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Health
exam
form for grade K-12 and sports (HA1/HPE5) required for students entering grades
kindergarten, 2nd, 4th, 7th and 10th and all new students (the
same form is used for secondary students interested in
participating in sports) |
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Permission
to
administer
medication
in
school (HM2)-
State
Regulation
prohibits
the
administration
of
any
medication
without
a
physician's
order
and
parent's
written
permission. ALL
medications
must
be
in
the
original
container |
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****NEW
LAW**** Dental Health
Certificates. In accordance with NYS Public Health
Amendment A00581 to State Law 2903 effective 9/1/08 students
enrolling in kindergarten, second, fourth, seventh and tenth
grades are requested to present a
dental health certificate.
Such dental health certificate must contain a report of a
comprehensive dental examination performed on the student.
If you have questions about the above request please call
Michael Smith, Director of Student Services at 881-0600,
ext. 68302. |
 Interscholastic
athletic forms |
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Sports
Physical
Exam
Form (HA1/HPE5) The same form is used for secondary students
required physicals for grade 7 and 10. |
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Sports
health
history
form (HPE6) |
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Sports
Recertification Interval Health History
form (HPE7) |
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Transportation
Forms |
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Alternate
transportation
form is
used
for
parents
to
request
that
their
child
is
picked
up
or
dropped
off
at
a
childcare
location |
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Transportation to non-public schools |
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Other
Forms |
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Free and reduced lunch form |
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Permission
to
go
on
a
field
trip (HRE2) |
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Permission
to
bring
a
pet
to
school (HC15) |
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Working papers-
this is required for students under the age of 18 who would
like to get a job. |
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Pesticide Notification
Form -- The Shenendehowa Central Schools is required to
maintain a list of persons in parental relation, faculty, and
staff who wish to receive 48-hour prior written notification
of certain pesticide applications. |
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