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 email Providence Academy.
All School Forms
General
- Emergency School Closing Notification System Form
- Lifeline Mass Permission Slip
- Phy. Ed. Uniform Order 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
Lower School Forms
Supplies
After School
- After School Activities Registration
- 2019-2020 Lower School Extended Day Information
- Register for Extended Day Program
Spring Break Opportunities
Summer Reading
Please see each grade level’s Summer Reading lists below:
Middle School Forms
Supply Lists
Summer Reading Lists
Policies
- MS Pre-Planned Absence Form
- MS Student Family Teacher Communication Reference Guide
- MS Technology Acceptable Use Policy 2015-16
Activities
Upper School Forms
Summer and Advanced Programs
- US Required Summer Reading
- Geometry Packet – for Students Completing Algebra I
- Algebra II Packet – for students completing Geometry and Algebra I
- Pre-Calculus Packet – for students completing Algebra II and Geometry
- Calculus Packet – for students completing Pre-Calculus
- Selected Summer Enrichment Programs
Academic Disciplinary Guidelines
Athletics Forms
Health Office Forms
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.
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.
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.
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.