• The Family and Student Guide Handbook is posted on the district’s website: www.randolph.k12.ma.us. Please complete all information requested. Sign where requested in the shaded areas on both pages. Do not separate them. Please return this agreement to the school on or before Friday, November 12, 2021. Your signature after each section indicated agreement to the entire section. If you do not agree to a specific part of a section, please cross it out. If you have questions or need help understanding the Agreement, call the principal. If you cannot access the handbook on-line or if you wish to receive a paper copy of the handbook, please call your child’s school.


    NAME OF STUDENT:_____________________________________________

    RPS STUDENT NUMBER (IF KNOWN):_______________________________

    NAME OF PARENT (PLEASE PRINT):_________________________________

    SCHOOL:__________________________

    GRADE:______________

    HOMEROOM:__________


    (1)We have received a copy of the Randolph Public Schools’ Family and Student Guide Handbook.

    (2)We understand that the Guide contains important information on home-school partnership, School Attendance, the Randolph Residency Requirement,Discrimination Laws, Student Records, and other school rules and procedures.

    (3)We agree to work with school staff to be sure our child attends school every day (except for excused absences) and completes homework.

    (4)We have read the district’s procedures and procedures of this guide, including the separate Code of Conduct document online at www.randolph.k12.ma.us under the Climate and Safety tab with links to the Families, Students, and Family Resource Center tabs. We have discussed the Code of Conduct with our child. We agree to work with school staff to make sure that our child follows the Code of Conduct.


    PARENT/GUARDIAN SIGNATURE:_______________________________________DATE:______________________

    STUDENT SIGNATURE (IF OVER AGE 18):_________________________________DATE:______________________

    Media Appearances

    ______I give permission for Randolph Public Schools to record, film, photograph, interview and/or publicly exhibit, distribute, or publish in print and in electronic media my son/daughter’s name, appearance, spoken words and works during the 2021-2022 school year, whether undertaken by school staff, students, or anyone outside the school, including the media. I agree that Randolph Public Schools may use, or allow others to use, those works without limitation or compensation. I release my child’s school and Randolph Public Schools staff from any claims arising out of my child’s appearance or participation in these works.

    ______I DO NOT give permission for my son/daughter’s name, appearance, spoken words and works to appear in the media as described above.

    Note: If neither box is checked, you are granting permission for usage of your child’s name, appearance, spoken words and work for this school year.


    PARENT/GUARDIAN SIGNATURE:_______________________________________DATE:______________________

    STUDENT SIGNATURE (IF OVER AGE 18):_________________________________DATE:______________________