©2008-2011 Harrisburg Academy, All Rights Reserved
Harrisburg Academy | 10 Erford Road | Wormleysburg, PA 17043 | Tel: 717-763-7811 | Fax: 717-975-0894 | Contact Us | Weather Station
Electronic Forms
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2011-12 Academic Year Forms - New Students (Outside of PA)
*Last updated April 29, 2011
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| Annual Required Forms | ||||||||||||||||
| Emergency Medical Info Form | X |
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| Technology Network Use Agreement Form | X |
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| Textbook Form | X |
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| Grandparents & Special Friends Form | X |
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| Student Pick Up Form (EC/LS) | X |
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| Physical Required (download form) | X |
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| Former School Medical Records | X |
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| Immunization Records | X |
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| Dental Exam Required (download form) | X |
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| Integrity Statement | X |
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| Directory Information | X |
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X*= Only necessary if Former Medical Records are unavailable
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| Optional
Forms (As Needed / If Choosing to Use Service) |
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| Medication Permission Form | X |
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| Planned Absence Form - ECLS | X |
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| Planned Absence Form - MS | X |
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| Planned Absence Form - US | X |
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| Nap Mat Order Form | X |
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| Bus Transportation Form | X |
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| EDP Registration Form | X |
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| MS Afterschool Program Form | X |
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| Fall 2010 Sports Physicals Paperwork | X |
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| Physical Education Exempt Form (US) | X |
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| US Canoe Trip – Info & Liability Form | X |
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| US Drop / Add Form | X |
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| US Attendance Waiver Request Form |
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| Drivers Contract (US) (If Driving to School) | X |
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