Forms

Form Name Form Number Last Updated
Acknowledgement of Withdrawal of 17 yr old from School PS-030
Annual Notification of Parental Rights PS-040 10/2015
Athletic Permission and Emergency Information H-010A
Authorization for Administering Medicine H-005
Autorizacion de Informacion PS-003 (S) - Spanish 07/2014
Community Health Clinic Referral Form (fillable) SE-033
Concussion Parent Consent 2015-16
Daycare Bus Change Guidelines & Form PS-005B 07/2014
Daycare Bus Guidelines & Form PS-005A 07/2014
Denial of Permission to Release Directory Information PS-010 02/2015
Early Childhood Health Assessment Record (Ages birth-5) CT Form ED191 H-001 03/2015
Elective Student Accident Insurance Program
Eliot Social Permission Form
Emergency Early Dismissal Information Form PS-004 09/2015
Field Trip Medical-Emergency Form H-008
Field Trip Permission Form H-008A
Health Assessment Record CT Form HAR-3 H-002 03/2015
Homebound & Hospitalization Instruction Verified Medical Reason PS-033
Home Schooling (Notice of Intent) PS-036
Initial Registration Form PS-001 06/2017
Medical Exemption Certification Statement (CDPH) HS-014 10/2015
Parent Survey of PPT Process SE-002
Permission Form: Electronic Publishing of Student Work/Photograph PS-009 02/2015
Pre-K Readiness to Learn Educational Experiences PS-029
Release of Certain Information Under the No Child Left Behind Act PS-011 02/2015
Release of HEALTH Information H-033 01/2015
Release of Information PS-003 02/2017
Religious Exemption (CDPH) H-013 06/2016
Request for Parent Information SE-031 12/2016
Residency Verification Affidavit RENEWAL only PS-019H 02/2015
Residency Verification & Affidavits PS-019
SCA Consent form 2015-16
Transportation Permission
Tuberculosis Risk Assessment H-026
TuberculosisTesting for Travel Out of Country H-026A
Written Consent of Student Submissions to Surveys, Personal Analysis, or Evaluations PS-039 01/2015
Yearly Health Report H-003 12/2014
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