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Student forms for the 2011-2012 school year.

You may print these forms directly from this site or you may obtain a copy at either school office.

School Activity Parental Permission Form

Affidavit for child age 16 not to attend

Affidavit for child age 6 not to attend

Authorization to release health information

Immunization Refusal - Medical Reasons

Immunization Refusal - Religious Reasons

Prescription Medication form - Physician

Prescription Medication form - Parent

Non Prescription Medication Form

Varicella Documentation

Saunders Medical Center Consent Form

Parent Objection to Physical Examination or Visual Evaluation

Instructions for Completing the Free and Reduced Priced School Meals Application

2011-2012 Free and Reduced Meal Application

NSAA Student and Parent Consent Form

Pre-participation Physical Forms

School Entrance Physical Form

Vision Evaluation

Please Note:  The Asthma or Anaphylaxis and Diabetes Student Self-Management forms must be obtained from the office.

 

 

 

 

 

 

 

 

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Mead Public Schools 114 N. Vine Mead, NE  68041

402-624-3435

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