FCSB | Digital Learning Movement Registration

Digital Learning Registration, Emergency Contact Information & Parental Consent Forms

Welcome to Flagler Schools and our single point to register your Emergency Contact information, Parental Consent for Health Care Services, and Media Services. These are required by state statute. These forms have been included with our Digital Learning Registration. This year includes all Kindergarten through 12th-grade students.

Student learning is at the heart of all we do in Flagler Schools. It is our belief that student learning is enhanced through the integration of technology with a strong curriculum led by excellent teachers. Technology allows students and teachers to use an approach that is “hands-on” and relevant to today’s learning. By approving the Half-Cent Sales Tax, the community has given Flagler Schools the opportunity to provide our students with digital tools to help actively engage them in their learning.

Again, all students, Kindergarten to 12th Grade, will be required to register for Flagler Schools Digital Learning. Students in grades 4-12 will be assigned individual devices that can be taken home, while K-3 students will be assigned devices that will remain in the classroom.

As with the previous two years, the 1:1 | Take Home technology usage fee will be waived for ALL students during the 2023-2024 school year. ^*

^* This does not waive or remove any previously assessed fines.

Please fill in the information below, as accurately as possible, so that we can attempt to locate your student in our database.

Student's Legal First Name *

Student's Legal Last Name *

Student's Birthdate (MM/DD/YYYY)

Retrieving data, please wait...

We were unable to locate your student in our database.
Error Code: "404"

Please use the Previous button to navigate back and confirm that the information you entered is correct.

If the issue persists after verifying all the information and you would like for US to investigate the issue you are having, please complete & submit the following:

Support Form link.

Restart

We are currently unable to process your registration because a device is currently checked out and assigned to your student.

If you believe this to be an error, please contact our technology help line at (386) 263-0314, Monday through Friday between 8:00 AM and 3:00 PM.

Contact Validation

The following information will be used to validate that you are the legal parent/guardian who has registered your child in our system and will ONLY be used to unlock some of the forms so that they can be updated by you, as needed.

NOTE: Parent/guardian must have a state issued driver’s license or ID to register.

Your full legal name *

Email Address: *

Cell Phone Number *

State License/ID issued from: *

Drivers License/ID Number: *

Submit Information

Emergency Contact Information

Family #1:

Family #2:

Parent/Legal Guardian's Name *

Cell Phone Number *

Daytime Phone Number

Parent/Legal Guardian's Email *

2nd Parent/Legal Guardian's Name

Cell Phone Number

Daytime Phone Number

2nd Parent/Legal Guardian's Email

Residence Address *

Mailing Address(if different from above)

Parent/Legal Guardian's Name

Cell Phone Number

Daytime Phone Number

Parent/Legal Guardian's Name

Cell Phone Number

Daytime Phone Number

Parent/Legal Guardian's Email

Residence Address

Mailing Address(if different from above)

Custody Issues:

It is the parent/guardian’s responsibility to notify the school of any special custody arrangements and any changes to the information contained on this form.

Custody paperwork must be on file with your school.

Please check the box if custody paperwork is on file with the school.

Student Pickup

Persons other than a parent/guardian who may check your student out of school or who will care for the student in case parent/guardian cannot be reached.

Only parents/guardians and these individuals may check a student out of school with an ID.

Add individual

Full Name *

Phone Number *

Relationship *

Add individual

Full Name*

Phone Number *

Relationship *

Add individual

Full Name *

Phone Number *

Relationship *

Medical Needs

Does student have allergies? Yes No

To what is the student allergic?

Does student wear glasses or contacts? Yes No

Does student wear hearing aids? Yes No

Physician's Name *

Phone Number *

SCHOOL CLINIC SERVICES

Per state statute, parental consent is required for the following healthcare services listed below. If you agree to allow your student to receive any or all of the services below if/when they are needed, please check the appropriate boxes in each section.

Emergency services will be provided to all students according to the standards found in the Florida Emergency Guidelines for Schools. Florida Health Emergency School Guidelines

As required by statute, a new form must be completed each year for each student.

Healthcare Services:

Illness Assessment

Check the boxes below to consent to the individual healthcare services your student is to receive if/when needed:

Basic First Aid Services (Nose, ear/throat check, blood pressure monitoring, temperature check)
For Minor Wound Care (cuts, scrapes, and abrasions)
For Minor Eye Irritation
For Minor Bites and/or Stings
For Minor Upset Stomach and/or Indigestion
Skin check for rashes (exposed areas and limbs only)

OR

Check the box below to consent to ALL School-based Illness Assessment services.

I consent to All School-based Illness Assessments listed above.

Electronic Signature *

I understand that by selecting this checkbox, I agree that my electronic signature constitutes a legal signature that has the same validity and meaning as my handwritten signature.

The following is for Informational Purposes Only

Separate written consent forms will be furnished when these screenings and/or services are made available at each school.

RE: Health Assessments

Separate written consent forms will be furnished when these screenings and/or services are made available at each school.

Vision screening (grades KG, 1, 3, and 6 including new K-6 students)

Hearing screening (grades KG, 1, and 6 including new K-6 students)

Height/Weight BMI screening (grade KG, 1, 3 and 6 including new K-6 students)

Scoliosis (grade 6 only)

Specific Health Screening (By request or as needed PK through 12 grades)

Services Requiring Parent/Guardian Authorization

The clinic will assist student with physician ordered medication administration (Permission form for physician medication administration)

A permission slip signed by a parent or guardian is required for the administration of over-the-counter medication. (Permission form for over the counter medication)

Media Parent Choice

The district understands parents and guardians play a major role in guiding their child’s reading and media center use. It is important that each family has the right to determine which library resources are acceptable for its children and that we afford that right to each family. The district strives to provide appropriate educational, intellectual and physical access to resources that provide for a wide range of abilities and differing points of view. This process in no way negates our responsibility to ensure that the materials that are in our media centers align to state statutes but provides families with additional choice around all available media materials.

Level 1: Open Access: Students are able to select books at their discretion. There are some levels of books that require parent permission before a student can check them out..
Level 2: Limited Access: Families may submit a list of up to 5 books that students are NOT allowed to check-out. Outside of the 5 books that students are NOT allowed to check-out, students have the same access to Level 1.
Level 3: Pre-Approval: A parent/guardian will pre-approve all books before a student checks them out.

Electronic Signature *

I understand that by selecting this checkbox, I agree that my electronic signature constitutes a legal signature that has the same validity and meaning as my handwritten signature.

ICVL

By selecting the In Class * option, you are acknowledging that an in class student will not be taking a device home. See DLMR handbook for additional details.

Due Today
Non-refundable usage fee

$0

Parent/Legal Guardian Name *

Parent/Legal Guardian Email *

Parent/Legal Guardian Phone Number *

Parent/Legal Guardian Full Address *

By submitting this form, you are acknowledging that you have read and agree to the Digital Learning Movement Handbook, Technology Repair and Replacement Fee Schedule, and the School Board Policy 321: Electronic Systems Responsible Use documentation.

Electronic Signature *

I understand that by selecting this checkbox, I agree that my electronic signature constitutes a legal signature that has the same validity and meaning as my handwritten signature.

Submitting data, please wait...

Thank you for submitting your registration for the 2023-2024 school year!

A confirmation email of your registration, along with all associated documents, has been sent to the email address that you provided.

Any other questions pertaining to the Digital Learning Movement and the upcoming student device distributions can be answered on our FAQ page.

Should you have any specific school related questions, please contact the schools directly.

Please remember that you will need to complete this form for each of your students. If you have another student that you would like to register, please click the below button to restart the registration process.

Restart

We apologize for the inconvenience, but registration is not open for your student's school at this time.
Code: "503"

Please check the flaglerschools.com website for the dates and times of the Digital Learning Movement Registration and device distributions.

Restart

The student you are attempting to register for a device has already been registered to receive a device for the 2023-2024 school year.
Code: "202"

Restart

The Digital Learning Movement Registration is currently only open to students enrolled in a summer program. Our system currently shows that your student is not enrolled in a summer program.
Error Code: "403"

If you believe that you have received this message in error, please contact Technology Support through the following:

Support Form link.

Restart

Your student is enrolled in a summer program, but we have not yet received the device they were issued for the previous school year. We cannot accept a registration without the device issued to your student being returned.
Error Code: "402"

If you believe that you are seeing this message in error, please contact Technology Support through the following:

Support Form link.

Restart

Digital Learning Movement Registration

Error: No trigger event

We were able to find your student in our database, but information that we require is missing.
Error Code: 500 "BT:EC Invalid".

Please contact Technology Support through the following:

Support Form link.

At this time a student account is being created and a device is being prepared.
Code: "201"

Once the account and device are ready, you will be contacted to complete the Digital Learning Movement Registration and a time and place to pick up the device will be arranged.

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