School Forms

Forms on this site require a pdf reader. Please download what you need.

Please note the details on the Medication form before using it. This form is for short term use.

There are new forms for 2017 in regards to Kentucky Immunization certificates. Below you will find what the certificate should look like from your pediatrician. The form must be filled out digitally, no hand written forms.  Also, the religious exemption form has changed and is included below. We MUST have one or the other on file for your child on the first day of school. If your child had one for last year, we will let you know if has expired and you need a new one.

There is a new vision screening form- we follow Kentucky guidelines in regards to requirements for school entry.  KRS 156.160 (1) (g) requires proof of a vision examination by an optometrist or ophthalmologist. This evidence shall be submitted to the school no later than January 1 of the first year that a three (3), four (4), five (5) or six (6) year old child is enrolled in public school, public preschool, or Head Start
program

If you are looking for medical action plan forms, you must come to the school office to discuss your child’s medical needs and pick up the appropriate paperwork. Any condition which may require intervention, ie. asthma, food allergy, diabetes, etc. requires this type of form.

Medication Form
Medication Form
medication-form.pdf
88.6 KiB
164 Downloads
Details...
CommonwealthofKentuckyCertificateofImmunizationStatus
CommonwealthofKentuckyCertificateofImmunizationStatus
CommonwealthofKentuckyCertificateofImmunizationStatus.pdf
1.3 MiB
58 Downloads
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CommonwealthofKentuckyParentorGuardiansDeclinationonReligiousGroundstoRequiredImmunizat
CommonwealthofKentuckyParentorGuardiansDeclinationonReligiousGroundstoRequiredImmunizat
CommonwealthofKentuckyParentorGuardiansDeclinationonReligiousGroundstoRequiredImmunizat.pdf
1.2 MiB
50 Downloads
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Vision Form Fillable
Vision Form Fillable
Vision-Form-Fillable.pdf
189.1 KiB
7 Downloads
Details...
Acceptable Use
Acceptable Use
acceptable-use.pdf
136.7 KiB
50 Downloads
Details...
Million Park Blanket Permission Slip
Million Park Blanket Permission Slip
million-park-blanket-permission-slip.pdf
281.9 KiB
30 Downloads
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Movie Permission
Movie Permission
movie-permission.pdf
46.7 KiB
41 Downloads
Details...
Permission For School Medicine
Permission For School Medicine
permission-for-school-medicine.pdf
157.5 KiB
32 Downloads
Details...
Permission To Photograph
Permission To Photograph
Permission-to-photograph.pdf
473.3 KiB
42 Downloads
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Handbook ACKNOWLEDGEMENT
Handbook ACKNOWLEDGEMENT
handbook-ACKNOWLEDGEMENT-.pdf
294.4 KiB
32 Downloads
Details...
0 I-20 Checklist
0 I-20 Checklist
0 I-20 Checklist(2).pdf
38.6 KiB
276 Downloads
Details...