Extracurricular Standards Of Behavior Acknowledgement Form printable pdf download

PFLUGERVILLE INDEPENDENT SCHOOL DISTRICT

Extracurricular Standards of Behavior Contract

I, ____________________________________________, understand that I must conduct myself with utmost

integrity and honesty as a student involved in co-curricular/extracurricular activities in the

Pflugerville Independent School District. I understand that my position as a student involved in co-

curricular/extracurricular activities means that I am held to a higher standard of behavior, and

therefore, may receive greater consequences than those outlined in the Pflugerville ISD Student

Code of Conduct regardless of whether such conduct occurs on or off school property and/or at a

school-sponsored or school-related event. I understand that if I represent my organization in an

unfavorable, questionable, or illegal manner through electronic media (i.e. websites, personal home

pages, blogs, camera phones, digital photos, electronic descriptions, text messages, chat rooms,

social media, or similar websites/filed accessible through a server or Internet), I will be subject to

the disciplinary action determined appropriate by school officials.

I understand that if I violate the Pflugerville ISD Student Code of Conduct, I may receive

consequences in accordance with those outlined in the Code of Conduct, as well as additional

consequences as a result of my participation in co-curricular/extracurricular activities. I

understand and agree that consequences assigned under this contract will be assigned at the

discretion and determination of the campus administrator and coach of the activity and may

include, but are not limited to, disciplinary consequences in, suspension form, removed from

and/or prohibition from future participation in all co-curricular/extracurricular activities.

I understand that as a participant in a co-curricular/extracurricular activity, I must follow the PfISD

Student Code of Conduct in addition to all rules, regulations, and schedule commitments, as

required by the coach of the activity.

I have read the PfISD Extracurricular Standards of Behavior Contract and agree to all of the terms

and consequences stated herein.

Student’s Printed Name_____________________________________________________Date__________________________

Student’s Signature__________________________________________________________Date__________________________

Parent’s Printed Name______________________________________________________Date___________________________

Parent’s Signature___________________________________________________________Date___________________________

Student’s Contact Information

Address_____________________________________________________________

Email________________________________________________________________

Cell Phone #_______________________________________________________

Home Phone #_____________________________________________________

1401 Pecan Street • Pflugerville Texas 78660 • (P) 512-594-0080 (F) 512-594-0081

Extracurricular Standards Of Behavior Acknowledgement Form