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Sunday, September 26, 2021

Forms

PDFChange of Address

These forms are to be completed and submitted when a student moves. This will allow the district to update the studetns personal information in the computer system.

PDFRequest for Use of School Property and Facility License Application and Agreement

These forms are to be completed and submitted by any organization or individual requesting the use of school property and/or facilities. It is the first step toward being approved to use school property and/or facilities: the completion of these forms does not guarantee the approval of use. The completed forms must be submitted to the Office of the Superintendent.

PDFRight-to-Know Request Form

This form is to be completed and submitted by any individual requesting information under Act 3 of 2008. Directions for completion and submission are included on the form.

PDFIntegrated Pest Management Notification Request

This form can be submitted by any parent or guardian wishing to be contacted in advance of the application of chemical pesticides. The parent must submit the form each year to the main office of the building his/her child attends.

PDFRequest for Private/Parochial Transportation

This form is to be completed and submitted by a parent/guardian who is requesting district-provided transporation for his/her child to a private or parochial school. After completion, the form must be returned to the Director of Transportation.

PDFCar Rider Form

This form is to be completed by a parent/guardian who wishes to allow someone to pick up his/her child from school. The form, once completed, is to be returned to the school.

PDFMiddle School Ski Club Permission Form

This form is to be completed and submitted by any student wishing to attend a Ski Club trip. After completion, it must be returned to the Ski Club advisor.

PDFMedia/Website Release Form for Students

This form is to be completed by a parent/guardian to allow the publishing of student information in public information outlets, such as the district website. The completed form should be returned to the child's homeroom teacher.

PDFAcceptable Use Policy

This form is to be filled out by anyone wishing to use any technology resource provided by the North Pocono School District. The signature page, once signed, is to be returned to Human Resources where it will be kept on file.

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Google Apps Form

The north Pocono School District is now making available Google Apps accounts for all students in grades 9-12 to allow collaborative sharing. These accounts will be used for school-related projects both in school and outside of school to allow students to have direct contact with their teachers as well as their classmates. These accounts, through the Google Apps for Education, provide each student with email, online document access, and a calendar, as well as other collaborative tools.

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Authorization For Medication

Important Notice to Parents/Guardians: Please remember, as per state law, no medication of any kind can be dispensed or self-administered by your child at school without a written physician's order. Unfortunately, written permission slips from parents cannot be accepted.

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Fundraising Request Form

This form is to be completed by anyone looking to conduct school related fundraising activities. The completed form must be returned to the building principal, and/or Athletic Director prior to the to conducting the fundraising activity. The principal/athletic director will then submit all forms to the superintendent for approval.

Atheletic Forms

PDFAthletic Department Policy Acknowledgement Form

This form must be signed by the parent/guardian of any student wishing to participate in athletics prior to participation. After completion, it must be returned to the Athletic Director.

PDFPIAA Athletics Physical Form

Initial Pre-participation Physical: complete sections 1 to 7 for the first sports season of the school year

Recertification: For subsequent sports seasons complete sections 8 with a parent/guardian and student signature. Section 9 must be signed by a Physician if an injury or illness occurred in the previous sports season.

Wrestling: Section 10 must be completed

Private Physical Form

This form is a private physicians report of physical examination of a pupil of school age. This form is to be completed and signed by a physician.

Impact Permission Form

Consent from for use of the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT)

PDFDrug and Alcohol Policy Acknowledgement Form for Extra-Curricular Participants

This form must be signed by any student wishing to participate in extra-curricular activities, including athletics, prior to participation. It must also be signed by the student's parent. After completion, it must be returned to the high school office.