RED LION AREA SCHOOL DISTRICT - … · RED LION AREA SCHOOL DISTRICT SCOTT A. DEISLEY, Ed.D....

RED LION AREA SCHOOL DISTRICT SCOTT A. DEISLEY, Ed.D. KATHARINE S. DIORIO, M.Ed. Superintendent Supervisor of Pupil Services

KIMBERLY L. SCHLEMMER, M.Ed. TAMMY L. GROVE, M.Ed. Project Pride Assistant Superintendent Project Pride Coordinator

PUPIL SERVICES – WINDOSR MANOR ELEMENTARY, 2110 WINDOSR ROAD, WINDSOR, PENNSYLVANIA 17366 PHONE 717-244-5550 ● FAX 717-417-1203

Mailing Address - EDUCATION CENTER, 696 DELTA ROAD, RED LION, PENNSYLVANIA 17356-9185

“WE ARE LIFELONG LEARNERS”

January 4, 2017

Dear Parent(s)/Guardian(s):

We are very pleased to invite you to Kindergarten Registration for the 2017-2018 school year.

Registration Event

Date: March 13, 14, & 15th, 2017

Inclement weather dates: March 20, 21, & 22nd, 2017

Location: Windsor Manor Elementary cafeteria (rear entrance of building)

Time: Please contact any building to sign up for a time from 9am – 8pm

Who Should Attend: Parent(s)/Guardian(s) & Child

What: Attendees will complete registration and visit stations to learn valuable

information while your child is screened for kindergarten.

Age Requirements

PDE Code P.S. 5-503

Your child must be 5 years old on or before August 31, 2017 to attend kindergarten.

Your child must be 6 years old on or before August 31, 2017 to be eligible to enter first grade.

Forms: The following forms are enclosed:

1. Kindergarten Registration Information Sheet

2. Student Emergency Sheet

3. Home Language Survey & English as a Second Language

4. Transportation Information/Session Request

5. Transportation Request – babysitter/split custody

6. Health History Sheet & Medication Policy

7. Physician’s Report for Student Physical (A physical is not required before registration night)

Please complete forms 1-6 above and return them to any elementary school with required documents

by March 10, 2017. Forms may be dropped off in the office, sent in with a sibling or mailed to the school.

Please be sure all forms are filled out completely and all required documentation returned. Anything not

turned in early must be provided at your appointment in March in order for your child’s registration to be

complete. The District shall not enroll a student until the parent/guardian has submitted all required

documents and a complete registration packet.

Documents: In addition to the above forms, please include clear copies of the following documents:

1. Proof of Birth (one of these documents):

a. State Birth Certificate

b. Hospital Birth Certificate

c. Baptismal Papers

2. Immunization Records and School Physical. Your child will not be able to begin Kindergarten

until both of these documents are submitted.

3. Proof of Residency: Please include a clear copy of two of the following documents; each must

contain parent/guardian name and address. (Driver’s license will not be accepted.)

a. Current Utility Bill

b. Lease/Deed

c. Current Tax Bill

4. Please include custody documents, if applicable, that you would like the home school to have on

file.

Please sign up online using the instructions on the following page. If you are unable to sign up online,

please contact any elementary school to sign up for a time between 9am – 8pm on March 13, 14, or 15th to

complete registration and have your child screened. In the event of a school closing on March 13, 14, or

15th, registration will be held the following week on March 20, 21, or 22nd. If school is cancelled Monday,

March 13 the make-up date will be Monday, March 20. If you are not sure which building your child will

attend, please contact Linda Wilkerson, District Registrar at 717-244-5550 ext. 301.

Elementary Buildings:

Clearview: 717-927-6791 Heather Groff, Secretary

Mazie Gable: 717-244-5523 Andrea Johnson & Jenny Williams, Secretaries

Larry J. Macaluso: 717-246-8389 Lisa Crawford & Traci Riddle, Secretaries

Locust Grove: 717-757-2559 Cindy Ritz, Secretary

North Hopewell-Winterstown: 717-244-3164 Trish Marcules, Secretary

Pleasant View: 717-244-5425 Teresa Yakubowski, Secretary

Windsor Manor: 717-246-9312 Lori Howard, Secretary

Kindergarten is an exciting time for both parents and children. We look forward to meeting you and your

child and working together during the 2017 - 2018 school year.

Sincerely,

Kitty C. Reinholt, Principal

Windsor Manor Elementary

Directions to Windsor Manor:

Please enter the building via the rear entrance, door #4, from Second Street and proceed

to the parking lot in the rear of the building.

From York: Cape Horn Rd, left on Lombard Road

Slight left at stop sign on Freysville Road

Right at traffic light on Windsor Road

Travel about 1 mile

Turn right on Second Street

The rear entrance to the school, door #4, will be on your left.

The Pupil Services/Special Ed office entrance is in the back of the building.

From Red Lion: Cape Horn Rd, right on Lombard Road

Slight left at stop sign on Freysville Road

Turn right at traffic light on Windsor Road

Travel about 1 mile

Turn right on Second Street



From Red Lion - Boro

From South Main St/ PA 24

Turn right onto E Prospect St (this becomes Freysville Road)

Travel .6 mile – turn right on Manor Road

Travel 1.2 miles and turn right on Windsor Road

Travel .1 mile and turn right on Second Street



From 74 – (south of Red Lion) Travel north on Delta Rd/ PA-74

Turn slight right onto Windsor Road

Travel about 2 miles

Turn left on Second Street – located just after you pass Windsor Manor Elementary School



Welcome Class of 2030!

Enrollment/Registration Packet

Complete the enrollment packet and call the District Enrollment Office at 717-244-5550, ext. 301 to schedule an

appointment. The District shall not enroll a student until the parent/guardian has submitted all required documents

and a completed registration packet.

Please bring a completed enrollment packet and the following required documents:

Child’s Birth Certificate

Proof of up to date immunizations

2 forms of Proof of Residency

(2 different recurring monthly utility bills, signed current term lease, tax bill, deed)

Documents not required, but helpful to school staff:

Court documents related to custody of student

Doctor’s order or other pertinent medical documents

Due to the scheduling process, it is extremely helpful if a parent/guardian can obtain the following documents prior to

registration. If this is not possible, Red Lion Area School District will request the documents from the previous school.

IEP or 504 Plan agreement (if applicable)

ESL documents (if applicable)

Students being placed by Child Care Agencies

Agencies enrolling students must also provide a placement letter indicating the names of the students; the agency’s

name, address and contact person; name and address of persons with whom the student will reside; name and

address of natural parents or documentation of legal guardianship and notification of any special education services.


KIMBERLY L. SCHLEMMER, M.Ed. Project Pride Assistant Superintendent

STUDENT REGISTRATION

This registration form is to be completed for the current school year by the parent/guardian of the new/transferring student. This information is intended to facilitate initial instructional placement prior to the receipt of official school

records.

Student Name ___________________________________________________________________________________

Grade _____ Date of Birth ______________ Gender ______ School ID #___________________

Starting Date _____________ Phone # ______________________ Phone # ______________________

E-mail Address ___________________________________________________________________________________

Parent(s) Name with whom the student Resides_________________________________________________________________________________________

Present Address __________________________________________________________________________________

Former Address __________________________________________________________________________________

Last School Attended _______________________________________________________________________________________________

Previous School Address _______________________________________________________________________________________________

Date Student began school in PA _____________ Grade Student began school in PA ______________

Ethnicity (choose one): ___ Hispanic/Latino ___ Not Hispanic/Latino

Race (if appropriate, choose one or more regardless of ethnicity):

___ American Indian or Alaskan Native ___ Asian ___ Black or African American

___ Native Hawaiian or other Pacific Islander ___ Caucasian (Not of Hispanic Origin)

“WE ARE LIFELONG

LEARNERS”

PARENTS MUST COMPLETE THE FOLLOWING:

1. Is the student in compliance with Pennsylvania immunization requirements? _____ Yes _____ No

Out of state students must submit immunization records prior to enrollment.

2. Does the student have any special health considerations? _____ Yes _____ No Please note allergies/health considerations

_________________________________________________________________

3. Has the student been previously enrolled in the Red Lion Area School District? _____ Yes _____ No

If YES, please list grades attended ________________________

4. Is the student receiving special education services? _____ Yes _____ No

If YES, please indicate which services were being received:

___ Learning Support ____ Emotional Support ____ Hearing Impaired Support

___ Visually Impaired Support ____ Gifted/Talented Support ____ Speech / Language Support

5. Is the child receiving: ___ESL ___Special Reading ___Occupational Therapy ___Physical Therapy

6. Is the student receiving free/reduced lunches? __________ Yes __________ No

7. Has the student been expelled from public school for violation of Act 26 (possession of weapons)?

______ Yes ______ No

8. Does the student live with his/her natural parent(s)? __________ Yes __________ No

If NO, with whom does the student reside (i.e., relationship to student)? _____________________________________________________________________________________

(NOTE: If the student resides with a guardian, a notarized 1302 statement may be a requirement prior to enrollment.)

9. Is there a custody agreement in place? ___________ Yes ___________ No

10. Did your child attend pre-school? (for kindergarten registrants only) ___________Yes ___________No

11. Has your child ever been screened by or received services from the LIU or the Office of Child Development and Early Learning Center.

_____YES _____NO

I verify that I am a resident of Red Lion Area School District and have legal custody or guardianship of the student listed

above.

____________________________________________________ _________________________

(Parent/Guardian Signature) (Date)

VERIFICATION OF STUDENT AND EMERGENCY CONTACT INFORMATION

STUDENT INFORMATION

First Name: Middle Name: Last Name: Grade

Gender

Date of Birth

Homeroom

Primary Home Address:

Student Cell Phone (Optional):

CONTACT #1(one name only)

Parent/legal guardian who reside with student at the primary residence *Primary phone number & E-Mail address will receive OneCallNow messages

Title: First Name:

Last Name: Relationship:

*E-Mail Address:

Address:

*Primary Phone: □ Cell □ Home

Work Phone/Ext./Employer Name

Secondary Phone: □ Cell □ Home

CONTACT #2 (one name only)

*Primary phone number & E-Mail address will receive OneCallNow messages

Title: First Name:


*E-Mail Address: (parent/guardian

only)

Address: (not needed for emergency contact)

*Primary Phone □ Cell □ Home


Secondary Phone □ Cell □ Home

Resides with Student: □ Yes □ No Request duplicate mailings: □ Yes □ No


Title: First Name:


E-Mail Address: (parent/guardian only)


Primary Phone □ Cell □ Home





Title: First Name: Last Name: Relationship: E-Mail Address: (parent/guardian only)


Primary Phone □ Cell □ Home




RED LION AREA SCHOOL DISTRICT

Verification of Student, Family and Emergency Contact Information Please read the information contained in this form carefully. Verification of this data is required to keep student information

up to date and accurate. Return completed form to student’s school.

“WE ARE LIFE LONG LEARNERS”

Please complete all information below

ADDITIONAL CONTACTS NOT LISTED ON THE FRONT

In case of an emergency, the following relative, friend, or babysitter can be contacted and my child can be released to:

Name Phone # 8AM-4PM Relationship

Name Phone # 8AM-4PM Relationship Name Phone # 8AM-4PM Relationship OneCallNow is an automated telephone and email notification system that is used by the district to contact family

members of students regarding school delays and closings, emergency information and updates on significant

district or school events.

Adding numbers and emails: Use the Family Profile in the Parent Portal located on the District Website

(www.rlasd.net). Follow the instructions by clicking “Tutorial” for logging into the OneCallNow Family Profile.

Opting out from numbers being called: Dial 1-877-698-3261 from the phone or cell which you no longer want to

receive calls and follow the prompts. You can also send the request, IN WRITING, to your building secretary.

Family Physician

Name Phone Number

WellSpan York Or Memorial Hospital

Hospital Preference (circle one) Health Insurance (Y/N) and Type

Ethnicity - Part 1: Ethnicity (choose one): Race - Part 2: Race (choose one or more, regardless of ethnicity):

o Hispanic/Latino o American Indian or Alaskan Native

o Not Hispanic/Latino o Asian

o Black or African American

o Native Hawaiian or Other Pacific Islander

o White

What language is most frequently spoken in your home?

List School Age and Younger Brothers and Sisters (Oldest to Youngest)

Last Name First Name Middle Name D.O.B. School Grade

EMERGENCY INFORMATION: IF EMERGENCY TREATMENT IS REQUIRED, I CONSENT FOR SCHOOL EMPLOYEES TO USE THEIR JUDGEMENT IN SENDING MY CHILD TO THE HOSPITAL OR DOCTOR MOST EASILY ACCESSIBLE AND I WILL BE RESPONSIBLE FOR ANY MEDICAL FEES INCURRED BY SUCH AN EMERGENCY. By signing this form, I am acknowledging the above information is correct. If any information on this form changes, I agree to notify the school personnel in writing immediately.

Parent/Guardian Signature___________________________________________Date:____________

THIS COMPLETED FORM MUST BE RETURNED TO YOUR SCHOOL

http://www.rlasd.net/


KIMBERLY L. SCHLEMMER, M.Ed.

Assistant Superintendent

STUDENT REGISTRATION HOME LANGUAGE SURVEY*

The Office of Civil Rights (OCR) requires that school districts/charter schools/full day AVTS identify limited English proficient

(LEP) students in order to provide appropriate language instructional programs for them. Pennsylvania has selected the Home

Language Survey as the method for the identification.

School: Date:

Student’s Name: Grade:

1. What is/was the student’s first language? __________________________

2. Does the student speak a language(s) other than English?

(Do not include languages learned in school.)

Yes No

If yes, specify the language(s):

3. What language(s) is/are spoken in your home?

4. Has the student attended any United States school in any 3 years during his/her lifetime? Yes No

If yes, complete the following:

Name of School State Grades Attended

______________________ _____________ __________________ ______________________ _____________ __________________ ______________________ _____________ __________________

Person completing this form (if other than parent/guardian): Parent/Guardian signature:

*The school district/charter school/full day AVTS has the responsibility under the federal law to serve students who are limited English

proficient and need English instructional services. Given this responsibility, the school district/charter school/full day AVTS has the right to ask

for the information it needs to identify English Language Learners (ELLs). As part of the responsibility to locate and identify ELLs, the school

district/charter school/full day AVTS may conduct screenings or ask for related information about students who are already enrolled in the

school as well as from students who enroll in the school district/charter school/full day AVTS in the future.

PUPIL SERVICES – WINDSOR MANOR ELEMENTARY, 2110 WINDSOR ROAD, WINDSOR, PENNSYLVANIA 17366 PHONE 717-244-5550 ● FAX 717-417-1203


“WE ARE LIFELONG

LEARNERS”


KIMBERLY L. SCHLEMMER, M.Ed. Assistant Superintendent

TRANSPORTATION PROCEDURE

If your child is to be transported to and/or from school at a location other than your designated home area bus stop,

please complete the Transportation Request Form on the reverse side of this notice and either return it to the Transportation Office located in the Red Lion Area Education Center or mail the form to the address below. Forms

may also be picked up at each school.

Requests for Red Lion Area School District bus transportation from locations other than the student’s home will be

considered only if it is in the school attendance area to which the student is assigned.

Students will be assigned to bus stops only on a consistent basis. For example: parent works Wednesdays, Thursdays and Fridays. Student will be brought home on Mondays and Tuesdays and taken to the childcare provider or day care

on Wednesdays, Thursdays and Fridays. This schedule must be consistent to ensure that our students are being picked up and dropped off at a safe location. We cannot honor requests for transportation that will vary each week.

Requests for a change in transportation must be approved by the Transportation Office and will become effective only after adequate time has been given to properly notify all persons concerned and make the necessary changes.

Exceptions to the assigned transportation may be granted by building principals for emergencies such as illness in the

family, parents out of town, etc. Requests for transportation changes for non-emergency reasons (working on school

projects, staying overnight with a friend, scout meetings, parent going shopping, etc.) WILL NOT be accepted. Telephone requests will be taken in case of emergency only. All other requests must be made by completing a

“Transportation Request Form” and submitting it to the Transportation Office. Notes requesting transportation changes signed by parents will not be accepted by the bus drivers.

Requests for transportation to a childcare provider will be granted only if the child care provider is on an established bus route.

Students will be permitted to ride only the bus to which they are assigned. In addition, they will be permitted to get on or off the bus only at the stop to which they are assigned for safety reasons.

Special Note: Student bus stops revert back to the home location at the end of each school year. Requests for transportation to childcare providers or split custody must be made on an annual basis.

We are very serious about our responsibility for transporting students to and from school safely and we appreciate

your cooperation in this matter. If you have any questions, please feel free to contact Mrs. Diane Lubking, Director of Transportation, at 244-4518 ext 5222.





KIMBERLY L. SCHLEMMER, M.Ed. Assistant Superintendent

TRANSPORTATION INFORMATION/SESSION REQUEST FOR KINDERGARTEN 2017-2018

School __________________ Child’s Name: Child’s Date of Birth: __________________ Parent or Guardian Name(s): __________________ Address: _________________________

__________________

Home Phone Number: ________________________________ Please indicate a phone number where you can be reached during the day: _________________________ Location of nearest bus stop for home address (if known): _________________________

_________________________

PLEASE NOTE: If your child will need to be transported to/from an address other than the home address listed above during the kindergarten year, please complete the enclosed transportation request form. Please be aware that Red Lion Area School District does NOT provide midday transportation. SESSION REQUEST Please indicate below if you prefer morning session, afternoon session or no preference. Also, please indicate a reason why you are requesting a particular session. We must have an even number of students in each session. If the sessions are not even, it will be necessary to move students. We will take into account the reason for requesting a particular session when we must move a student from the preferred session.

I prefer the following session: (Check one) _____ Morning Session _____ Afternoon Session _____ Either Morning or Afternoon I prefer this session because: _________________

____________________ ______________

PUPIL SERVICES – WINDSOR MANOR ELEMENTARY, 2110 WINDSOR ROAD, WINDSOR, PENNSYLVANIA 17366

PHONE 717-244-5550 ● FAX 717-417-1203 Mailing Address - EDUCATION CENTER, 696 DELTA ROAD, RED LION, PENNSYLVANIA 17356-9185


COMPLETE ONLY IF YOUR CHILD IS USING A BABYSITTER OR HAS SPLIT CUSTODY TRANSPORTATION A NEW FORM MUST BE COMPLETED EACH YEAR

RED LION AREA SCHOOL DISTRICT TRANSPORTATION REQUEST FORM

2017-2018

School Year Please fill in the blanks where indicated and provide us with accurate information and the required signatures. Return the form by mail to Red Lion Area Education Center, Mrs. Diane Lubking, Director of Transportation, 696 Delta Rd, Red Lion, PA 17356, fax to 717-244-4295, email: [email protected]. Name of School: ________________________ Student(s) Name(s) Grade Grade Address ____ Phone Number ( ) e-mail address: ____ Bus Stop Location (from home if known) ____ Name of Child Care Provider/ Home 2 ____________ Address ____ Phone Number ( ) Bus Stop Location (from child care provider if known) ____ ___

Student transported TO SCHOOL from: BUS #__________ If known Home 1 Child Care Provider/Home 2

Monday _____ Tuesday _____ Wednesday _____ Thursday _____ Friday _____

(Must be consistent each week, or a schedule supplied to the school)

Student transported FROM SCHOOL to: BUS #__________ If known Home 1 Child Care Provider/Home 2

Monday _____ Tuesday _____ Wednesday _____ Thursday _____ Friday _____

(Must be consistent each week, or a schedule supplied to the school)

On early dismissal days, my child should be transported to: Bus Stop Location: ________________________________________

Effective Date:

Signature of parent or guardian _____ Approved _____ Not Approved Director of Transportation PLEASE NOTE: This request can only be approved by the Transportation Office. Building principals can approve temporary changes in transportation for emergency reasons. You will be notified by the transportation office, only if the babysitting arrangements cannot be accommodated. House Bill 555 now requires the District to include a link to the Megan’s Law website on any transportation related communications to students, parents or the public. To sign up, simply visit the following website: http://www.pameganslaw.state.pa.us

mailto:[email protected]

http://www.pameganslaw.state.pa.us/

RED LION AREA SCHOOL DISRICT HEALTH HISTORY

NAME: D.O.B GRADE: Person(s) with whom students lives:____________(If other than parent, give relationship_____________ ) MOTHER HOME NUMBER: WORK NUMBER: FATHER: HOME NUMBER: WORK NUMBER: PARENT MUST COMPLETE THE FOLLOWING: EMERGENCY CONTACT_______________________________________ PHONE NUMBER_______________________

FAMILY PHYSICIAN _________________________________________ PHONE NUMBER _______________________ FAMILY DENTIST ___________________________________________ PHONENUMBER _______________________ HOSPITAL OF CHOICE FOR YOUR CHILD (If emergency treatment is required) _______________________________________ CURRENT MEDICAL HISTORY OF CHILD

Allergy Diabetes Hepatitis Seizure Disorder

Arthritis Bathroom Issues Heart Disease TB (Self/Family)

Asthma ADD/ADHD Anxiety Whooping Cough

If you have indicated any of the above, please explain: ____________________________________________________________________________________________________________________________________________________________________________________________________________________ Is your child presently under medical treatment? ________ Yes ________ No

If yes, please explain _________________________________________________________________________________

Is your child taking medication on a regular basis? ________ Yes ________ No If yes, list medication and reason _______________________________________________________________________

Were there any unusual problems at birth and/or during the child’s preschool years? ________ Yes ________ No If yes, please explain _________________________________________________________________________________

Is your child restricted in any physical activity? ________ Yes ________ No If yes, please explain _________________________________________________________________________________

Please indicate any of the following, date, and describe.

Recurring Illnesses

Surgeries

Serious Accidents

Emotional Problems

Please indicate any of the following, date, and describe.

Trouble with eyes or seeing Trouble with eating or with weight loss/gain Trouble with classwork/school

Wears glasses/contacts Problems with general development/maturity Difficulty sleeping

Trouble with ears or hearing Trouble keeping up with friends/ activities Trouble with family

If you have indicated any of the above, please explain: ____________________________________________________________ __________________________________________________________________________________________________________ Do you have any concerns, regarding your child, which you would like to discuss with a nurse or doctor? ______ Yes ______ No (If yes, the school nurse will contact you to set up an appointment to discuss your concerns.)

RED LION AREA SCHOOL DISRICT HEALTH HISTORY

To insure prompt and proper treatment for your child’s condition, the following information is needed:

ALLERGY CHECKLIST Check here if not applicable: __________

1. Student is allergic to: Allergy Physician: Phone:

2. Symptoms experienced in the past: (Please check all that apply) Swelling/redness of sting area Swelling of lips, tongue, throat Skin flushed all over body

Hives Wheezing Abdominal cramps

Hoarseness Breathing difficulty Blue color of skin/lips

Dizziness Thickened speech Extreme weakness

Nausea Itching all over body Vomiting

Other: (list)

3. Medication(s) taken for allergic reaction: Name ________________________ Dose _______________ Time(s) Taken ________________

Name ________________________ Dose _______________ Time(s) Taken ________________ Name ________________________ Dose _______________ Time(s) Taken ________________ Please note all medication requires medication administration form signed by your child’s physician and medication should be

provided by the parent(s). An EpiPen is kept in each school building and will be administered as indicated for treatment of anaphylactic shock.

4. Does your child carry an EpiPen with him/her? Yes No

5. Does your child know how to administer his/her medication? Yes No

Pennsylvania law requires documentation of a physical examination for all students entering grades K, 6, and 11, for all incoming students whose health record does not document an entry school physical. Your child’s primary care provider should complete this examination. Should your child not have a primary care provider, please indicate the need for a school physical below.

Please note that administration of vaccines is not included as part of a school physical. __________ My child requires a school physical. He/she does not have a primary care physician.

__________ I will submit a physical completed by my child’s physician. I give consent for my child’s physician to release this report to the school nurse. _______________________________________________ ______________________

(Parent/Guardian Signature) (Date)

MEDICATION ADMINISTRATION (K-12)

The following medications are approved by the School Board to be given to students according to the standing orders from Dr. Jeffery Frey MD, the school district physician, at the discretion of the school nurse. Please check which of the following medications you approve for your child.

Acetaminophen (Tylenol) YES_______ NO_____ Ibuprofen (Motrin/Advil) YES_______ NO_____

(There is a limit of 10 doses per school year.)

JUNIOR AND SENIOR HIGH ONLY

Antacid (Tums/Maalox) YES_______ NO_____

Parent/Guardian Signature: _______________________________________ Date: __________________

Do you have any concerns, regarding your child, which you would like to discuss with the school nurse? Yes ______ No ______

RED LION AREA SCHOOL DISTRICT SCOTT A. DEISLEY, Ed.D. KATHARINE S. DIORIO, M.Ed. Superintendent Supervisor of Pupil Services KIMBERLY L. SCHLEMMER, M.Ed. Assistant Superintendent

MEDICATION POLICY

The district-wide medication policy, Board Policy 210, states that all medications, prescribed and over- the-counter, must be

brought to the nurse’ s office by the parent/guardian or another adult designated by the parent/guardian. Students may not

transport their medication to school. If your child will need to receive medication during the school day, please bring your child’s

medication to school and complete the necessary paperwork.

Prescribed medication must be delivered in its pharmacy-labeled container. Over-the-counter medication must be presented in the

original packaging and labeled with the student’s name. School nurses cannot accept any medication, whether it is prescribed or

over-the-counter, without a physician’s order and a signed permission form from a parent. Prescribed medications will be

distributed, at the appropriate time, by the building nurse or health room assistant.

Students are permitted to self-administer medications such as epinephrine auto-injectors and asthma inhalers. However, the

school district discourages elementary students from carrying inhalers throughout the school day. Prior to allowing a student to

possess self-administer emergency medications, an order from a licensed prescriber stating that it is necessary for the student to

carry the medication and that the student is capable of self-administration is required. Written parent/guardian consent is also

required. These statements and forms must be updated annually. Students must be able to demonstrate administration skills and

responsible behaviors. The student must notify the nurse immediately following the occurrence of self-administration of

medication.

____________________________________________________ _________________________

Signature of Parent/Guardian Date



“WE ARE LIFELONG

LEARNERS”

RED LION AREA SCHOOL DISTRICT - … · RED LION AREA SCHOOL DISTRICT SCOTT A. DEISLEY, Ed.D....

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Transcript of RED LION AREA SCHOOL DISTRICT - … · RED LION AREA SCHOOL DISTRICT SCOTT A. DEISLEY, Ed.D....