SL]FFIELD ACADEMY - Suffield Academy

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SUFFTELD ACADEMY LIST OF ENCLOSURES A great deal of information is enclosed for your review and we will be happy to answer any questions that you have. It is important that you read this material carefully, fill out the appropriate forms, and return them to Kim Goodwin in the Headmaster's Ofhce as soon as possible. The required forms are due by July L5 and are indicated on the list below with an asterisk (*). The other enclosures are optional forms or informational material. 1. xDatabase Yeriflrcation Form. Please make any corrections in the information (address, phone and fax, e-mail, nicknames, etc.) on the form so that lve may update our records, if necessary. We will use your nickname for nametags and letter salutations. 2. A revised Academic Year Calendar is included so that you may make plans for the coming year. Please note arrival dates and times for the opening of school. Students invited to retum early for varsity athletics will be contacted by coaches. New international students will find a schedule enclosed for registration on Thursday, September 8. Please note the dates of Suffield vacations so that you can make travel arrangements that do not interfere lvith the official academic schedule. Because exams are scheduled up to the final hour of a term, students must plan their travel accordingly. If a student cannot leave for home on the final day of a term or on any another vacation departure day due to flight schedules, he/she must notify the Dean of Students Office so that accommodations and supervision may be provided for that night. MEDTCAL FORMS-The appropriate forms-as indicated below-must be completed eachyear and we must have them on file in the Suffield Academy Health Center before the start of school in order for your child to take part in any segment of our program. A student may not participate in any athletic events-including pre-seøson varsity sports or orientation activities-until øll the required medicalforms øre onfiIe in the Heølth Center. 3. *Explanation of Health Center Policies and Acknowledgement of Suffïeld Academy Medical Philosophy. Please review the financial policies relating to services at the Health Center. These include routine services, provided by the nursing staff, which are covered by tuition. There is a charge, however, for services provided by the school physician, for transportation to off campus medical appointments, and for medication, etc. Please revielv, sign and return Suffield's medical philosophy and expectations related to annual physicals and prescription medication storage. 4a. *Physical Examination Record for returning students. Please schedule a physical for your child and have the form oR completed, signed by the physician, and returned by July 75. The physical must høve been done within one ie&r. 4b. *Physical Examination Record for new students. Please schedule a physical for your child and have the form completed (with the Immunization History-form #4), signed by the physician and retumed by July 15. The physical ntust høve been done within one lear. 5. *Immunization History for new studcnts. This form should bc givcn to thc physician lvith thc Physical Examination Record (form #4b). 6. *Permission for Medical or Surgical Treatment for all students. Suffield Academy does not provide medical or accident insurance for its students. (See #9 below.) Expenses incurred as a result of accident or illness are referred directly to you or to your insurance carrier. Please be sure to also complete the section regarding insurance coverage, located on the bottom of the form, so that we may more efficiently help to process any claims. 7. *Authorization for the Administration of Prescription Medicine by School Personnel (if applicable).Any medication prescribed for a student must be reported to and dispensed by the Health Center. All conditions requiring prescription medication must be monitored by a physician. Connecticut State statute requires a physician's or dentist's written order and the parent's/guardian's authorization for a nurse to administer prescription medicine. Medications must be in a pharmacy-prepared blister pack and labeled with the student's name, name of the drug, strength, dose, frequency, physician's or dentist's name, and date of the original prescription. Each prescription requires an individual form. Photocopies of this form are acceptable. 8. *Permission to Administer Influenza Vaccine. Each fall the Health Center offers flu shots to students. You must sign and return the form indicating lvhether or not you wish your child to receive the vaccine. Please carefully read the information on the back of the permission form for complete details about the vaccine. The immunity provided by this vaccine lasts for approximately three months. Students who are allergic to eggs or chicken feathers are not eligible to participate in this clinic. Continued on reverse
9. 10. 11. l2 *Student Health Insurance l{aiverÆnrollment. A// students are required to carry health insurance. The "Medical Insurance for Suffield Academy Students" information sheet explains an insurance plan offered through the school for those students who do not already have coverage. Please read the information, and then sign the Waiver/Enrollment form indicating your insurance status. Details of the insurance plans available are included in the enclosed brochure entitled "Student Injury and Sickness Insurance Plan." *Student Debit Card Form. Student charges and purchases are made through the Academy's Debit Card System. Please review the explanation of the system and the expenses categories, and then complete the form. *Photo Permissions & Press Release Form. The Communications Office at Suffield Academy is responsible for press releases about student achievement and overall marketing of the school. Please fill out this form to: 1) give the school permission to use photographs of your child in school marketing initiatives, and 2) help make sure your child's name appears in your local newspaper when he/she receives a special commendation. Music Lesson Registration (optional). The Music Department is able to offer private instruction on campus in either instrument or voice. Please revielv the terms of this option and return the form with your payment if you would like to pursue this opportunity. The special deadline-for this form only-is September 10. BOARDINGSTUDENTS ONLY 13. 14- General Information for Boarding Students with (optional) Shipping Information. Students often ask for suggestions to furnish their dorm rooms and select both necessary and optional possessions to bring to campus. The list we include lvith this mailing should serve as a guide in deciding what to bring to campus. Also included is information on phones, mailing trunks to campus, and banking services available in Suffield, Connecticut, Laundry Service (optional). We offer a choice of two laundry, linen, and dry cleaning services to interested boarding students. There are two providers that students may choose from: E & R laundry and Dry Cleaners, or Julie's Laundromat and Cleaners. Information about the services is enclosed. Your request for service should be mailed directly to E & R or Julie's in the envelope they have provided. ALLNE\trSTUDENTS 1-5. Dress Code Guidelines. Dress code goes into effect after orientation on the first day of classes-September 12. We have included the guidelines from the 2010-201! Student & Parent Handbook for your advance planning. You will receive the20ll-2012 Handbook in midsummer. NEW INTERNATIONAL STUDENTS ONLY flncludes ¿ll students who reside outside of the US.-including US. citizens-as well as all non-US. citizens who reside in the US.) 16. Orientation for Nelv International Students. Details of arrival and registration for new international students are given in this memo. Please note that orientation for new international students begins onThursday, September 8. Required forms are due July 15,2011 Please return all Suffield forms to the Headmaster's Office to the attention of: Kim Goodwin Suffield Academy 185 North Main Street Suffield, CT 06078 Phone: 860-668-7315 Fax: 860-668-2966 Email: kgoodwin@suffieldacademy.org Mrs. Goodwin will distribute the forms to the appropriate offices. s/3utl
Page 1: SL]FFIELD ACADEMY Suffield, Connecc
Page 5 and 6: SUFFIELD Ac¿.nnn,ry Suffeld,CT 060
Page 7 and 8: FORM rs DUD BY JULY 15,2011 Sunnrnr
Page 9 and 10: FoRM ¡s DUE BY JULY 15,2011 SUfT.I
Page 11 and 12: IMPORTANT INFORMATION ABOUT INFLIJE
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Page 15 and 16: EXPENSE C¡.InconIns 1. CASH BANK:
Page 17 and 18: SUFFIELD ACEOEVTY Photo & Press Rel
Page 19 and 20: SUFFIELDACADEMY GENERAL INFORMATION
Page 21 and 22: The UPS Store Students Name Shippin

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