School Forms
The following forms from the District of Columbia that are required to be on file for each student by the start of the school year.
Health [PDF, 193 KB]
By law, students' health and dental forms must be updated annually and filed with the School, with severe penalties if we do not comply. The health form must be dated within a year of a child's birthday. Please be sure to file an updated District of Columbia Health Certificate following your child's annual physical. Once filed, existing health forms expire after one year.
HPV Vaccine Refusal [PDF, 37 KB]
Recent legislation passed in 2007 by the District of Columbia City Council requires all female students, enrolling in grade 6 for the first time at a school in the District of Columbia, to submit certification the student has received the HPV vaccine or to fill out this refusal form.
Oral Health [PDF, 679 KB]
By law, students' health and dental forms must be updated annually and filed with the School, with severe penalties if we do not comply. Please submit a new Oral Health Form to the School before the start of each new school year. Once filed, existing oral health forms expire after one year.
Medical Authorization Form [PDF, 75 KB]
By law, this form must be updated annually and filed with the School, with severe penalties if we do not comply. Please submit a new form to the School before the start of each new school year.
Emergency Medical Treatment [PDF, 56 KB]
By law, this form must be updated annually and filed with the School, with severe penalties if we do not comply. Please submit a new form to the School before the start of each new school year.
Travel and Activity Authorization [PDF, 108 KB]
By law, this form must be updated annually and filed with the School, with severe penalties if we do not comply. Please submit a new form to the School before the start of each new school year.
The following forms are required by the School to be updated by the start of each school year.
Specialty Form [PDF, 96 KB]
Please make sure that the school has an updated form for each of your children by the start of the school year. This form covers permissions as well as bus service and lunch beverages.
Agreement to Follow Computer Rules [PDF, 33 KB]
To have the privilege of using the School network, staff and students alike agree to some basic ground rules that govern the use of computers in the School. Each student in grades 3 - 8 is required to read the attached Acceptable Use Policy and sign the Agreement to Follow Computer Rules.
Use the following forms as the need arises:
2009 - 10 After School Program brochure [PDF, 3832 KB]
The After School Program provides children from 4 to 14 years old an opportunity to enjoy a safe and caring place and to take part in age-appropriate activities with friends.
Direct Debit Authorization [PDF, 1182 KB]
Use this form to authorize the School to debit your bank account for the balance due on your student account. The direct debit option is available for those who elect the ten-month payment plan. Remember to complete a new form when you change accounts from one financial institution to another.
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