MEDICAL CONDITION 
 
Student Name: _____________________________________________
 
□ Yes, my child has Medical Condition □ No, my child does not have a Medical Condition
 
List Medical Condition in detail: 
 
 
 
Please attach any relative information regarding the Medical Condition(s)                If Medication is needed during school hours, you may pick up a Medical Permission form at the office.
ALLERGIES
 
 
□ Yes, my child has Allergies □ No, my child does not have Allergies
 
List Allergies in detail:
 
 
 
I Do Not Hold Tipton Academy responsible for forgetting to administer medication to my child.
 
Parent/Guardian’s Signature: ______________________________ Date: __________ If I want to ensure that my child receives the medication, I have the right to come into the school and administer this medication to my child.

TIPTON ACADEMY
Mother/ Guardian Information
Last Name: _________________________ First Name: ______________________
Address: _____________________   _________________       _________________  
City                                        State                   Zip Cell Number: ________________________ Home Number: ___________________________
 
Work Number: _______________________   Relationship to Student: __________________________________ 
 
LIST OTHER CHILDREN IN THE FAMILY
    Father/ Guardian Information
    Last Name: _________________________ First Name: ______________________
    Address: _____________________   _________________       _________ _________                                                                                                                            City                                        State                    Zip Cell Number: ________________________ Home Number: _________________________
 
Work Number: _______________________   Relationship to Student: __________________________________ 
 
NAME DATE OF BIRTH GRADE SCHOOL ATTENDING                                                
 
WITH WHOM DOES THE CHILD RESIDE?  Both Parents______   Mother_________   Father _______ Guardian_______
______ Stepmother       ______ Stepfather
PRESENT LIVING SITUATION: ____Own Home ____Renting Home   ____   Living with another family due to financial reasons
____ Car   ______Motel/Hotel    _____ Campsite/Trailer
 
Knowingly falsifying registration information is grounds for immediate removal of the child from Tipton Academy. I attest that the above information is accurate and complete to the best of my knowledge.
               Signature of Parent or Guardian Enrolling Student:
   ___________________________________________________________________   Date: ________ Relationship: ____________________________
Tipton Academy will not tolerate unlawful discrimination by or against students because of their race, color, creed, religion, height, weight, age, marital status, veteran status, citizenship, national origin, sex, handicap or disability, or any other factor prohibited by law.  This policy applies without exception. After investigation, persons who violate this policy are subject to appropriate sanctions for their conduct. 

1615 Belton  Garden City, Michigan 48135

734-261-0500  Fax: 734-956-6360

Principal  Suzanne March                                                   
         
ENROLLMENT APPLICATION
 
Name (full) ____________________________________________________Age_____Sex_____
 
Address________________________City_____________Zip_______Date of Birth__________
 
Home Phone_________________________Cell Phone__________________________________
 
Email Adress____________________________________________________________________
 
Last School Attended and Address___________________________________________________
 
School District Where You Live and County Your Home Resides In_________________________
 
How did you hear about Tipton Academy (newspaper, friend, etc):__________________________
 
Grade which student is enrolling at Tipton Academy: _____________________________________
 
Has your child ever been suspended or expelled from another school district? Yes______ No______ 
 
Is your child currently eligible for Special Education Services?   Yes_____   No______ Does your child have a current IEP?   Yes_____   No_____ 
 
Is your child currently eligible for Section 504 services?              Yes_____   No______
Ethnic:  Caucasian_______ Asian______ African American______ Hispanic_______ American Indian________ Other _________________
♦ Is the primary language in your home OTHER than English? Yes______ No________ ♦ If YES, what language? _____________________ ♦ ENGLISH LANGUAGE LEANER:  Has the student ever been enrolled in a Bilingual or English Language Learner (ELL) program?  Yes______ No_______

Signature of Parent/Guardian                                                                                Date                         

DRESS CODE OVERVIEW
 
Take pride in how you look at all times. Uniforms can help keep you safe and prevent you from being judged by others for not looking a certain way. They also create a serious, distinguished look that tells the world “YOU” are about business. Always be mindful of your personal appearance – it speaks volumes about your character.
 
DRESS CODE
 
Our basic standards regarding student dress are based on cleanliness, neatness, modesty, safety and minimizing learning distraction. Uniforms are to be worn at the Academy by all students in grades K-7 except on announced “Dress Down” days.
 
Friday each week is “Tipton Dress Down Day.” Students may wear appropriate casual clothes to school on that day. Clothing should not contain inappropriate graphics, such as skulls or weapons. Clothing may not contain inappropriate language or suggestive messages. Casual clothes must be in good taste and appropriate in length.
 
Tipton shirts are shirts that have our school name or logo printing on it. This also includes Tipton sweatshirts, T-shirts, or uniform shirts. Tennis shoes may be worn at any time. Participation in Dress Down Day is a privilege that can be revoked to any student by school administration for any length of time deemed necessary.
 
Dress code policy will be enforced for all students: K - 7th Grade: Any uniform violation will cause student to move to next step (i.e. no uniform shirt causes step 1 and an additional dress code violation will cause to move to 2). Step 1: Dress code violation form will be sent home for a parent to sign, Step 2: Dress code violation form will be sent home from administration to be signed by parent. Step 3: Student will serve lunch detention. Step 4: In-House Suspension. Step 5: Out of School Suspension.
 
DRESS CODE – Grades K-7
 
The Tipton Academy dress code must be strictly followed. Uniform checks will be performed. If students come to school wearing inappropriate attire, their classroom teacher will send them to the office. Parents may be contacted and will be responsible for bringing proper clothing that same day.
 
Permitted attire: 1. School shirts will be polo style shirts (long or short sleeve) in solid colors with the Tipton Academy logo. Plain polo shirts or turtlenecks in the approved colors are allowed under PLAIN sweaters, and crew neck sweatshirts ONLY. Shirts may not be worn knotted at the back or at the side. 2. Plain sweaters and sweatshirts may be worn over the polo shirt and must be in the approved colors only. Hoodies or hooded zip sweatshirts must have the Tipton logo.
3. Dress slacks will be navy blue, black or khaki and worn at the waist. Knee length dress shorts or Capri in navy or black are permitted until October 15th and after April 15th. Exceptions may be made in the event of unseasonably warm weather. 4. Girls may wear dress slacks, knee-length shorts, skorts, skirts or jumpers in navy blue or black. 5. Socks or tights must be worn at all times. 6. Students may wear regular dress shoes or gym shoes that are not distracting.  No open-toed or open-back shoes, clogs, sandals, flip-flops, or platform soles/heels. No boots for indoors wear. NO HEELIES!! 7. Jewelry may be worn providing it is not distracting and does not present a safety hazard. 
 
Gym Uniform –  1. Gym shorts, sweatpants and t-shirts with the Tipton Logo. Students will wear their gym uniform to school.  Changing in or out of gym clothes at school is not permitted. 
(Students may wear their school uniform on gym days.)   Attire that is NOT permitted (K-7) and may cause a distraction to the learning environment as deemed by the school administrator: 1. Pants made of nylon, leather, sweat pant material, mesh, denim, or cotton knit. No YOGA pants or jeans of any type or color.  No sagging pants. 2. Any body piercing or tattoos. 3. Sculptured/carved hairstyle (letters, signs, etc.), Extensions, Mohawks and any unnatural hair color (green, purple, etc.).   4. Hats or visors inside the building. No bandanas or other scarf on the head. 5. Any decoration on clothing other than the approved Tipton Academy logo. 6. Ripped or torn clothing. 7. Hooded shirts of any kind unless is has the Tipton logo. 8. Any shirt worn wrapped around the waist. 9. Jackets/outerwear may not be worn in class. 10. Any clothing that exposes a part of the body between the neck and knees.   Students who are in violation of the dress code because of sloppiness or “stretching” the rules will be corrected and a detention will be issued. This includes sagging pants. If there are extenuating circumstances, such as a foot injury that may require your child to wear special shoes, please call the school office and let us know. Of course, we make exceptions in these cases.
 
 ** All clothing, jewelry, and hair choices should be non-distracting.  Tipton Academy reserves the right to determine what is appropriate for the school environment.
 

2017 - 2018 ANNUAL ASBESTOS OFFICIAL NOTIFICATION

September 11, 2017

Dear Tipton Academy Parents, Students and Staff:

Pursuant to the Environmental Protection Agency (EPA) Asbestos Hazard Emergency Response Act, AHERA, 40 CFR 763, Tipton Academy is complying with the annual asbestos notification with this publication. Certain construction material may contain asbestos, and are considered Asbestos Containing Building Materials (ACBM).

Tipton Academy continuously monitors the status of known and assumed ACBM throughout its facility. This is accomplished by conducting six-month periodic surveillances in conjunction with three year re-inspections of newly identified or remaining ACBM. Based upon these activities, required maintenance or renovation response actions, abatement of asbestos materials may be necessary.

Our asbestos management plan is available at the Main Office building and can be reviewed by interested individuals during normal business hours. Additionally, your school and/or facility Asbestos Management Plan is also available for review during normal business hours.

If you have any questions regarding this notice, please contact Suzanne March at (734) 261-0500.