Forms and Documents

FORMS REQUIRED OF STUDENTS FOR THE 2020-2021 SCHOOL YEAR

(Please complete, scan and email all forms in this section to forms@st-hilary.org.)

Student COVID-19 Policy Acknowledgment and Assumption of Risk 2020-2021 Student COVID-19 Policy Acknowledgment and Assumption of Risk 2020-2021 

 COPPA Consent Form COPPA Consent Form

2020-2021 Student Acceptable Use Policy Form 2020-2021 Student Acceptable Use Policy Form

2020-2021 Chromebook Acceptable Use Policy Form 2020-2021 Chromebook Acceptable Use Policy Form

(The Chromebook Acceptable Use Policy Form
is required for students in grades 3-8 only.)

Expectations for Distance Learning Agreement (1) Expectations for Distance Learning Agreement (1)

(The Expectations for Distance Learning Agreement
is required only for students participating in distance learning.)

 

 

FORM REQUIRED OF STUDENTS RETURNING TO SCHOOL
AFTER COVID-19 DIAGNOSIS / SYMPTOMS / CONTACT

Student Return to School Acknowledgment and Certification Student Return to School Acknowledgment and Certification

 (This form is required only when a student is returning to school
after having a positive COVID-19 test OR having COVID-19 symptoms
OR having close contact with a person with COVID-19.
The completed form should be scanned and emailed to msmith@st-hilary.org.)

  

 

MEDICAL FORMS

(Please complete forms in this section as required or applicable
and scan and email to chammersmith@st-hilary.org or alaughlin@st-hilary.org.)

Medical Forms Required for New Kindergarten Students:

School Entry Physical Exam School Entry Physical Exam

School Entry Immunization Report School Entry Immunization Report

Immunizations Required for Kindergarteners Immunizations Required for Kindergarteners

 

Medical Forms Required for New Grades 1-8 Students:

Grades 1-8 Immunization Form Grades 1-8 Immunization Form 

Required Immunizations for Students Entering Grades 1-8 Required Immunizations for Students Entering Grades 1-8

 

Policy on Administration of Medication in School and
Form Required for Administration of Medication:

Administration of Medication in School Administration of Medication in School

Request for Administration of Medication Request for Administration of Medication


Forms for Students with Medical Conditions:

Allergy Action Plan Allergy Action Plan

Asthma Action Plan Asthma Action Plan

Diabetes Health Care Plan for Continuous Glucose Monitoring Diabetes Health Care Plan for Continuous Glucose Monitoring

Diabetes Health Care Plan for Insulin Pump Diabetes Health Care Plan for Insulin Pump

Seizure Action Plan Seizure Action Plan

 

 

MISCELLANEOUS FORMS

(Please complete forms in this section as required or applicable
and scan and email as instructed for each form.)

2021-2022 Re-Registration Fee Voucher 2021-2022 Re-Registration Fee Voucher 

2020-2021 Re-Registration Fee Voucher 2020-2021 Re-Registration Fee Voucher

(This form is required for each family to complete student re-registration
for returning students AFTER steps are followed on Gradelink.
Please complete, scan and email
to msmith@st-hilary.org at the time of re-registration.)

 

Custody Form 2021-2022 Custody Form 2021-2022 

Custody Form 2020-2021 Custody Form 2020-2021

(This form is required of all students upon enrollment
and whenever a change in custody occurs.
Please complete, scan and email to msmith@st-hilary.org.)

 

Latchkey Registration Form Latchkey Registration Form

(This form is required for every student using the Latchkey program.
Please complete, scan and email to mdecker@st-hilary.org.)

 

PA Reimbursement Request Form PA Reimbursement Request Form

 (This form is required to request reimbursement of approved expenses.
Please complete, scan and email to lcamerato@sthilarychurch.org.)

 

Safety Volunteer Waiver Safety Volunteer Waiver 

(This form is required for volunteers assisting with parking and traffic.
Please complete, scan and email to jwoodman@st-hilary.org.)

 

Field Trip Driver Field Trip Driver's Statement

 (This form should be completed, scanned and emailed to the teacher as needed.)

 

Field Trip Permission Form Field Trip Permission Form

 (This form should be completed, scanned and emailed to the teacher as needed.)

 

 MISCELLANEOUS DOCUMENTS

 2020-2021 School Calendar Revised 8-1-20 2020-2021 School Calendar Revised 8-1-20 

2020-2021 School Liturgy Schedule 2020-2021 School Liturgy Schedule 

Grade Level Transition Mentors 2020-2021 Grade Level Transition Mentors 2020-2021     

2020-2021 School Uniform Information 2020-2021 School Uniform Information

2020-2021 Dress Code 2020-2021 Dress Code 

 Copley Bus Schedule 2020-2021 Copley Bus Schedule 2020-2021 

Revere Bus Schedule 2020-2021 Revere Bus Schedule 2020-2021 

School Attendence Regulations School Attendence Regulations

2020-2021 Physical Education Guidelines 2020-2021 Physical Education Guidelines

8th Grade Yearbook Ads Class of 2021 8th Grade Yearbook Ads Class of 2021