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EJR Start of School Year Documents and Forms

Below is a list of documents for your review and forms to be completed and returned to the school during the first week of classes.

If you do not have a printer, you may request the forms from your school office.

To be completed and returned:

Student Emergency Form

Student Medical Consent Form

Health Appraisal Form

Permission to Administer Medication Form

Dental Health Certificate

Nurse Emergency Card

Transportation Request Form

Student Publicity Restriction Request Form (Only complete if you DO NOT want your child photographed for district publicity)

To review:

Code of Conduct Summary

Family Education Rights and Privacy Act (FERPA)

Non-Discriminatory Grievance Procedure

Pesticide Usage Notification

Flu Information from Orange County English and Spanish

Pine Bush Central School District
State Route 302, Pine Bush, NY 12566
Phone: (845) 744-2031
Fax: (845) 744-6189
Amy Brockner
Interim Superintendent of Schools
This website is maintained by Public Information Specialist Linda Smith. It is the goal of the Pine Bush Central School District that this website is accessible to all users. View our accessibility statement. The district is not responsible for facts or opinions contained on any linked site. Some links and features on this site require the Adobe Acrobat Reader to view. Visit the Adobe website to download the free Acrobat Reader. This website was produced by Capital Region BOCES Engagement & Development Services, Albany, NY. Copyright © 2024. All rights reserved.