If you would like to enroll in the Mead Public Schools, please complete the appropriate forms and turn in to:
Admissions, Mead Public Schools , 114 N. Vine Street, Mead, NE 68041
Email to firstname.lastname@example.org or fax to 402-624-2069
You may print these forms directly from this site or you may obtain a copy at either school office.
Enrollment Option Application Form
K-6 Authorization for Exchange of Records
7-12 Authorization for Exchange of Records
Student Information and Parental Permission Forms for the School Year:
Affidavit for child age 16 not to attend
Affidavit for child age 6 not to attend
Administration of Medication Release Form
Immunization Refusal - Medical Reasons
Immunization Refusal - Religious Reasons
Parent Objection to Physical Examination or Visual Evaluation
Instructions for Completing the Free and Reduced Priced School Meals Application
NSAA Student and Parent Consent Form
NSAA May 1st Transfer Consent Form
Pre-Participation Sports Physical Form
SMC Sports Physical and Consent Form
Post-Concussion Return to Play Form
2021-22 Free & Reduced School Meals Family Application
Please Note: The Asthma or Anaphylaxis and Diabetes Student Self-Management forms must be obtained from the office.
If, after reviewing the following requirements you would like to enroll in Mead Public Schools, please fill out the Student Enrollment Form and any other documents that pertain to you. Thank you for your interest in the Mead School District.
Mead Public Schools does not currently have the capacity to accept out-of-district students who require additional services.
NOTICE OF REQUIREMENTS FOR STUDENT ADMISSION—
BIRTH CERTIFICATE, IMMUNIZATION, PHYSICAL EXAMINATION
AND VISUAL EVALUATION
Nebraska law requires that the parents or legal guardian furnish the following documents to the school:
(1) A certified copy of the student's birth certificate issued by the state in which the child was born, prior to admission of a child for the first time. Other reliable proof of the child's identify and age, accompanied by an affidavit explaining the inability to produce a copy of the birth certificate, may be used in lieu of a birth certificate. An affidavit is defined as a notarized statement by an individual who can verify the reason a copy of the birth certificate cannot be produced.
(2) Evidence of a physical examination by a physician, physician assistant, or an advanced practice registered nurse, within six months prior to the entrance of the child into the beginner grade and the seventh grade or, in the case of a transfer from out of state, to any other grade, unless the parent or legal guardian submits a written statement objecting to a physical examination.
(3) Evidence of a visual evaluation by a physician, a physician assistant, an advanced practice registered nurse, or an optometrist, within six months prior to the entrance of the child into the beginner grade or, in the case of a transfer from out of state, to any other grade, unless the parent or legal guardian submits a written statement objecting to a visual evaluation. The visual evaluation is to consist of testing for amblyopia, strabismus, and internal and external eye health, with testing sufficient to determine visual acuity.
(4) Evidence of protection against diphtheria, tetanus, pertussis, polio, measles, mumps, and rubella, Hepatitis B, Varicella (chicken pox) and Haemophilus Influenzae type b (Hib) and other diseases as required by applicable law, by immunization, prior to enrollment. Exceptions are allowed based on: (1) written statement by health care provider that immunization would be injurious to the student or a family member or (2) affidavit of a religious reason for non-immunization. Provisional enrollment is allowed based on: (1) written statement of health care provider that immunizations have begun, and immunization is continued as rapidly as medically feasible and (2) written statement of parent or guardian that immunizations have been completed, where the child’s parent is in the military, the child is enrolling following residence outside the state, and proof of immunization is given within 60 days. Refer to HHS regulations, 173 NAC 3.
Forms to submit objections are available from the school.
The following information is provided to assist a parent or guardian in receiving information regarding free or reduced-cost visual evaluations for low-income families who qualify: Information about free or reduced-cost visual evaluations may be obtained from the Nebraska Optometric Association (NOA), http://www.noaonline.org/, 201 North 8th Street, Suite 400 P.O. Box 81706, Lincoln, NE68501--Fax 402-476-6547--Phone 402-474-7716. To identify a participating SEE TO LEARN doctor nearest you, call 1-800-960-3937. For assistance from VISION USA call 1-800-766-4466. In addition, Lions Clubs throughout Nebraska are committed to assisting disadvantaged families by sponsoring eye exams and eyewear. NOA member doctors will provide eye exams at no cost if no other resources are available.