/3/16/15 FINAL 

Page 4: Olentangy Hyatts Middle School Back-to-School Information ... · Olentangy Hyatts Middle School Back-to-School Information 2015-2016 The start of school will be here soon. We will

OLENTANGY LOCAL SCHOOLS 2015-2016 SCHOOL YEAR

EVENT CALENDAR

AUGUST 2015 

S  M  T  W  T  F  S 

            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           

             

SEPTEMBER 2015  

S  M  T  W  T  F  S 

    1  2  3  4  5 

6  H7  8  9  10  11  12 

13  14  15  16  17  18  19 

20  21  22  23  24  25  26 

27  28  29  30       

             

OCTOBER 2015 

S  M  T  W  T  F  S 

        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 

             

NOVEMBER 2015 

S  M  T  W  T  F  S 

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  H26  27  28 

29  30           

             

DECEMBER 2015 

S  M  T  W  T  F  S 

    1  2  3  4  5 

6  7  8  9  10  11  12 

13  14  15  16  ◄17  █18  19 

20  21  22  23  24  H25  26 

27  28  29  30  31     

 

    Curriculum Night: 

         High School  8/19/15 

         Elementary (K‐2)  8/20/15 

         Middle School   8/26/15 

         Elementary (3‐5)  8/27/15 

Interims Available to Parents:

         First Quarter  9/17/15 

         Second Quarter 11/19/15

         Third Quarter  2/11/16 

         Fourth Quarter  4/28/16 

   

Grade Cards Available to Parents: 

        First Quarter 10/30/15

        Second Quarter 1/14/16 

        Third Quarter 4/08/16 

        Fourth Quarter 5/31/16 

Parent‐Teacher Conferences: 

         Elementary                                                 Fall            11/4/15                                          11/12/15                                       Winter     3/10/16

                              3/16/16

         Middle School                                             Fall            10/27/15  11/11/15                                       Winter     3/08/16

3/17/16

         High School                                                    Fall            10/20/15                                          10/28/15                                      Winter     3/09/16

                              3/15/16

         Graduation (Sunday):  5/15/16 

          ‐ OHS (Rehearsal 5/13 @ 1:00 pm) 10:00 AM 

          ‐ OLHS (Rehearsal 5/13 @ 10:00 am) 2:00 PM 

          ‐ OOHS (Rehearsal 5/13 @ 8:00 am) 6:00 PM 

LEGEND

▲ First/Last days of school

H Holiday

■ Teacher work day

► Start of grading period

◄ End of grading period Professional Development day

◘ Two‐hour early dismissal

JANUARY 2016 

S  M  T  W  T  F  S 

      1 2

3  ►4  5  6  7  8  9 

10  11  12  13 14 15 16

17  H18  19  20 21 22 23

24  25  26  27 28 29 30

31     

     

FEBRUARY 2016 

S  M  T  W T F S

  1  2  3 4 5 6

7  8  9  10 11 12 13

14  H15  16  17 18 19 20

21  22  23  24 25 26 27

28  29   

     

MARCH 2016 

S  M  T  W  T  F  S 

    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  

             

APRIL 2016 

S  M  T  W  T  F  S 

      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

           

MAY 2016 

S  M  T  W  T  F  S 

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  H30  31     

     

JUNE 2016 

S  M  T  W  T  F  S 

      1 2 3 45  6  7  8 9 10 1112  13  14  15 16 17 1819  20  21  22 23 24 2526  27  28  29 30

FINAL 3/12/15/ja

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OLENTANGY LOCAL SCHOOLS 2015-16 MIDDLE SCHOOL FEE SCHEDULE

Approved by the Board of Education on April 30, 2015

GRADE/AREA Approved Fee Total

Agenda Book $ 6.00 Art $12.00 R/LA Paperbacks $15.00 Science $ 3.00

Cope Program (OLMS only) $15.00 Sixth Grade Total $51.00

Agenda Book $ 6.00 Life Skills $10.00 Mod Tech $9.00 R/LA Paperbacks $20.00

Science $ 3.00 Seventh Grade Total $48.00

Agenda Book $ 6.00 R/LA Paperbacks $20.00

Science $3.00 Eighth Grade Total $29.00

Electives Band Book (Grade 6, 7, 8) $8.00 Band Equipment Rental $20.00 Percussion Book (Grade 6, 7, 8)

$15.00

Ceramics $12.00 Drawing $10.00 Global Gourmet I $10.00 Global Gourmet II $10.00 Language I Workbook $22.25 Painting $10.00 Sculpture $12.00 Woods $12.00 Art A $10.00 Art B $12.00

Choir $ 5.00 Strings $11.00 Mod Tech $ 9.00 Athletics (per sport) $80.00

Co-curricular and Extra-curricular Activities (per activity)

$25.00

Note: Fees may vary by school but will not exceed approved total.

Final 5/1/15/ja

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2015-2016 Hyatts School Supply List 6th Grade Supply List

7th Grade Supply List

8th Grade Supply List

4 Pencils, sharpened, #2, 1 dozen

4 Pencils, sharpened, #2, 1 dozen

6 Pencils, sharpened, #2, 1 dozen

3 Washable Glue Sticks, 0.74oz

4 Washable Glue Sticks, 0.74oz

2 Washable Glue Sticks, 0.74oz

1 Loose Leaf Paper, college ruled, 200 pk.

1 Loose Leaf Paper, college ruled, 200 pk.

2 Loose Leaf Paper, college ruled, 200 pk.

2 Three ring binders, 1.5", any color

4 Three ring binders, 2" inch, any color

1 Three ring binders, 1.5", red

2 Three ring dividers, 5 tab

4 Three ring dividers, 5 tab

1 Three ring binders, 1.5", blue

1 Crayola colored pencils, 12 count

1 Crayola colored pencils, 12 count

1 Three ring binders, 1.5", white

1 Highlighter, chisel tip, any color

1 Crayola washable markers, wide tip, 12 count

1 Three ring binders, 1.5", black

2 Sharpie Marker, fine point, black

1 Expo Dry Erase Markers, 4 pack

1 Highlighter, chisel tip, 4-pack, different colors

2 Expo Dry Erase Markers, 4 pack

1 Highlighter, chisel tip, any color

1 Sharpie Marker, fine point, black

9 Plastic Folders with pockets & fasteners:

1 Pens, medium point, 12 count

2 Pens, medium point, blue, 12 pack

1 each: red, blue purple, yellow

2 3x5 Index Cards, ruled, 100 pack

1 Crayola colored pencils, 12 count

1 Composition Book, wide ruled, 100 sheets

1 Post-it Notes, yellow, 3"x3", 100 sheets

4 3x5 Index Cards, ruled, 100 pack

1 Facial Tissues, 200 count

1 Pencil case, zippered, 3 holed, fabric, 10x6

2 Facial Tissues, 200 count

1 Calculator, four function *

3 Facial Tissues, 200 count

1 Graph Paper, 4"square, 10.5x8 inch, 100 pack

*Sharp ELSL Mate EL-2335 or one similar

1 Graph Paper, 4"square, 10.5x8 inch, 100 pack

1 Three ring dividers, 5 tab

2 3x5 Index Cards, ruled, 100 pack

1 Spiral Notebook, 1 subject

1 Pencil case, zippered, 3 holed, fabric, 10x6

3 Post-it Notes, yellow, 3"x3", 100 sheets

2 Ink Pens, medium point, NOT black or blue 1 Scissors, 7", pointed tip

** Note that individual teachers may ask for additional supplies that pertain to their classes. They will communicate this on the first day of school. Foreign language classes will distribute their school supply needs on the first day of school. *** Please note that some of the above items may need to be replenished throughout the school year if used or lost.

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OLENTANGY LOCAL SCHOOLS EMERGENCY MEDICAL AUTHORIZATION FORM

Student Name: __________________________________

Birth Date: _______________ Grade: ______

Address: __________________________________

Student lives with: ________________________________

City/Zip Code: __________________________________

Home Phone Number: ________________________________

PARENT/GUARDIAN(S) AND EMERGENCY CONTACTS

Call Order: Relationship: Name: Day Phone: Home Phone: Cell Phone:

Can Pick Up:

____ ___________ _______________________ ____________ ____________ ____________ ___ ____ ___________ _______________________ ____________ ____________ ____________ ___ ____ ___________ _______________________ ____________ ____________ ____________ ___ ____ ___________ _______________________ ____________ ____________ ____________ ___ ____ ___________ _______________________ ____________ ____________ ____________ ___

Please indicate if your child has any of the following:

1) Allergies (please list): _____________________________________________________________________________________________________

2) Medications* (please list): _____________________________________________________________________________________________________

3) Inhalers* (please list): _____________________________________________________________________________________________________

4) Other medical concerns or conditions to which medical personnel should be alerted?

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

* Use and/or possession of any medications, whether prescribed or not, requires the appropriate documentation to be completed and on file with the school.

PART I OR PART II MUST BE COMPLETED

PART I: TO GRANT CONSENT

I hereby give consent for the following medical care providers and local hospital to be called:

Office Phone:

Address (Preschool only):

Physician: _______________________ ________________ ______________________________

Dentist: _______________________ ________________ ______________________________

Medical Specialist: _______________________ ________________

Local Hospital: _______________________ ________________

In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for: (1) the administration of any treatment deemed necessary by the appropriate medical professional; and (2) the transfer of the child to any hospital reasonably accessible. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery.

_________________________________________________________________ _______________________ Signature of Parent/Guardian for Grant to Consent

Date

PART II: REFUSAL TO CONSENT

I do NOT give consent for emergency medical treatment of my child. In the event of illness or injury requiring emergency treatment, I wish the school authorities to take the following action: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________

_______________________

Signature of Parent/Guardian for Refusal to Consent

Date

Revised 6/1/11

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Reminder: Seventh graders are required by state law to have a booster dose of Tdap (tetanus, diphtheria & acellular pertussis) before entering school, unless otherwise exempt. Record of your child’s Tdap booster should be turned into the clinic. Immunizations can be obtained at The Delaware General Health District (www.delawarehealth.org or 740-203-2040), your private physician’s office, or urgent care centers. Please contact your school nurse if you have any questions.

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Important information about medication at school: Over-the-Counter Medications: A Non-prescription Medication form is required if you would like your student to be able to bring over-the-counter medications (acetaminophen, ibuprofen, antacids, cold/allergy medications, etc.) to school and selfadminister. The Non-prescription Medication form is available in the school office and online at www.olentangy.k12.oh.us. Click on Administrative Departments, then Pupil Services, Health Services/School Nursing, then Health Services Forms. The completed Non-prescription Medication form is valid for the current school year only. Prescription Medications: Prescription medications taken at school require a physician’s signature. This Prescription Medication form is available in the office or online at www.olentangy.k12.oh.us. Click on Administrative Departments, then Pupil Services, Health Services/School Nursing, then Health Services Forms. The completed Prescription Medication form is valid for the current school year only. Please contact the school nurse, Judy Carnevale, RN, with questions or concerns about any health matters. [email protected]

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Reminder: Seventh graders are required by state law to have a booster dose of

Tdap (tetanus, diphtheria & acellular pertussis) before entering school, unless

otherwise exempt. Record of your child’s Tdap booster should be turned into the

clinic. Immunizations can be obtained at The Delaware General Health District

(www.delawarehealth.org or 740-203-2040), your private physician’s office, or

urgent care centers. Please contact your school nurse if you have any questions.

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Olentangy Local Schools

IMMUNIZATION EXEMPTION

______________________________ ________________________ __________ Student School Grade As required under the compulsory Immunization Law (Ohio Revised Code, Section 3313.671), I, the parent/legal guardian of the above named student, object to having him/her immunized for the following reason(s): You must check the appropriate box(s) AND explain your answer. [ ] Has Had the Natural Disease(s) of: (Check those that apply)

( ) Natural Rubeola Date: _________ ( ) Natural Mumps Date: _________ ( ) Natural Chickenpox Date: _________

[ ] Religious/Philosophical Objection:

___________________________________________________________ ___________________________________________________________

[ ] Medical Objection:

MUST be accompanied by a note from your physician, [MD, DO, PA, or CNP], supporting the need for this exemption.

[ ] DTaP/ DPT/DT [ ] MMR #1 [ ] Polio [ ] MMR #2 [ ] Hepatitis B [ ] Varicella

I understand that this exemption entitles my child to attend school only during those periods when the disease(s), for which my child is not immunized, is absent in the Olentangy Local School District. Upon the occurrence of an outbreak of the disease(s), my child may be excluded from school from the first reported case until two (2) weeks after the last reported case. ______________________________________ ______________ Parent/Legal Guardian Signature Date

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File: JHCD-E

OLENTANGY LOCAL SCHOOLS

PARENT’S NON-PRESCRIPTION MEDICATION REQUEST FORM

As a parent or legal guardian of the child named below, I am requesting that he/she be allowed to carry and self-administer an over-the-counter medication. My signature below indicates that I agree to the following: 1.) I have instructed the student as to the proper use of this medication.

2.) Students are not permitted to possess or carry more than a one-day supply of any over-the-counter medication.

3.) The Board of Education or their designee reserves the right to deny or revoke permission for

self-medication at any time.

4.) I release any claims against the Board of Education or its employees for allowing the above named student to self-administer medication(s) in accordance with this request.

5.) This form is in effect for the duration of the current school year unless stated below.

_______________________________________________ Dates medication to be taken

________________________________________ _______________ Student’s Name Grade ________________________________________ Name of over-the-counter medication ________________________________________ ______________ Parent’s Signature(s) Date Signed Olentangy Local School District, Delaware, Ohio

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File: JHCD-E

OLENTANGY LOCAL SCHOOLS PHYSICIAN’S MEDICATION PROCEDURE REQUEST FORM

(This form MUST be typed or printed legibly) TO BE COMPLETED BY THE PHYSICIAN Child’s Name________________________________________ Birth Date ________________ Child’s Address _________________________________________________________________ Diagnosis ______________________________________________________________________ Prescribed Medication _________________________________________________________ Dosage or Procedure Required _________________________________________________ ________________________________________________________________________________ Time Required __________________________________________________________________ Can a morning dose be given if forgotten at home? _____________________________ What is the morning dose? ______________________________________________________ Should afternoon dose be adjusted? ________________ New Time ________________ Possible adverse reactions, which should be reported to the parent and physician: ________________________________________________________________________________ Special instructions for administration (including students carrying own meds, storage or sterile requirements):__________________________________________________ ________________________________________________________________________________ Date when administration of medication or procedures is to begin: _______________ Date when administration of medication or procedures is to end: _________________ Physician’s Signature: ___________________________________________________________ Physician’s Name: ______________________________________________________________ Physician’s Address: ____________________________________________________________ Physician’s Telephone/Fax Number: _____________________________________________

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File: JHCD-E

OLENTANGY LOCAL SCHOOLS

PARENT’S MEDICATION PROCEDURE REQUEST FORM Student’s Name ________________________________________ Grade Level __________ As parent or legal guardian of the above named student, my signature below authorizes school personnel to administer the medication or procedure to my child as instructed on the “Physician’s Medication Procedure Request Form.” I understand that a trained staff member administering the medication might not be a health professional. My signature further indicates that I agree to:

1. Deliver the medication to the building principal or office secretary in the container in which it was dispensed by the prescribing physician or licensed pharmacist.

2. Notify the building principal of a change in physicians.

3. Notify the building principal in writing if the medication, dosage,

procedure or any information is changed or is to be eliminated. 4. If requested discuss with school officials the effect of the medication or

procedure given at school; further, school officials are hereby authorized to contact the physician on matters relating to the medication.

5. Release any claims against the Board of Education or its employees

arising from the administration of medication in accordance with this request.

PARENT’S STATEMENT I have read the above statements and agree to them. Parent’s Signature _____________________________________ Date _____________ PRINCIPAL’S STATEMENT Principal’s Signature __________________________________ Date _____________ I assign the administration of the medication to: __________________________________________________________________________

(School Secretary, Principal, Teacher, Office Aide, School Nurse) (Adoption Date: )

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Hyatts Middle School Food Service

The Olentangy Food Service Staff looks forward to serving you this year. As you make the switch from

elementary to middle school you will find a few differences in the food service here at Hyatts Middle.

The Meal Swipe System: Just like in elementary school, the cafeteria offers a debit card system that allows

students to put money on their account in advance and use their student ID card to make purchases. Students

may use the debit card or cash for all purchases in the middle school, including ala carte items and breakfast.

In the middle school students are responsible for their own cards. Students are kept informed of their debit card

balance. Emails will also be sent to parents periodically if we have a current email. Additionally, you will be

able to check your child’s balance, view recent purchases and make deposits online. When a student’s account

has a negative balance, students are permitted to charge one meal swipe; no ala carte charges will be allowed.

* Please make sure your child understands the importance of always presenting his/her card.

This will ensure access to the appropriate account and speeds up the checkout line allowing for more time to

eat.

Lunch Pricing and the Meal Swipe Pattern: The Lunch Price for the 2015-2016 school year Meal Swipe will

be $2.50. A Meal Swipe consists of an entrée, at least one serving of fruit or vegetable, and a milk. Students are

able to choose up to one serving of fruit and two servings of vegetables and still fit the Meal Swipe pattern! The

Meal Swipe Pattern offers students the most food per dollar spent.

What’s offered?

The monthly printed menu lists the four main entrée choices that are offered daily: a hot entrée, a hot

sandwich, a pizza selection, and deli sandwiches and wraps made to order at our deli station. In addition, other

entrée choices are offered on a regular basis including pre-made chef salads, and pre-made sandwiches and

wraps. A variety of hot and cold vegetables are offered daily including at least two hot vegetables, a variety of

fresh cut vegetables and a tossed salad. Fruit options will include a choice of several different fresh fruits,

fruit juice, canned fruits, and frozen fruit cups. Milk is the final component of the Meal Swipe Pattern.

Ala Carte: Students also have the option to purchase additional ala carte items. A list of these ala carte items

along with pricing is included in the back of this packet and is available on the website. All foods offered are in

compliance with federal and state regulations.

Breakfast: Hyatts Middle School takes part in the National School Breakfast Program. Breakfast is offered

daily to students before school starts. The breakfast price is $1.50 and includes a breakfast entrée, milk, a fruit

or juice or a vegetable. A limited selection of Ala carte items will also be available for purchase at breakfast.

As part of the National School Lunch and Breakfast Programs, Olentangy Local Schools provide free or

reduced price meals for qualifying students. Applications can be picked up at a school office or printed from our

website at http://www.olentangy.k12.oh.us/, then click on Food Service Information and Menus.

Directions to find “Your Guide to the Lunch Line – Middle School Lunch” Go to the Olentangy Local Schools home page: http://www.olentangy.k12.oh.us/

1. On the right hand side under the “Top Links” section click on “Food Service Information and Menus.”

2. On either the top of the page or on the bottom of the page click on “Menus.

3. ”Scroll down the page to the “Your Guide to the Lunch Line” section and click on the Middle School Lunch link.

http://district.schoolnutritionandfitness.com/olentangylsd/files/Middle_School_Reimbursable_Lunch.pdf

Hyatts Middle Food Service Manager: Lori Carr 740-657-5432

Email [email protected]

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Hyatts Middle School 2015

What Makes A Meal Swipe

for lunch?

Fruit*

Vegetable*

*

Milk

+ + + 1 Meal

Swipe!

*You can take up to 1 serving of fruit and

up to 2 servings of vegetables, but must

take at least one serving of fruit or

vegetable.

Entrée

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Your Guide to the

Lunch Line How to Choose a Reimbursable

Lunch in Middle School

Delicious &

Nutritious!

The National School Lunch

Program allows schools to

receive money & foods from

the U.S. Department of

Agriculture (USDA) for

each meal served.

To receive the money and

food schools must serve

lunches meeting Federal

requirements regarding

nutrient content and

portion sizes.

A complete meal, meeting

the requirements, allows a

school to receive benefits

and is referred to as a

“reimbursable lunch”.

Olentangy Local School District

814 Shanahan Road, Suite 100

Lewis Center, Ohio 43035

*

What are the Goals of the National School

Lunch Program?

Safeguard the health & well being of the nation’s children

Encourage domestic consumption of nutritious agricultural

foods

Give children an understanding of the relationship between

proper eating habits & good health

Olentangy Local

School District

What is a

Reimbursable

Lunch?

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What Makes Up a

Reimbursable

Lunch?

It must include

a fruit or

vegetable!

5 Possible

Components

1. Milk

2. Fruit

3. Meat or

Meat Substitute (included within

the entrée)

4. Grain (included within the entrée)

5. Vegetable *Allowed up to 2 servings

Did You Know?

Middle school students must take at least

1 serving of a fruit or vegetable. However,

they may take up to 1 serving of fruit and

2 servings of vegetables in a meal for the

same price!

Vegetable

*Allowed up to 2

servings

Fruit

Entrée Comprised of:

Meat or Meat Substitute

Grain

1.

3.

2.

The 5 Meal

Components

4.

5.

Milk

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A student needs 3 out of 5

components in order for a meal to

be reimbursable. 1 of these 3

components must be a fruit or

vegetable.

All of these are

considered

reimbursable

meals! All of these

meals cost $2.50.

1. Fruit 2. Meat /Meat Substitute

3. Grain

1. Fruit 2. Vegetable 3. Milk

4. Meat 5. Grain

1. Fruit 2. Vegetable 3. Milk

4. Meat 5. Grain

1. Fruit 2. Milk 3. Vegetable

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School lunch offers parents a convenient way to provide a nutritious lunch for their children at

the lowest possible price.

If all five components of a meal were purchased separately it would cost $4.75, but when

purchased as a reimbursable meal it would cost $2.50. This save $11.25 per week. That is

about $415 dollars saved over the whole school year!

Why Choose a

Reimbursable Meal? Benefits for Students:

Students learn how to build a balanced meal, a

lifelong skill important for healthy living.

Research shows when a child’s nutritional

needs are met, the child is more attentive in

class, has better attendance, & fewer

disciplinary problems.

USDA research shows children who

participate in National School Lunch Programs

eat healthier compared to those who do not

participate.

School districts participating in the National

School Lunch Program are required to have a

wellness policy which addresses obesity,

promotes healthy eating, and encourages

physical activity among students.

Benefits for Parents:

Benefits for the School:

The National School Lunch

Program provides cash

reimbursements, on a per meal

basis, to schools providing free &

reduced price lunches to eligible

children.

Schools receive USDA

commodity foods for each lunch

served.

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The Fantastic

Five! The 5 Components of a Meal Help

Build a Strong Body & Mind

Grains are made up of

carbohydrates, which are an

important energy source for

the nervous system & red

blood cells.

Soluble fibers, found in grains,

have been shown to lower

cholesterol levels & blood

glucose levels. This reduces

the risk of cardiovascular

disease & diabetes.

Insoluble fibers, found in

grains allow foods to move

through the intestine faster.

This can lower the risk of

constipation, diverticular

disease, & colon cancer

Repeated studies have shown

whole grains can reduce the

risk of stroke, type 2

diabetes, heart disease, as

well as improve weight

management.

Milk is a great source of

calcium, which is needed for

lifelong healthy bones and teeth.

Calcium is important for young

people because 90% of bone

mass is developed by age 17.

Grains

Milk

Meat is a valuable source

of protein. Proteins

provide structural

support to vital body

tissues and structures.

Proteins also support the

immune system.

Meat & soy are the only

foods that contain all 9

essential amino acids the

body needs.

Meat

Fruits & vegetables provide

essential vitamins & minerals,

& other nutrients that are

important for growth.

Fruits & vegetables are a

good source of fiber which

promotes healthy digestion

& may help prevent colon

cancer.

Most fruits & vegetables are

naturally low in fat & calories

& keep you feeling full

longer.

Eating fruits & vegetable has

been shown to reduce the

risk of certain chronic

disease. These diseases

include stroke, type 2

diabetes, some types of

cancer, & heart disease.

Fruits &

Vegetables

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http://www.fns.usda.gov/cnd/lunch/aboutlunch/NSLPFactSheet.pdf

http://frac.org/federal-foodnutrition-programs/national-school-lunch-program/

http://frac.org/newsite/wp-content/uploads/2009/09/cnnslp.pdf

http://www.cdc.gov/nutrition/everyone/fruitsvegetables/index.html

http://www.cdc.gov/nutrition/everyone/fruitsvegetables/results/women.html?

age=22&gender=female&activity=sed

http://www.wholegrainscouncil.org/whole-grains-101/what-are-the-health-benefits

http://www.nichd.nih.gov/milk/prob/bone.cfm

References

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What Makes a Meal Swipe?

Entrée

Vegetable

À la Carte

Fruit

CHOOSE 1

An entrée is the main dish.

Purple signs will show your

various daily entrée options.

CHOOSE UP TO 1*

Fruits are a side option and

are labeled with red signs.

CHOOSE 1

Milk comes with a meal swipe.

À la Carte items are not

included in a meal swipe, but

can be purchased separately

for additional charge. These

items are marked with yellow

signs.

CHOOSE UP TO 2*

Vegetables are a side option

and are labeled with green

signs.

*You must take at least one

serving of fruit or vegetable

daily.

Milk

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Your Guide to

School Breakfast

How to Choose a Reimbursable

Breakfast in Schools Start your day

off Right!

What is a

Reimbursable

Breakfast?

The National School

Breakfast Program allows

schools to receive money

and foods from the U.S.

Department of Agriculture

(USDA) for each meal

served.

To receive money and

food, schools must serve

breakfasts meeting federal

requirements regarding

nutrient content and portion

sizes.

A complete meal, meeting

these requirements, allows

a school to receive benefits

and is referred to as a

“reimbursable breakfast”

What are the goals of the National School

Breakfast Program?

Safeguard the health and wellbeing of the nation’s children

Encourage domestic consumption of nutritious agricultural foods

Give children an understanding of the relationship between proper

eating habits & good health.

Olentangy Local School District 814 Shanahan Rd Suite 100

Lewis Center, OH 43035

Olentangy Local

School District

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1. Fruit/ Vegetable/ Juice*

2. Whole Grain-Rich Grain(s)

3. Protein

4. Fat-Free or Low-Fat Milk

What Makes up a

Reimbursable

Breakfast? 4 Possible

Components

3. Protein

4. Fat-Free

or Low-Fat

Milk

The 4 Meal

Components

The 4 Meal

Components

1. Fruit/

Vegetable/

Juice

2. Whole

Grain-Rich

Grain(s)

Entrée: 2 Grains or 1 Grain & 1 Protein

An entrée may be

made up of 2

grains OR 1 grain

and 1 protein Entrée

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Component #1 & #2. Entrée (2 grains)

#3. Fruit

Each of these

breakfasts are

considered to be

reimbursable

meals and cost

$1.50 each!

A student needs 3 out of

the 4 components in order

for a meal to be considered

reimbursable. *Students

may take up to 2 servings

of fruit, vegetable, or juice

as part of their breakfast,

but must select at least 1

serving.

Component #1 & #2. Entrée (2 grains)

#3. Fruit #4. Milk

Component #1 & #2. Entrée (2 grains)

#3. Milk #4. Fruit Juice

Component #1 & #2. Entrée (1 grain &

1 protein) #3. Milk #4. Fruit

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Benefits for Students: Eating breakfast can help improve math, reading,

and standardized test scores

Children who eat breakfast are more likely to

behave better in school and get along with their

peers than those who do not/

Children who eat breakfast on a regular basis are

less likely to be overweight

Students get more of important nutrients, vitamins,

and, minerals such as calcium dietary fiber, folate,

and protein

Eating breakfast as a child is important for

establishing healthy habits for later in life

Breakfast helps children pay attention, perform

problem- solving tasks, and improve memory

School breakfast provides ¼ the recommended

amounts of protein, calcium, iron, vitamin A, and

vitamin C for the day

Benefits For Schools: The National School

Breakfast Program provides

cash reimbursements, on per

meal basis, to schools

providing free & reduced

price breakfasts to eligible

children

Schools that provide school

breakfast in the classroom to

all students have shown

decreases in tardiness and

suspensions as well as

improved student behavior

and attentiveness

Why Choose A

Reimbursable Meal?

School breakfast offers parents an convenient, safe, and nutritious alternative to

breakfast at home at the lowest possible price

If the above meal was purchased separately, it would cost $2.60, but when purchased

as a reimbursable meal it costs $1.50. This will save you $5.50 per week. That is a

savings of over $250.00 for the whole school year!

Benefits For Parents

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\

Meat is a valuable source

of protein. Proteins

provide structural

support to vital body

tissues and structures.

Proteins also support the

immune system.

Meat & soy are the only

foods that contain all 9

essential amino acids the

body needs.

Fruits & vegetables provide

essential vitamins & minerals, &

other nutrients that are

important for growth.

Fruits & vegetables are a good

source of fiber which

promotes healthy digestion &

may help prevent colon cancer.

Most fruits & vegetables are

naturally low in fat & calories &

keep you feeling full longer.

Eating fruits & vegetable has

been shown to reduce the risk

of certain chronic disease.

These diseases include stroke,

type 2 diabetes, some types of

cancer, & heart disease.

The Fantastic

Five! The Five Components of A Meal Help

Build A Strong Body & Mind

Grains are made up of

carbohydrates, which are an

important energy source for

the nervous system & red

blood cells. Soluble fibers, found in grains,

have been shown to lower

cholesterol levels & blood

glucose levels. This reduces the

risk of cardiovascular disease &

diabetes. Insoluble fibers, found in

grains allow foods to move

through the intestine faster.

This can lower the risk of

constipation, diverticular

disease, & colon cancer Repeated studies have shown

whole grains can reduce the

risk of stroke, type 2 diabetes,

heart disease, as well as

improve weight management.

Whole Grains

Milk is a great source of calcium,

which is needed for lifelong healthy

bones and teeth. Calcium is important for young

people because 90% of bone mass

is developed by age 17.

Milk

Fruits &

Vegetables

Protein

Page 29: Olentangy Hyatts Middle School Back-to-School Information ... · Olentangy Hyatts Middle School Back-to-School Information 2015-2016 The start of school will be here soon. We will

http://www.fns.usda.gov/cnd/lunch/aboutlunch/NSLPFactSheet.pdf

http://frac.org/federal-foodnutrition-programs/national-school-lunch-

program/ http://frac.org/newsite/wp-content/uploads/2009/09/cnnslp.pdf

http://www.cdc.gov/nutrition/everyone/fruitsvegetables/index.html

http://www.cdc.gov/nutrition/everyone/fruitsvegetables/results/women.html?

age=22&gender=female&activity=sed

http://www.wholegrainscouncil.org/whole-grains-101/what-are-the-health-benefits

http://www.nichd.nih.gov/milk/prob/bone.cfm

http://www.fns.usda.gov/cnd/breakfast/expansion/benefitsbreakfast.pdf

References

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Menu Items Price

Extra Lunch $2.50

Entrees, sandwiches, pizza, entrée salads $2.00

Deli sandwiches, subs, & wraps $2.00

Vegetables, potatoes, side salads $0.75

Fresh, canned or frozen fruit $0.75

BeveragesMilk, 8 oz bottle $0.50

Bottled water, 10 oz $0.50

Bottled water, 20 oz $1.00

Capri Sun, Apple and Eve 100% juice, 6.75 oz $0.75

V8 Fusion, Switch, IZZE, or Fruit 66 100% fruit juice, 8 oz $1.25

VeryFine 100% fruit juice, 8 oz. $1.25

Soy Milk $1.50

Ala Carte Items (not all items will be available every day)Yogurt, 4 oz/ 6 oz $0.60/ $1.00

Yogurt, Greek, 5.3 oz $1.50

Granola bars, small $0.60

Nutrigrain, Cereal, Nature Valley Bars $0.75

Bagel, Whole grain 2.2 oz $0.75

Cookies, whole grain, reduced fat 1 oz / 1.33 to 1.5 oz 0.25/ .35

Cupcake, WG enriched, reduced fat $0.50

PopTart, single, whole grain $0.50

PopTart, double, whole grain $1.00

Cereal $0.75

Muffin, 2.0 oz, whole grain, reduced fat $0.75

Super Bakery Donut holes (fortified) $0.50

Frozen 100% fruit juice cup, 100% juice slushie $0.75

Soft Pretzel, 2.2 oz, whole grain $0.50

Craisins, raisins $0.50

Fruit juice snacks, fruit by the foot, fruit roll ups $0.50

Fruit snacks, Welch's 1.5 oz $0.75

Salty snacks, assorted $0.75

PopChips $1.00

Pudding, fat free 3.5 oz cup $0.60

Ice Cream novelties, small $0.60

Ice Cream novelties, large $1.00

rev 9/2014

Olentangy Middle School Food Service

Ala Carte Menu Item Price List 2014-15

Pricing and selections subject to change. Additional items priced as marked.

All beverages and ala carte items offered for sale are in compliance with

USDA's Smart Snacks for Schools Regulations