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2015-2016 School Forms and Information

UPPER SCHOOL
REQUIRED FORMS

Required for all students. Important downloadable form allowing Severn to locate you during the school day should an emergency arise. Two pages.PERMISSION for

DISPENSING of OVER-the-COUNTER MEDICATION
 
Required for all students; must be signed by physician and parent/guardian. One page. 
Required for all students in grades 7-12. Must be completed by a physician, nurse practitioner, or PA. One page. 
Sign-up for an on-campus physical on Tuesday, June 2, for students entering grades 9-12 by emailing Michelle Anderson

UPPER SCHOOL UNIVERSAL FIELD TRIP PERMISSION
Required of all Upper School students. One page. 

JUST for NEW STUDENTS

MEDICAL EXAMINATION and IMMUNIZATION REQUIREMENTS POLICY

The School's controls designed to prevent or minimize the spread of communicable diseases.

MARYLAND STATE IMMUNIZATION CERTIFICATE Form DHMH 896 
New to Severn students must download this form and have completed by a physician. 

FINAL RECORD RELEASE 
Required for all new-to-Severn students. If you haven't already done so, please provide this signed form to the appropriate school personnel at your child’s current school. Receipt of final grades is a requirement for enrollment. 

ACCEPTABLE USE OF TECHNOLOGY 
Required for all new students. Read the 5-page policy, and sign and return the agreement on page 6.

OTHER UPPER SCHOOL FORMS

complete as applicable

DIABETES MANAGEMENT FORM
Download and complete for students with diabetes. Must be signed by physician. Three pages. 

PRESCRIPTION MEDICATION AUTHORIZATION FORM
Required for Severn to administer prescription medication and/or for student self-administration or self-medication. Two pages. 

Required for all students whose allergies require storage of antihistamines (such as Benadryl) or Epi-Pens at school. One page. 

APPLIED MUSIC LESSON PROGRAM REGISTRATION
Download and complete for optional after school music lessons. Two pages. 

MORNING BUS TRANSPORTATION REGISTRATION
Optional morning bus service. Two pages.

STUDENT PARKING REGISTRATION, POLICIES & PROCEDURES
Download for seniors, juniors, and sophomores only. If this form was submitted last year and the information has NOT Changed, you need not submit it again. Two pages. 

SENIOR OFF-CAMPUS PERMISSION 
Download for seniors only. Permission is optional. One page. 

UPPER SCHOOL INFORMATION

NEW MEDICAL EXAMINATION and IMMUNIZATION REQUIREMENTS POLICY
The School's controls designed to prevent or minimize the spread of communicable diseases.

UNIFORM REQUIREMENTS
Outlines the Upper School Uniform Dress Code. Two pages. 

MIDDLE SCHOOL REQUIRED FORMS

SEVERN SCHOOL STUDENT HEALTH & EMERGENCY INFORMATION 2015-2016
Required for all students. Important downloadable form allowing Severn to locate you during the school day should an emergency arise. Two pages.

Required for all students; must be signed by physician and parent/guardian. One page. 

Required for ALL Middle School students; must be completed by physician. Two pages. 

NEW MEDICAL EXAMINATION and IMMUNIZATION REQUIREMENTS POLICY
The School's controls designed to prevent or minimize the spread of communicable diseases.

Required for all students in grades 7-12. Must be completed by a physician, nurse practitioner, or PA. One page. 

MIDDLE SCHOOL UNIVERSAL FIELD TRIP PERMISSION 
Required of all Middle School students. One page.

JUST for NEW STUDENTS

FINAL RECORD RELEASE 
Required for all new-to-Severn students. If you haven't already done so, please provide this signed form to the appropriate school personnel at your child’s current school. Receipt of final grades is a requirement for enrollment. 

ACCEPTABLE USE OF TECHNOLOGY 
Required for all new students. Read the 5-page policy, and sign and return the agreement on page 6.

ELECTION SELECTION
If you have not already down so, please review the enrichment information and make the appropriate elective selections. 
  8th Grade Elective Selection
  7th Grade Elective Selection
  6th Grade Elective Selection
 
OTHER MIDDLE SCHOOL FORMS
complete as applicable

Required for all students whose allergies require storage of antihistamines (such as Benadryl) or Epi-Pens at school. One page. 

DIABETES MANAGEMENT FORM 
Download and complete for students with diabetes. Three pages. 

PRESCRIPTION MEDICATION AUTHORIZATION FORM 
Required for Severn to administer prescription medication and/or for student self-administration or self-medication. Two pages. 

APPLIED MUSIC LESSON PROGRAM REGISTRATION 
Download and complete for optional after school music lessons. Two pages. 

MORNING BUS TRANSPORTATION REGISTRATION 
Optional morning bus service. Two pages.

AFTER SCHOOL PROGRAM REGISTRATION
Download and complete for the optional After School Program, available each afternoon after school for Middle Schoolers. One page. 

8th GRADE ECHO HILL TRIP INFO AND FORMS
Information and required forms for the 8th Grade trip

MIDDLE SCHOOL INFORMATION

Download the Middle School Uniform Dress Code. Two pages. 

MIDDLE SCHOOL SUPPLY LIST 
Required school supplies for Middle School students. One page. 

SUMMER READING REQUIREMENT
  Class of 2020 - Grade 8
LOWER SCHOOL REQUIRED FORMS

Required for all students. Important downloadable form allowing Severn to locate you during the school day should an emergency arise. Two pages.
 
Required for all students; must be signed by physician and parent/guardian. One page. 

NEW  MEDICAL EXAMINATION and IMMUNIZATION REQUIREMENTS POLICY
The School's controls designed to prevent or minimize the spread of communicable diseases.
Required for all prekindergarten and kindergarten students; must be completed by physicianALL kindergarten students are required to have TWO (2) doses of Varicella vaccine. Two pages. 

BASC (Before and After School Care) ENROLLMENT
A completed form is required for each Lower School student, regardless of whether you are enrolling in a plan. One page. 

PICK UP AUTHORIZATION FORM
Indicates those persons authorized to pick your child up from school. One page. 

TEEL FIELD TRIP FORM
One-time field trip form allowing transport to and from the Teel Campus. One page.

JUST for NEW STUDENTS

FINAL RECORD RELEASE 
Required for all new-to-Severn students. Please provide this signed form to the appropriate school personnel at your child’s current school. Receipt of final grades is a requirement for enrollment. 

HEALTH INVENTORY & IMMUNIZATION CERTIFICAT
E
New to Severn students must download and have completed by a physician. Four pages. 

COPY OF BIRTH CERTIFICATE
Each NEW student must submit a copy of his/her birth certificate.

OTHER LOWER SCHOOL FORMS
complete as applicable

DIABETES MANAGEMENT FORM 
Download and complete for students with diabetes. Three pages. 

PRESCRIPTION MEDICATION AUTHORIZATION FORM 
Required for Severn to administer prescription medication and/or for student self-administration or self-medication. Two pages. 

Required for all students whose allergies require storage of antihistamines (such as Benadryl) or Epi-Pens at school. One page. 

APPLIED MUSIC LESSON PROGRAM REGISTRATION 
Download and complete for optional after school music lessons. Two pages. 

MORNING BUS TRANSPORTATION REGISTRATION 
Optional morning bus service. Two pages.

MILK for LUNCH PLAN
Optional milk with lunch plan. One page. 
 
TOTE BAG ORDER FORM
Required for all preschool, prekindergarten and kindergarten students. Please bring completed form with payment to the Lower School where the bags will be available for purchase after July 7.

LOWER SCHOOL INFORMATION

UNIFORM REQUIREMENTS
Outlines Lower School Uniform Dress Code. One page. 

SUMMER READING LIST AND MATH PRACTICE
Download summer reading and math practice information for students entering preschool - fifth grade.
  Entering 5th grade
  Entering 4th grade
  Entering 3rd grade
  Entering 2nd grade
  Entering 1st grade
  Entering Kindergarten
  Entering Preschool or Prekindergarten