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Upper Adams School District

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Absence Forms

Absence Excuse

excuseforabsence1.pdf 40.11 KB (Last Modified on August 29, 2014)

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Absence Excuse (Spanish)

excuseforabsence sp.pdf 34.99 KB (Last Modified on August 29, 2014)

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Community Forms

Records Request

RecordRequest.pdf 87.53 KB (Last Modified on September 10, 2014)

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Transcript Request

TranscriptRequest.pdf 882.17 KB (Last Modified on September 10, 2014)

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Use of Facilities

Use Of Facility Form 2019 918.pdf 124.82 KB (Last Modified on September 20, 2019)

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Medical Forms

School Seizure Action Plan

SCHOOL Seizure Action Plan 2020-April7_FILLABLE.pdf 252.76 KB (Last Modified on March 6, 2023)

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Anaphylaxis Emergency Action Plan

Anaphylaxis-Emergency-Action-Plan.pdf 147.66 KB (Last Modified on March 6, 2023)

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School Asthma Action Plan

School Asthma Action Plan Revised.pdf 160.72 KB (Last Modified on March 6, 2023)

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Medication Form- Prescription

Form - Administration of Prescription Medication - MD .pdf 210.9 KB (Last Modified on April 29, 2021)

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Medication Form (Spanish)

Form - Administration of Prescription Medication - MD Spanish.pdf 80.32 KB (Last Modified on April 29, 2021)

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Medication and Medical Treatment Administration Parent Waiver

Parent_Guardian Waiver Administration of Medications.pdf 168.27 KB (Last Modified on April 29, 2021)

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Medication and Medical Treatment Administration Parent Waiver (Spanish)

Parent Guardian Waiver Administration of Medications - Spanish.pdf 167.85 KB (Last Modified on April 29, 2021)

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Physician's Documentation of Student Absence

Physician Documentation Absence 2019 0930.pdf 92.8 KB (Last Modified on September 30, 2019)

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School Dental Form

private dental exam082011_1.pdf 25.00 KB (Last Modified on August 29, 2014)

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School Physical Form

physical exam approved 10-11-12_.pdf 260.91 KB (Last Modified on August 29, 2014)

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Sunscreen - Parent/Guardian Form

Parent Guardian Sunscreen Form.pdf 46.35 KB (Last Modified on August 12, 2019)

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Sunscreen - Parent/Guardian Form (Spanish)

Spanish Parent Sunscreen.pdf 57.88 KB (Last Modified on August 12, 2019)

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Sunscreen - Student Form

Student Sunscreen Form.pdf 46.33 KB (Last Modified on August 12, 2019)

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Sunscreen - Student Form (Spanish)

Spanish Student Sunscreen.pdf 59.8 KB (Last Modified on August 12, 2019)

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Parent Enrollment/Registration/Administration Forms

Athletic Eligibility Form

athleticeligibilityformhs1.pdf 48.26 KB (Last Modified on December 5, 2014)

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Discipline Statement

disciplinestatement1.pdf 143.91 KB (Last Modified on December 5, 2014)

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Emancipation of a Minor

emancipation of a minor1.pdf 40.49 KB (Last Modified on December 5, 2014)

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Guardianship Application/Affidavit of Child Support (Eng)

Guardianship Paperwork 2017 07.pdf 1.56 MB (Last Modified on July 20, 2017)

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Guardianship Application/Affidavit of Child Support (Spanish)

Guardianship Info-Spanish.pdf 1.78 MB (Last Modified on July 24, 2017)

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Internet- Policy Consent (Eng)

computer-internet use.pdf 93.05 KB (Last Modified on December 5, 2014)

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New Resident Information

New-Resident-Message.pdf 562.98 KB (Last Modified on April 27, 2022)

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Non-Resident Agreement

Non-Resident Agreement 2017 1106.pdf 294.41 KB (Last Modified on November 21, 2017)

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Permission to Release Student Information

permissiontoreleasestudentinformation1.pdf 736.94 KB (Last Modified on August 29, 2014)

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PHLOTE Educational History (Eng)

phlote educational history1.pdf 118.34 KB (Last Modified on December 5, 2014)

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PHLOTE Educational History (Spanish)

spanish phlote home language survey1.pdf 95.50 KB (Last Modified on December 5, 2014)

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PHLOTE Home Language Survey (Eng)

home language survey1.pdf 95.82 KB (Last Modified on December 5, 2014)

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Request for Transfer of School Records (English)

UASD Student Record Transfer Request - English 2022 0330.pdf 48.16 KB (Last Modified on March 30, 2022)

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Request for Transfer of School Records (Spanish)

UASD Student Record Transfer Request - Spanish 2022 0330.pdf 69.09 KB (Last Modified on March 30, 2022)

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Student Enrollment Profile (English)

Student Enrollment Form Updated 2017 0822.pdf 100.01 KB (Last Modified on August 22, 2017)

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Student Enrollment Profile (Spanish)

Student Enrollment Form Spanish Updated 2017 0822.pdf 99.9 KB (Last Modified on August 22, 2017)

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Student Health Profile (Eng)

Student Health form Updated 08_25_2017.pdf 109.15 KB (Last Modified on August 29, 2017)

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Student Health Profile (Spanish)

Student Health form Sp Updated 8_25_2017.pdf 115.64 KB (Last Modified on August 29, 2017)

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Sports Forms

2023-2024 PIAA Physical Form

PIAA Physical Form effective 2023 0601.pdf 3.93 MB (Last Modified on May 3, 2023)

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Transportation Forms

Bus Change Request

BUS CHANGE.pdf 18.41 KB (Last Modified on January 17, 2018)

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