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School Forms Packet May 2019 Dear Parents, To the parents of current Summit students, we thank you for helping to make this another successful year for all of us. We know you feel as proud as we are of your child’s achievements. For new parents to Summit, we will do our best to help your child have a very positive experience. Enclosed please find: 2019/2020 School Calendar: Please reserve these important dates – 1) First day of school for students: Thursday, September 5 2) Meeting/Dinner for New Parents to Summit: Thursday, September 12 at the Upper School, 6:30 p.m. 3) Back-to-School Night: Lower School – Thursday, September 26 Upper School – Thursday, October 3 4) Parent/Teacher Conferences: Lower School – Thursday, November 14, and Wednesday, March 11 Upper School – Wednesday, November 20, and Wednesday, March 11 5) Annual Benefit at The Pierre Hotel: Monday, November 25, 6:00 p.m. Required forms must be completed by July 25: Please follow the instructions on each form. Our school office begins to process these required forms during the months of May and June, so please return the forms early in the return envelope provided. The following school supplies will be distributed to each student on the first day of school: 1) Loose-leaf binder 4) Pencil case 7) Schedule folder 2) Loose-leaf paper 5) Pens and pencils 8) Calculator (not graphing)* 3) Dividers 6) Homework folder *Upper School parents are required to purchase a TI-84CE calculator for high school math courses. The last day for students and faculty is Wednesday, June 26, 2019. Our office will remain open through 1:00 p.m. on Friday, June 28. The office will reopen on Wednesday, July 24, 2019 from 8:00 a.m. to 3:00 p.m., Monday through Thursday. If you have any questions or concerns, please contact the office at the Upper School (718-264-2931) or Lower School (718-969-4073). We anticipate another outstanding school year filled with experiences that will encourage your child to learn and to grow to his or her full potential. We hope you and your family have a wonderful summer. Sincerely yours, Richard Sitman Allison Edwards Karen Frigenti Executive Director Upper School Principal Lower School Principal Calendar 201 9/2020 SEPTEMBER 2019 FEBRUARY 2020 SU M T W TH F SA 9/2 Labor Day – School Closed SU M T W TH F SA 2/3 REAP Begins 2/3 (M), 2/4 (T), 2/6 (Th) 1 2 3 4 5 6 7 9/3-4 Staff Orientation/Conference 2/17-21 Midwinter Recess – School Closed 9/5 First Day of School 1 8 9 10 11 12 13 14 9/12 New Parents to Summit Meeting – 6:30 PM 2/24 School Reopens 2 3 4 5 6 7 8 15 16 17 18 19 20 21 9/16 REAP Begins 9/16 (M), 9/17 (T), 9/19 (Th) 9 10 11 12 13 14 15 22 23 24 25 26 27 28 9/26 Lower School Back-to-School Night 16 17 18 19 20 21 22 29 30 9/30 Rosh Hashanah – School Closed 23 24 25 26 27 28 29 MARCH 2020 OCTOBER 2019 SU M T W TH F SA 3/11 Lower & Upper Schools SU M T W TH F SA 10/1 Rosh Hashanah – School Closed Parent/Teacher Conferences 10/3 Upper School Back-to-School Night Day 1 2 3 4 5 6 7 1 2 3 4 5 Early Dismissal – 12:30 PM 10/9 Yom Kippur – School Closed 8 9 10 11 12 13 14 Parent/Teacher Conferences begin – 1:00 PM 6 7 8 9 10 11 12 10/14 Columbus Day – School Closed 15 16 17 18 19 20 21 13 14 15 16 17 18 19 10/15 Succot – School Closed 22 23 24 25 26 27 28 20 21 22 23 24 25 26 10/21 Staff Conference – No Students 10/22 Lower School at Upper School 29 30 31 27 28 29 30 31 10/28 Junior Parents Meeting NOVEMBER 2019 APRIL 2020 11/11 Veterans Day – School Closed SU M T W TH F SA SU M T W TH F SA 11/14 Lower School Parent/Teacher Conferences 4/6-13 Spring Recess – School Closed 1 2 1 2 3 4 4/14 School Reopens 11/14 PA’s Lower School Book Fair 3 4 5 6 7 8 9 11/20 Upper School Parent/Teacher Conferences 5 6 7 8 9 10 11 10 11 12 13 14 15 16 11/25 Annual Benefit – The Pierre – 6:00 PM 12 13 14 15 16 17 18 11/26 Lower & Upper Schools Thanksgiving 17 18 19 20 21 22 23 19 20 21 22 23 24 25 Luncheon 24 25 26 27 28 29 30 11/27-29 Thanksgiving Recess – School Closed 26 27 28 29 30 DECEMBER 2019 MAY 2020 SU M T W TH F SA 12/2-3 Thanksgiving Recess – School Closed SU M T W TH F SA 5/14 REAP Ends 5/11 (M), 5/12 (T), 5/14 (Th) 1 2 3 4 5 6 7 12/3 Staff Conference Day – No Students 1 2 5/25 Memorial Day – School Closed 12/4 School Reopens for Students & Staff 5/29 Lower School/Upper School Field Day 8 9 10 11 12 13 14 3 4 5 6 7 8 9 12/23-31 Winter Recess – School Closed 15 16 17 18 19 20 21 10 11 12 13 14 15 16 22 23 24 25 26 27 28 17 18 19 20 21 22 23 29 30 31 24 25 26 27 28 29 30 31 JANUARY 2020 JUNE 2020 SU M T W TH F SA 1/1-3 Winter Recess – School Closed SU M T W TH F SA 6/2 US History/Gov’t. Regents Exam 1 2 3 4 1/6 School Reopens 1 2 3 4 5 6 6/12 Work-Based Learning Assembly 1/16 REAP Ends 1/13 (M), 1/14 (T), 1/16 (Th) 6/16 High School Graduation 5 6 7 8 9 10 11 7 8 9 10 11 12 13 1/17 Staff Conference Day – School Closed 6/17-25 Regents Exams 12 13 14 15 16 17 18 1/20 Martin Luther King Jr. Day – School Closed 14 15 16 17 18 19 20 6/18 8th Grade Moving Up Breakfast & Ceremony 1/21-24 Regents Exams 19 20 21 22 23 24 25 21 22 23 24 25 26 27 6/26 Half Day – Last Day of School 28 29 30 for Staff & Students/Dismissal 12:30 PM 26 27 28 29 30 31 School Closed Staff Only School Closed Staff Only Conference Days: 9/4, 10/21, 12/3, 1/17 Upper School 187-30 Grand Central Parkway | Jamaica Estates, NY 11432 | 718-264-2931 Lower School 183-02 Union Turnpike | Flushing, NY 11366 | 718-969-3944 Required Forms Checklist Please complete the enclosed forms and return them to the Upper School or Lower School (use the enclosed return envelope). Early returns in May and June are greatly appreciated. ❏ 1. Parent Contact/Emergency Information Form ❏ 2. Final Records Request (for new students) ❏ 3. Health Examination Form • Required for new admissions and before entering grades 3, 5, 7, 9, and 11 • Required annually for students who participate in team sports • Must be signed by a physician ❏ 4. Medication Form • Must be completed each school year and signed by a physician • Prescribed medication must be sent to school in the original pharmacy bottle with signed prescription ❏ 5. Dental Health Certificate • Required for new admissions and before entering grades 3, 5, 7, 9, and 11 ❏ 6. NYCDOE Medicaid Reimbursement Form (for new students who reside in NYC) ❏ 7. Recreational Enrichment After-School Program (REAP) Brochure and Registration Form ❏ 8. 2019 Annual Benefit Restaurant Gift Certificate Form • Donate at www.summitqueens.com/restaurant-gift-certificate-fund ❏ 9. Guide to Stay Connected and to Keep Information Handy ❏ 10. Parents’ Association 2019-20 Membership and Volunteer Forms • Register to pay your dues and volunteer online (preferred method) • http://www.summitqueens.com/parents-join-the-pa Other school forms to be completed online (use the links in the Summit eBlast to access): US Lunch Permission (all Upper School students), LS Swim Questionnaire (new students to Summit’s Lower School), and Summit’s Release Form (all Summit students). School forms are available online: www.summitqueens.com/about-school-forms-policies May 2019 Dear New Parents, We are looking forward to having your child join us in September 2019. In order to accurately plan his/her program, we need a copy of the final report card and high school transcript along with the results of any Regents examinations. Please email, fax, or mail this information to: For grades 3-8 For grades 9-12 Karen Frigenti, Principal Nancy Morgenroth, Director of Admissions The Summit School The Summit School 183-02 Union Turnpike 187-30 Grand Central Parkway Flushing, NY 11366 Jamaica Estates, NY 11432 E: [email protected] E: [email protected] F: 718-969-4073 F: 718-264-1737 Thank you in advance for your cooperation. Nancy Morgenroth, M.S. CCC-SLP Director of Admissions CHILD & ADOLESCENT HEALTH EXAMINATION FORM Please Print Clearly - NYC DEPARTMENT OF HEALTH & MENTAL HYGIENE — DEPARTMENT OF EDUCATION Press Hard 2 0 1 9 2 0 2 0 TO BE COMPLETED BY PARENT OR GUARDIAN Child’s Last Name First Name Middle Name Sex Ⅺ Female Date of Birth (Month/Day/Year ) Ⅺ Male __ __ / ___ ___ / ___ ___ ___ ___ Child’s Address Ⅺ Yes Ⅺ N City/Borough State Zip Code School/Center/Camp Name District __ __ Phone Numbers THE SUMMIT SCHOOL Number __ __ __ Home _____________________ Health insurance Ⅺ Yes Ⅺ Parent/Guardian Last Name First Name Cell ______________________ (including Medicaid)? Ⅺ No Ⅺ Foster Parent Work ______________________ TO BE COMPLETED BY HEALTH CARE PROVIDER If “yes” to any item, please explain (attach addendum, if needed) Birth history (age 0-6 yrs) Does the child/adolescent have a past or present medical history of the following? Ⅺ Asthma (check severity and attach MAF/Asthma Action Plan): Ⅺ Intermittent Ⅺ Mild Persistent Ⅺ Moderate Persistent Ⅺ Severe Persistent Ⅺ Uncomplicated Ⅺ Premature: ________ weeks gestation If persistent, check all current medication(s): Ⅺ Inhaled corticosteriod Ⅺ Other controller Ⅺ Quick relief med Ⅺ Oral steroid Ⅺ None Ⅺ Complicated by _______________________________ Ⅺ Attention Deficit Hyperactivity Disorder Ⅺ Orthopedic injury/disability Medications (attach MAF if in-school medication needed) Allergies Ⅺ None Ⅺ Epi pen prescribed Ⅺ Chronic or recurrent otitis media Ⅺ Seizure disorder Ⅺ None Ⅺ Yes (list below) Ⅺ Congenital or acquired heart disorder Ⅺ Speech, hearing, or visual impairment Ⅺ Drugs (list) Ⅺ Developmental/learning problem Ⅺ Tuberculosis (latent infection or disease) Ⅺ Diabetes (attach MAF) Ⅺ Other (specify) ___________________ Ⅺ Foods (list) Dietary Restrictions Ⅺ None Ⅺ Yes (list below) Ⅺ Other (list)
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