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School Forms

The following forms must be submitted on or before August 30, 2021.

Some are submitted via the Parent Portal. For assistance, contact Bree McNamara, our director of admissions.

Others are in pdf format and, once completed, can be emailed or delivered to Sarah Smith-Centz, our administrator for community support.

Click here to access our 2021-22 online calendar.

Please note: the following charts do not fully display on mobile phones. For full access, please view this information on a desktop.

REQUIRED FORMS

Form Name Instructions Notes
Student Information Form Parent Portal The Portal will prompt you to submit one form per child.
Household Information Form Parent Portal The Portal will prompt you to submit one form per family.
Emergency Contacts Form Parent Portal The Portal will prompt you to submit one form per child.
Asthma / Allergy Information Form Parent Portal The Portal will prompt you to submit one form per child.
COVID Compact
This Form will be available by August 31 and will be due September 7. Reminders will be sent Miquon Matters.
Parent Portal The Portal will prompt you to submit one form per family.
Physician’s Report of Medical Exam

 

PDF link
Submit via email or hand deliver to Sarah Smith-Centz.
Required for all new students, students entering kindergarten, and students entering 6th grade.

 

Dental Report PDF link
Submit via email or hand deliver to Sarah Smith-Centz.
Required for all new students (except nursery), and all students entering kindergarten or 3rd grade.

 

Release of Prior School Records PDF link
Submit this form to your child’s last school to authorize release of health and academic records to Miquon.
Required for all new students Grades 1 – 6.

 

Transportation & After Care Form Parent Portal This form was due in May to advise us of your van and after care needs. If you haven’t already, please submit it now. If either service is needed, appropriate contracts must also be submitted. See below. Visit our Extended Day Programspage to learn more about that service.

 

OTHER FORMS

Form Names Instructions Notes
Medication Permission Form  PDF link
Submit via email or hand deliver to Sarah Smith-Centz.
Required IF you want school staff to administer medication during the school day or school-supervised activities (i.e., overnight trips). Your child’s doctor must sign. Situations may include afternoon doses of prescription medications, the use of Benadryl for allergies, or Motrin for pain from orthodontic work or an injury.
Asthma Action Plan PDF link
Submit via email or hand deliver to Sarah Smith-Centz.
If your child has asthma, you mustsubmit a physician-approved action plan for them to attend school, and a Medication Permission Form (above) if medication is a part of the plan.
Food Allergy Action Plan PDF link
Submit via email or hand deliver to Sarah Smith-Centz.
If your child has a food allergy, you must submit a physician-approved action plan for them to attend school, and a Medication Permission Form (above) if medication is a part of the plan.
Van Contract Parent Portal The Portal will prompt you to submit one form per child.
After Care Contract Parent Portal The Portal will prompt you to submit one form per child.

 

 

 

 

 

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