All School Forms
All School Forms
Below you will find documents needed to allow students to participate in events and general forms for the convenience of parents. Some forms can be completed online while others require you to print and submit as noted. For questions call the main line 763-258-2500 or send an email to info@providenceacademy.org.
General
Emergency School Closing Notification System Form
Drop Off and Pick Up Procedures
Notification to Decline Enrollment for 2019-2020 Academic Year
Records and Transcripts
Records Release Form for Current or Former LS/MS/US Students
Transcript Request Form and Instructions
Transportation
Community
Supplies
2019-2020 LS Student Supply List
After School
After School Activities Registration
2019-2020 Lower School Extended Day Registration
Spring Break Opportunities
Check back for 2020 Spring Break Camp
Summer Reading
Please see each grade level’s Summer Reading lists below:
Supply Lists
Student Supply Lists (6th Grade, 7th Grade, 8th Grade)
Summer Reading Lists
Policies
MS Student Family Teacher Communication Reference Guide
MS Technology Acceptable Use Policy 2015-16
Activities
Summer and Advanced Programs
Selected Summer Enrichment Programs
Academic Disciplinary Guidelines
College Opportunities
Check back
Activities
Check back
Student Health Forms
For students new to Providence Academy, the following health forms are required prior to starting the school year.
Pre-K
Health Care Summary Form (physician signature required)
Student Information Card
Emergency Contact Form
Student Immunization Form
Immunization Requirements
Kindergarten through 12
PA Health Information Form
Emergency Contact Form
Student Immunization Form
Immunization Requirements
Medication At School
All medication must be kept in the health office during the school day. Students need a signed medication authorization form to receive medication from the health office. These forms are submitted yearly. Acetaminophen and ibuprofen may be given to students in grades 6-12 with a parent signature. All other medications, prescription or over-the-counter, require physician and parent signature. EpiPens and albuterol inhalers may be self carried when a medication authorization is on file. Albuterol inhalers for students in Lower School are kept in the health office.
Authorization for Administration of Medication
Authorization for MS-US OTC Medication
Asthma
Please submit an updated copy of your child’s Asthma Action Plan and the Asthma Individual Health Plan each year. Students in grades 6-12 who self carry their albuterol will need to complete the Student Inhaler Agreement. If your physician has not provided you with an Asthma Action Plan and your child may need albuterol or other medication for their asthma, please complete the medication authorization form.
Asthma Individual Health Plan
Inhaler Student Agreement
Food Allergies
Please submit an updated copy of your child’s Anaphylaxis Action Plan and Allergic Reaction Questionnaire each year. If your physician’s office has their own version of the Anaphylaxis Action Plan, that is acceptable.
Allergic Reaction Questionnaire
Anaphylaxis Action Plan
Diabetes
Please submit an updated Treatment Authorization Form from you child’s physician each school year. A meeting with the school nurse will be arranged before the start of the year. In addition, parents will complete a new Diabetic Emergency Plan each year.
Seizures
Please submit an updated copy of your child’s Seizure Action Plan and Parent Questionnaire each year.
Seizure Action Plan
Questionnaire for Parent of a Student with Seizures