New Student Registration Packet · 2 sets of twin-size sheets and pillowcases Blankets and...
Transcript of New Student Registration Packet · 2 sets of twin-size sheets and pillowcases Blankets and...
6 6 S c h o o l S t r e e t
G r a n b y M a s s a c h u s e t t s
Boarding and Homestay Program
2017-2018
Return all registration and medical forms no later than August 1st to the
Admissions Office by email: [email protected] or by
fax: 413-467-1607
New Student Registration Packet
Your Home and Room:
Rooms are typically doubles; however, there are some singles and triples.
You and your roommate(s) will each have your own twin size bed, chest of drawers, desk, and chair.
A laundry service, required for all Boarders, provides laundry and dry-cleaning services.
Wireless Internet is available to all students as long as the computer has been registered with our IT Department.
You must provide the following items:
Mattress cover
Pillow
2 sets of twin-size sheets and pillowcases
Blankets and bedspread or comforter
Towels
Please note: Throughout the first week of orientation, there will be several trips to the near-by mall for students to purchase items that are too heavy or big to pack.
You are allowed to use the following items in your room:
Clock radio or alarm clock
Fan, desk lamp (no halogen)
Blow dryer, curling iron, hair straightener (flat iron)
Computers – monitor may not be larger than 22 to 24 inches in diameter
American cell phone—we strongly urge that all international students have an American cell phone number.
Please Note: Space heaters, electric blankets, TVs, hot pots, etc. are not permitted and will be confiscated.
T H I N G S T O K N O W B O A R D I N G
Welcome to the MacDuffie community! As a boarding student, you will be living on campus with several peers and faculty members. Here is some information to
Clothing and General Appearance:
Students are expected to be sensible in their choice of clothing and appearance.
MacDuffie guidelines are: cleanliness, neatness, and modesty. The Dress Code is detailed in the Student Handbook.
Please bring dress clothes in the event that they are needed for an evening activity such as a play or concert.
Rain gear, snow boots, and a heavy winter jacket are essential. Fall begins in mid/late Sep-tember, and students should be prepared for colder weather. These items may be purchased after arriving at school.
Personal Expenses: Students may choose to open their own bank accounts with funds for their personal use. Easthampton Savings Bank will have a representative available during the week of Orientation to assist students in opening bank accounts if they would like to do so.
Personal and Travel Documents: Within the first week of orientation, all International Students are expected to provide the Office of Boarding Life with their passports, I-20s, flight
information, and other sensitive documents that will be kept in the school’s safe.
T H I N G S T O K N O W B O A R D I N G A N D H O M E S T A Y
Boarding Student Social Permission/Overnight & Weekend
Boarding Student Travel Form
Motor Vehicle Permission Form
New Student Registration/Verification
All Medical Forms to the Nurse
Athletics Form
Boarding Forms to return (Checklist)
Homestay Forms to return (Checklist)
Form to send to current school (Not MacDuffie)
Motor Vehicle Permission Form
New Student Registration/Verification
Homestay Form
All Medical Forms to the Nurse
Athletics Form
Transcript Request Form
Student’s name: ________________________________________________Grade:________
Status (circle one): 5-Day Boarding or Full-Time Boarding
Overnight and Weekend Visit Permission
Parents must give permission for Boarding Students to leave campus for any overnight visits and/or weekends.
Please circle response:
I give my child permission to go to any home for an overnight or a YES NO weekend with adult supervision at his/her discretion
In addition to this permission form, the student must have the following:
An invitation from his/her host (via e-mail)
Permission from the Dean of Boarding to leave campus Please note: In all cases your child must be under adult supervision. Boarding Students are not allowed to
stay in hotels without an adult unless we receive parent/guardian permission.
To be completed by the Parents/Guardians: Parent(s)/Guardian(s) name(s): ______________________________________________________ Date: __________________ Phone number: ___________________________________________ E-Mail: _______________________________________________________________________
Signature(s):____________________________________________________________________
To be completed by the Student: Student name: _____________________________ Date: ______________
Signature(s):___________________________________________________ International Students Only:
If the above named student has a guardian in the USA, please print his/her name, address, and telephone number.
Name:_________________________________________________________________________
Telephone:_____________________________________________________________________
Address:______________________________________________________________________
E-Mail address:__________________________________________________________________
B O A R D I N G S T U D E N T S S O C I A L P E R M I S S I O N S 2 0 1 7 - 2 0 1 8
B O A R D I N G S T U D E N T S T R A V E L F O R M
All new students must arrive on Sunday, August 27, 2017. (Students must not arrive before or after the designated date).
Please note: If you are participating in the Extended Orientation Program, your arrival date will be different. We will confirm arrival date once you register for the program. To help us prepare for your arrival, please fill in the following information: Student’s name: ___________________________ _____________________________ Mobile (emergency contact): _________________________ __________________________ Email used during summer holiday: __________________ __________________________ Transportation will be provided from Bradley International Airport (BDL) only. Please provide your flight in-formation if you would like transportation provided by The MacDuffie School: Airport: Bradley International Airport (BDL) Airline: __________________________________________________ ________ _______ Flight arrival time: _________________________________________________________________________ Flight number: ______________ ________________________________________________ If you would like to arrange for private transportation, go to www.mylimo5.com and provide your infor-mation. If you have already arranged for your own private transportation, please provide the following below: Name of transportation company: __________________________________________________________________________ Contact number: __________________________________________________________________________ Campus arrival time: __________________________________________________________________________
Return to Admissions by August 1, 2017 [email protected]
Student’s name:
___________________________________________________________________________
First Middle Last
Please circle your child’s status: Day/ 5-Day Boarding | Full-Time Boarding | Homestay
Grade (circle one): 6 | 7 | 8 | 9 | 10 | 11 | 12
Riding/Driving in Motor Vehicles – All Students
The MacDuffie School allows its students to ride in vehicles rented for school use and with any faculty/staff member in school vehicles or in any faculty/staff member’s private vehicle. We also permit students to ride with certain other individuals with parent/guardian approval. Please complete each of the following:
My child may ride with (circle response):
1. Any licensed driver over the age of 18 at his/her discretion: YES NO
2. Only the individuals listed below: __________________________________________________________________ __________________________________________________________________
3. Any MacDuffie student who has parent/guardian permission to drive students: YES NO
4. The parents/guardians of other MacDuffie students: YES NO
5. Any approved licensed taxi-cab driver: (No UBER or LYFT services) YES NO
Please note: The MacDuffie School does not allow students in grades 6-8 to ride alone in a taxi-cab unless they have parental permission.
Day students only: My child may drive students who have permission to ride with students: YES NO
For the Student: Name:__________________________________________________Date: _______________
Student signature:____________________________________________________________
Parent/Guardian:
Parent/Guardian name:______________________________________Date: ________________
M O T O R V E H I C L E P E R M I S S I O N
N E W S T U D E N T R E G I S T R A T I O N / V E R I F I C A T I O N
S t u d e n t L e g a l
L a s t N a m e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F i r s t : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
M i d d l e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ N i c k n a m e : _ _ _ _ _ _ _ _ _ _ _ _ _ _
Date of Birth: __________________________________
Gender: Male Female Grade: ______________
Student email address: ___________________________________
Student cell phone#: ______________________________
Student Lives with: Mother Father Both Parents Guardian Other _____________________________________
Father/Contact #1 Name (Last, First)
Relationship Street Number Street Name Apartment
City State Country Postal Code
Circle one: Mr./ Mrs./ Ms./Dr.
Home Phone
Cell Phone Occupation Work Phone E-mail Address
Mother/Contact #2 Name (Last, First)
Relationship Street Number Street Name Apartment
City State Country Postal Code Circle one: Mr./ Mrs./ Ms./Dr.
Home Phone
Cell Phone Occupation Work Phone E-mail Address
PLEASE BE ADVISED BY COMPLETING INFORMATION BELOW FOR AN ADDITIONAL CONTACT AND/OR A THIRD PARTY CONTACT, ALL SCHOOL COR-RESPONDENCE WILL BE SENT TO THE INDIVIDUALS LISTED. IF YOU DO NOT DO NOT WISH FOR CORRESPONDENCE TO BE SENT, DO NOT COMPLETE
THE SECTIONS BELOW.
ADDITIONAL CONTACT (IF APPLICABLE) - GUARDIAN/HOMESTAY PARENT/AGENT - WILL RECEIVE SCHOOL CORRESPONDENCE
Additional Contact Name (Last, First)
Relationship Street Number Street Name Apartment
City State Country Postal Code
Circle one: Mr./ Mrs./ Ms./Dr.
Home Phone
Cell Phone Occupation Work Phone E-mail Address
THIRD PARTY (IF APPLICABLE) - WILL RECEIVE SCHOOL CORRESPONDENCE
Third Party Name (Last, First)
Relationship Street Number Street Name Apartment
City State Country Postal Code
Circle one: Mr./ Mrs./ Ms./Dr.
Home Phone
Cell Phone Occupation Work Phone E-mail Address
Medical Emergency Contact Information: The school will attempt to contact the Parents/Guardians of a student in the event of a medical emergency. If Parents/Guardians cannot be reached, the designated Emergency Contact below will be contacted.
Name: _________________________________________Relationship to student: __________________________________
Home Phone #: ______________________________________ Cell Phone #:____________________________________ ____________________________________________________________
UPDATE YOUR RECORD THROUGHOUT THE SCHOOL YEAR WITH ANY CHANGES
The MacDuffie School requires an official final transcript for all students. Please sign and send this form to your child’s FORMER SCHOOL(S).
Your child’s former school(s) must mail his or her official final transcript(s) to:
The MacDuffie School
Attn: Registrar 66 School Street
Granby, MA 01033
T R AN S C R I P T R E Q U E S T F O R M F R O M P R E V I O U S S C H O O L
Name of student: _____________________________________________________________________ First Name Middle Name Last Name I hereby authorize the release of my daughter’s/son’s official final transcript/standardized test scores to The MacDuffie School. Parent/Guardian Signature: ____________________________________Date: ___________ The student whose name appears above is enrolled at The MacDuffie School for the 2017-2018 academic year. Please send the following materials: 1. An official final transcript of the student’s grades 2. All available standardized test scores
THANK YOU FOR YOUR TIME.
H O M E S TAY O N LY : S T U D E N T T R AV E L F O R M
All new Homestay Students are required to arrive at their Homestay resi-dence on Sunday, August 27, 2017. Students must not arrive before or after August 27. To help us prepare for your arrival, please fill in the following information: Please note: If you are participating in the Extended Orientation Program, your arrival date will be different. We will confirm arrival date once you register for the program. Student’s name: _________ _____ ______________________________________ Home telephone number: _____________________________________________________ Mobile (emergency contact): ______________________________________ Email used during summer holiday: ___________________________________________ Airport: Bradley International Airport (BDL) Airline: __________________________ Flight arrival time: ______________________ Flight number: __ ____________________ If you would like to arrange for private transportation go to www.mylimo5.com and provide your information below. If you have already arranged for your own private transportation, please provide the following: Name of transportation company:__________________________________________________ Contact number:______________________________________________________________ Campus arrival time:___________________________________________________________
Return to Admissions by August 1, 2017 [email protected]
AT H L E T I C S C O N T R A C T
MACDUFFIE ATHLETICS PHILOSOPHY The MacDuffie School believes that a quality interscholastic athletic program is an important part of a student's educational experience. The MacDuffie Athletics Program is committed to promoting the ideals of sportsmanship, respect, commitment, integrity, reliability, and leadership. By encouraging these ideals, the goal is to build athletic ability, increase physical fitness, and help gain a sense of community. It is the mission of the program to instill in each student-athlete the basic understanding of competition – to win with class and lose with dignity. By developing comprehensive training plans, maintaining high standards, and expecting commitment by the student-athlete to the program, the coach’s priori-ty is to improve each person’s well being. Representing MacDuffie in athletics is a choice, and with choice comes the responsibility for the stu-dent-athlete to give his/her all to achieve and to excel. In addition to the physical understanding of motor skills development, the goal is also to foster the mental aspects of teamwork, ownership, cooperation, and discipline to cultivate students’ decision-making ability.
VARSITY PROGRAMS All athletes are expected to put forth their best effort whenever they are representing The MacDuffie School. The first objective is to win, but not at all costs. We strive to capture each league championship while upholding our ideals of sportsmanship, respect, commitment, and integrity. Playing time is based on performance and commitment to practice time. At the same time, whenever possible, players should be allowed play-ing time as their ability and the game situations permit. Three unexcused absences may result in removal from the team. Failure to communicate with the coach, with an acceptable reason, for missing a practice or game could result in disciplinary consequences. Varsity pro-grams at MacDuffie are a competitive experience where achievement and outcome are high priorities. Please refer to the Student Handbook or Curriculum Guide for further information on sub-Varsity teams and MacDuffie Athletics in general.
CODE OF CONDUCT FOR PLAYERS Attend all training sessions and games punctually. Notify coaching staff immediately if unable to attend.
Be honest with and pay complete attention to coaches/staff.
Maximum effort is a minimum requirement – always take pride in your performance, even at training.
Your full cooperation is always expected. Always conduct yourself with respect and behave appropriately
Learn the rules of the game.
Always take responsibility of your own belongings, uniform, and equipment, and be prepared to help out with the coaching equipment during practice/game day when asked.
Always warm up and cool down with appropriate stretching exercises before and after training and games.
Always wear the appropriate gear at practices and games.
No jewelry to be worn or mobile phones to be used during practices or games.
Do not train unless fully fit, and make sure that you report injuries as soon as they occur. Attendance will be required for injured players at both training and games at the coaches’ discretion.
Always respect other people and property – you are an ambassador for The MacDuffie School at all times.
Always work hard and be determined to do the best you can.
Playing time at varsity level is a privilege based on many factors. Your commitment to the team is expected regard-less of the situation. Failure to attend and provide 100% commitment to team events (e.g., practices, competitions, meetings, etc.) may result in a suspension from competition. The length of the suspension will be determined at the discretion of the Director of Athletics. Please refer to the Athletics Section of the Student Handbook for more infor-mation. By signing below, you are acknowledging that you agree to follow the guidelines above at all times to the best of your ability. You are also acknowledging that you must provide the school with a copy of a Physical Exam (obtained within the last 12 months) and that you have read and understand the school’s concussion policy, including the completion of the ‘ImPACT’ pre-season testing. Participa-tion in the MacDuffie School Athletics Program is dependent on you completing all of the above re-quirements.
FIRST Name: __________________________LAST Name: ___________________________
Player signature: ________________________________________ Date:__________________
Parent/Guardian signature: _________________________________ Date:_________________
Students must complete and return this form to the Athletics Office before they will be allowed to participate in athletics/sports.
The following documents must be received by August 1, 2017. All infor-mation on each document must be COMPLETED, and all documents must be SIGNED:
______1. Permission to Treat Form
______2. Prescribed Medication Authorization - we supply “over-the-counter” medications for common ailments. Do NOT send any non-prescription medication with your child, as they will be confiscated upon arrival per school policy.
______3. Over-the-Counter Medication Authorization Form
______4. Massachusetts School Health Record or record of annual physical exam (must be in English language)
______5. Immunization Record -Immunization waivers may be accepted for medical or religious reason only. Please contact the nurse for the required form and approval.
______6. Immunization Consent (for boarding students only) If students have not received ALL required vaccines, students will be required to receive missing vaccinations here at school or our affiliated medical office.
______7. Annual Influenza Vaccine Consent Form
Send all health records to the Admissions Office at:
Email: [email protected]
Fax: 413-467-1607
Mail: Attn: Nurse 66 School Street Granby, MA 01033
M E D I C A L F O R M C H E C K L I S T
P R E S C R I P T I O N M E D I C AT I O N A U T H O R I Z AT I O N 2 0 1 7 - 2 0 1 8
Student name: ____________________________________________________________Date of birth:___________
(LAST) (FIRST) (M/D/YY)
Dear Parents/Guardians,
Students requiring prescribed medication while at school must have a physician’s order on file at the start of each school year that includes both the phy-sician and parent/guardian signatures. Your signature below gives us permission to access all pertinent information from your child’s physician regard-ing the dispensing of medications listed below and permits authorized persons to assist the student in taking the medications listed below or to self-medicate when authorized by the physician.
________________________________________________________ ____________________
(SIGNATURE OF STUDENT AGE 18+ or PARENT/GUARDIAN) (DATE)
CHECK HERE IF NO PRESCRIBED MEDICATIONS ARE NEEDED WHILE AT SCHOOL
*Please note: This form is not required for over-the-counter medications such as Tylenol, Ibuprofen, Motrin, Benadryl, etc.
Name of medication: ______________________________________________________________________
Dose: ________________ Time of administration: __________________________Route:______________
Allergies:_______________________________________________________________________________
Diagnosis/Indications for which the medication is given: _________________________________________
Start date: _______________ Stop date:________________
Student may carry (if applicable to school protocol) and self-medicate: Yes_______ No_______
List significant side effects: _________________________________________________________________
Physician printed name and phone: ___________________________________________________________
Physician signature:___________________________________________________Date:________________
(PLEASE USE ONE FORM FOR EACH MEDICATION)
THE FOLLOWING IS TO BE COMPLETED BY THE PHYSICIAN. **All fields required
Student name: ______________________________________DOB:__________
I/We, ___________________________________, the parent(s) or legal guardian(s) of the student stated above hereby authorize and request authorized The MacDuffie School personnel to administer the over-the-counter (OTC) medication(s) marked below to my student as is deemed reasonably necessary and appropriate. I agree to notify the school nurse in writing of the termination of this authori-zation or when any changes are necessary. **Before granting school permission to administer OTC medication, please check with your doctor/pharmacist that the medications below do not interact with any medications your child may already be taking. I release the school and its personnel from any and all liability should adverse reaction occur as a result of medication interaction with unknown daily medication. ________ (parent initial)
OTC medications will be given at the manufacturer’s recommended dosage for the appropriate age/weight. **Students are NOT permitted to keep OTC medications with their personal belongings.
PLEASE CHECK EACH MEDICATION FOR WHICH YOU ARE GIVING PERMISSION
_______ I approve ALL medications listed below
_______ I do NOT want ANY OTC meds given to my student
___ Acetaminophen (Tylenol) ___ Saline eye rinse &/or nasal spray
___ Ibuprofen (Motrin/Advil) ___ Cortisone cream (topical itching/rash)
___ Benadryl antihistamine (generalized allergic reaction) ___ Antibiotic cream (i.e., Bacitracin, Neosporin)
___ Antacid (i.e., Pepto Bismol, Tums) ___ Hydrocortisone cream (i.e., Cortaid)
___ Cough drops (i.e., Halls) ___ Sunscreen
___ Loperamide (anti-diarrheal) ___ Oral numbing agents (i.e., Orajel, Chloraseptic)
___ Cold medications (i.e., DayQuil, Robitussin, Mucinex) ___ Muscle rub (i.e., Icy Hot)
___ Meclizine (for nausea/dizziness, i.e., Dramamine)
___ Seasonal Allergy Medication (i.e., Claritin, Zyrtec, Flonase)
___ Constipation medication (i.e., Colace, MiraLAX)
___ Melatonin (occasional sleep aid)
___ Migraine (consists of Tylenol, aspirin, caffeine)
___ Midol (menstrual)
The school is not able to supply medication for frequent or daily use. For OTC medications not listed on this form, or if the medication must be given daily longer than 10 days, please submit the Medication Authorization Form. **This authorization expires on the last day of the school year and must be renewed at the start of each school year.
________________________________________________________ __________________
(Signature of Parent or Guardian) (Date)
O V E R - T H E C O U N T E R M E D I C A T I O N A U T H O R I Z A T I O N F O R M 2 0 1 7 - 2 0 1 8
P E R M I S S I O N F O R M E D I C A L T R E A T M E N T 2 0 1 7 - 2 0 1 8
Student’s name:______________________________________ DOB: _______________ Grade: _______
I/we, _____________________________, the parent(s) or legal guardian(s) of, ______________________ a student at The MacDuffie School, authorize The MacDuffie School to give permission for medical or psychiatric treatment for the above named child at the most appropriate medical facility, in the event that I/we cannot be contacted. I/we consent to the administration of necessary and required immunizations, standing order medications, and prescription medications and consent to provide payment for all services not covered by the insurance policy.
I/we give the nurse at The MacDuffie School and the PCP, specialist, and any medical personnel that may be required two-way consent to share information that may be pertinent to my child.
Parent/Guardian name (print or type):_______________________________________________________
Parent/Guardian signature:_____________________________________________Date: _______________
**This authorization expires on June 30, 2018**
If you have NOT enrolled in the international insurance plan, please provide insurance information (including a photocopy of insurance card):
Insurance Company: _______________________________Policy Holder’s Name: __________________
Policy Holder’s Company Number: ____________________ Policy Number: _______________________
Brief Medical History: please check all that apply
Yes No
□ □ Concussion If yes, how many: ___________Date of most recent: ___________
□ □ Diabetes If yes, controlled by: _____________________________________
□ □ Asthma If yes, controlled by: _____________________________________
□ □ Seizures If yes, controlled by: _______________ Date of last: ___________
□ □ Allergies: bee sting_______; food: _______________________________;
medication: __________________________________________;
Other: ______________________________________________
□ □ On Medications (not listed above):
If yes, identify (include medication taken at home):
____________________________________________________________________________________________________________________________________________________________________________________________________________
Other medical issues: _______________________________________________________
________________________________________________________
________________________________________________________
Physician’s Printed Name: _____________________________________________________________
Physician’s Signature (REQUIRED): ______________________________________ Date: ____________
VACCINE DATE GIVEN
(MM/DD/YY)
VACCINE DATE GIVEN
(MM/DD/YY)
DT/DTP/DTap (4 doses required for age 6 and under)
1
Meningococcal (1 dose required for all boarding students)
1
2 (booster recommended at age 16) 2
3 MMR (2 doses required age 1+) 1
4 2
Tdap/Td (1 dose required, age 7+) 1 Hepatitis B (3 doses required) 1
Polio (OPV/IPV) (4 doses re-quired)
1 2
2 3
3 Hepatitis A (recommended, but not required )
1
4 2
Varicella (2 doses required age 1+) 1 1
2 Human Papillomavirus (HPV) (recommended, but not required)
1
History of varicella disease, please write date of disease
2
BCG (not required) 1 3
Tuberculin (PPD test) required yearly for international and high risk students.
1 Influenza (recommended, but not required) - Last date given
1
***If PDD is positive, chest x-ray is required. Record results here
I M M U N I Z AT I O N R E C O R D
(Students MUST receive all Massachusetts state required immunizations to attend school)
STUDENT NAME:________________________________________________________ DOB(m/d/y):______________
***FOR BOARDING STUDENTS ONLY***
I/we, ______________________________________ agree that The MacDuffie
School nursing staff, or affiliate medical office, have permission to administer any missing
state required vaccine to the child listed above. Any student UNDER the age of 19 will re-
ceive required vaccines under the Massachusetts Vaccine Program free of charge. I/we
(listed above) also agree that any student OVER the age of 19 will accept the responsibility
of payment of any missing required vaccine not covered by their health insurance policy.
Parent signature: _________________________________________________
Date (DD/MM/YY): _______________________________________________
____ I do not agree due to religious beliefs or medical exemption. (Please contact the
nurse for documentation that will need to be provided to the school at
VA C C I N E C O N S E N T F O R M 2 0 1 7 - 2 0 1 8
ANNUAL INFLUENZA VACCINE CONSENT FORM 2017-2018
____________________________________ _________________
Student name Date of birth (M/D/Y)
Screening for Vaccine Eligibility
The following questions will help us to know if your child can get the seasonal influenza vaccine. If you answer “NO” to all four of the following questions, your child can probably get the influenza vaccine. If you answer “YES” to one or more of the following four questions, your child may be able to get the seasonal influenza vaccine, but we will contact you to discuss your options.
Please mark YES or NO for each question.
Consent
CONSENT FOR CHILD’S VACCINATION:
I have read or had explained to me updated Vaccine Information Statement (VIS) for the seasonal influenza vaccine and understand the risks and benefits. To review the VIS you can visit: https://www.cdc.gov/vaccines/hcp/vis/vis-statements/flu.html
________ I GIVE CONSENT to the MacDuffie School and its staff for my child, named at the top of this form, to be vaccinated with this vaccine. (If this consent form is not signed, then your child will not be vaccinated)
________ I DO NOT GIVE CONSENT to the MacDuffie School and its staff for my child, named at the top of this form, to be vaccinated with this vaccine.
Printed name of Parent/Legal Guardian _____________________________________
Signature of Parent/Legal Guardian ____________________________________________
Date: month_________day_________year___________
Day Student ________ Homestay Student __________ Boarding Student_________
YES NO
1. Does your child have a serious allergy to eggs?
2. Does your child have any other serious allergies? Please list:
_________________________________________________
3. Has your child ever had a serious reaction to a previous dose of flu vaccine?
4. Has your child ever had Guillain-Barré Syndrome (a type of temporary severe
muscle weakness) within 6 weeks after receiving a flu vaccine?
MacDuffie School Vacation Dates 2017-2018
Parents, guardians, and students should avoid making any arrangements which conflict with these dates. It is very im-
portant that all students attend classes on all school days, and be present at Commencement. Arrangements which ex-
tend vacation periods by either beginning them early or ending them late must be avoided. Each and every class day at
MacDuffie is extremely valuable in the academic lives of our students.
Thanksgiving Break
Last day of classes is Tuesday, November 21, 2017
Boarding students: depart Wednesday, November 22, 2017 by 12:00 noon.
Boarding students must return by 8:00 p.m. Sunday, November 26, 2017
All Students: Classes resume at 8:00 a.m. Monday, November 27, 2017
December Vacation
Last day of exams is Tuesday, December 19, 2017
Boarding students: depart Wednesday, December 20, 2017 by 6:00 p.m.
Boarding students must return by 8:00 p.m. Wednesday, January 3, 2018
All Students: Classes resume at 8:00 a.m. on Thursday, January 4, 2018
March Vacation
Last day of classes is Friday, March 9, 2018
Boarding students: depart Saturday, March 10, 2018 by 6:00 p.m.
Boarding students must return by 8:00 p.m. Sunday, March 25, 2018
All Students: Classes resume at 8:00 a.m. Monday, March 26, 2018
Summer Vacation
Commencement is Saturday, June 9, 2018
All students are required to attend Commencement
Boarding students: depart Sunday, June 10, 2018 by 6:00 p.m.
The school will provide transportation to boarding students only on departure/arrival days. Locations are only to/from Bradley International Airport (BDL) in Hartford, CT, the Amherst Center Bus Stop, and the Amtrak Train Station in Springfield, MA.
Boarding Students are not permitted to stay on campus during Thanksgiving, December, March
and Summer vacations. The school and campus are closed during these school vacations.