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Anti-Bullying Contract Student and Parent/Guardian Agreement Everyone has the right to feel physically and emotionally safe at school. I will do everything I can personally, as a member of my school’s community, to create and preserve a physically and emotionally safe environment. Student’s responsibility: I commit that I will not bully my peers. When I witness bullying, I will report it to an adult and/or the Anonymous Reporting Box (located in counseling office). _______________________________ ___________________________ Student’s Name Student’s Signature _______________________________ ___________________________ 1 st Period Teacher’s Name 4 th Period Teacher’s Name Parent/Guardian’s responsibility: I commit to encouraging my child to always respect others. I have instructed my child not to bully. I have advised my child to report any bullying to the authorities. ________________________________ __________________________ Parent/Guardian Signature Date From the DVUSD Student Handbook: Policies expressly prohibit behavior on District property that will disrupt the educational process and/or damage the dignity, self-esteem, integrity and safety of any individual. Obscene, vulgar, and profane expressions of any kind and any expression that advertises or promotes the use of drugs, alcohol, or tobacco are

Anti-Bullying Contract

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Page 1: Anti-Bullying Contract

Anti-Bullying ContractStudent and Parent/Guardian Agreement

Everyone has the right to feel physically and emotionally safe at school. I will do everything I can personally, as a member of my school’s community, to create and preserve a physically and emotionally safe environment.

Student’s responsibility:

I commit that I will not bully my peers. When I witness bullying, I will report it to an adult and/or the Anonymous Reporting Box (located in counseling office).

_______________________________ ___________________________Student’s Name Student’s Signature

_______________________________ ___________________________ 1st Period Teacher’s Name 4th Period Teacher’s Name

Parent/Guardian’s responsibility:

I commit to encouraging my child to always respect others. I have instructed my child not to bully. I have advised my child to report any bullying to the authorities.

________________________________ __________________________Parent/Guardian Signature Date

From the DVUSD Student Handbook:

Policies expressly prohibit behavior on District property that will disrupt the educational process and/or damage the dignity, self-esteem, integrity and safety of any individual.

Obscene, vulgar, and profane expressions of any kind and any expression that advertises or promotes the use of drugs, alcohol, or tobacco are prohibited. No form of expression shall interfere with the rights of others to express themselves or with the conduct of school, classroom and transportation activities.

Students may expect to be provided with an atmosphere free from harassment. Any student, who is subjected to harassment from other students, visitors, or school staff, should immediately inform a teacher or other staff member.

*Bullying/Cyber Bullying is defined as “repeated acts over time that involve a real or perceived imbalance of power with the more powerful child or group attacking those who are less powerful. Bullying can be physical in form, verbal, or psychological. Cyber-bulling includes bullying through the misuse of technology. District policy includes discipline from Mediation/Conference all the way up to School Expulsion.