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Forms

Below are forms that district families may be asked to complete.  Forms are created as PDFs and can be downloaded or printed. Some forms may be fillable electronically using Adobe Acrobat, Google, or other form-filling software. Where shown, forms have been machine-translated to Spanish and Portuguese.  

If you need a form that you do not see or have difficulty working with any of the forms on this list, please contact [email protected].

Student Enrollment, Withdrawal, and Residency Forms •
Form No.    Form Name    
PS036
 Notice of Intent: Instruction of Student at Home

PS001   Registration Form      
PS003   Release of Information Spanish    Portuguese
PS007A    Withdrawal Form (Eliot and Joel)      
PS007B    Withdrawal Form (Morgan)      
PS030    Withdrawal of 17-year old from School      
       
•  Homeless Children & Youth Only: Residency Forms       
PS059A   Student Residency Affidavit (Parent/Guardian)
 
PS059A-1   Affidavit for Missing Documentation (Parent/Guardian)
      
PS059B   Student Residency Affidavit (Unaccompanied Youth)      
PS059B-1   Affidavit for Missing Enrollment Documentation (Unaccompanied Youth)      
       
Student Health Forms  
H005    Authorization for Administering Medication      
    Early Childhood Health Assessment Record (State of CT)      
H008    Field Trip Emergency Medical Form      
HAR3    Health Assessment Record (State of CT)      
PS033    Homebound and Hospitalization Instructions      
PS060    Refusal to Permit Administration of Epinephrine for Emergency First Aid  Spanish   Portuguese
PS064    Refusal to Permit Administration of Opioid Antagonists for Emergency First Aid  Spanish
    Portuguese
H033    Release of Health Information      
PS061    Written Authorization for the Possession and Application of Sunscreen in School      
           
Permission / Denial Forms  
PS010     Denial of Permission to Release Directory Information      
PS004    Emergency Early Dismissal Information (Joel)        
PS009A     Handbook-Photo-Media Access Acknowledgement (Eliot)        
PS009    Permission to Publish Student Work/Photograph Electronically        
PS040    Notice of Parent Rights      
           
Miscellaneous Forms   
PS043     Request for Review of Educational Material      



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