Year 3 EOY Student Form 2024-2025

Please Read!!
This completed form with parent and student signatures, and a minimum of $60 deposit are due by Nov 1, 2024 to reserve a spot. Gradventure seats are first come first serve, if all the seats fill before Nov 1, 2024 then a waitlist will be started for those still interested.
This form alone will not reserve your spot, a deposit must be made on Rycor.

Student's Full Name Student's Full Name First Last
Student Number
I would like to sponsor a Year 3 Student who is unable to pay for themselves
I have a business and would like to be a sponsor for the end-of-year activities and have our logo on the back of the Year 3 shirt (email kfuqua@pasco.k12.fl.us)
Behavior Expectations

The Pasco County Student Code of Conduct is in effect at all school-related events. Any student choosing to violate the Pasco County Student Code of Conduct, either by association or by committing the act personally, will receive any or all the interventions prescribed by the District School Board of Pasco County.

a. Any student who receives Out-of-School-Suspension (O.S.S.) beginning (January 7, 2025) is NOT ELIGIBLE for the End of Year 3 Activities and the Loss of Privilege* will be documented on the discipline referral as such.

b. Any child who receives a discipline referral that results in In-School-Suspension (I.S.S.) or Alternative to Suspension beginning (January 7, 2025), he/she will NOT be allowed to participate in End of Year 3 Activities as follows:

· 1st Referral with I.S.S./Saturday School = Loss of first Year 3 activity.

· 2nd Referral with I.S.S. /Saturday School = Loss of an Additional Year 3 activity.

· 3rd Referral with I.S.S. /Saturday School = Loss of all Year 3 activities.

c. Any student who demonstrates safety concerns, as documented on a discipline referral, while on school-provided transportation may not be eligible to participate in Gradventure, at the discretion of the school principal or his/her designee.

*Loss of Privilege will be documented on the Discipline Referral as Intervention Code: 34 - Loss of Privilege
My child would like to participate in the following activities (check all that apply):

My child would like to participate in the following activities (check all that apply): Gradventure event ticket w/EOY t-shirt, meal ticket, PVMS Clear Bag, and transportation($200) Year 3 EOY t-shirt (for students NOT attending Gradventure) ($15) Field Day w/lunch ($30) (available on Rycor 4th quarter) Year 3 Dance ($30) (available on Rycor 4th quarter)
I acknowledge I have read the Year 3 End of Year Activity Behavior Expectations Chart shown above and the timelines provided.

I acknowledge I have read the Year 3 End of Year Activity Behavior Expectations Chart shown above and the timelines provided. I acknowledge
Parents/Guardians please read and sign below:

By signing below, I acknowledge I have read the following before I pay for the end of year activities.

No refunds will be given for any end of year activities after Friday, March 1st (unless the park cancels the event).

For academic and/or safety reasons, we may choose to deny attendance to students that are not on track for promotion to high school and/or have exhibited poor or questionable behavior at any time prior to each EOY promotional event. See the diagram below for referral expectations.

Parent signature indicates agreement and understanding of all expectations above: Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Full name of parent/guardian that signed: Full name of parent/guardian that signed: First Last
Students please read and sign below:

By signing below, I acknowledge I have read the following before I pay for the end of year activities.

No refunds will be given for any end of year activities after Friday, March 1st (unless the park cancels the event).

For academic and/or safety reasons, we may choose to deny attendance to students that are not on track for promotion to high school and/or have exhibited poor or questionable behavior at any time prior to each EOY promotional event. See the diagram above for referral expectations.

Student signature indicates agreement and understanding of all expectations above:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Full name of student that signed: Full name of student that signed: First Last
I understand completing this form does NOT reserve my child's spot. I must log into Rycor and make the minimum deposit before 11/1/24 or before all seats fill.
https://www.studentquickpay.com/pasco/

I understand completing this form does NOT reserve my child's spot. I must log into Rycor and make the minimum deposit before 11/1/24 or before all seats fill.
https://www.studentquickpay.com/pasco/ I understand

Year 3 EOY Student Form 2024-2025

Year 3 EOY Student Form 2024-2025

Behavior Expectations