ESSEX COMMUNITY
SCHOOL DISTRICT
2017-2018 - Registration Form Information
Free/Reduced Meal Application
Open Enrollment Application Form 2017-2018
TDap and Meningococcal Requirement for 7th and 12th grade
(students will not be allowed to enter school without this form completed).
Asthma Action Plan Form
Medication Administration Authorization Form
Physical Form: See Concussion Statement
Physical Activity Contract/Heatlhy Kids Act
Concussion Statement
(This must be signed and dated by parent before any participation in an activity).
Consent for Medical Treatment
(This must be filled out for all athletic and extra-curricular events or your child cannot be treated).
Pre-Excuse Form
Personal Information Sheet
Student Directory Authorization
Internet & Technology Permission
Statement of Understanding & Acceptance of Activities Handbook
PaySchool Online Payment Process System
Annual Health History
Certificate of Dental Screening
(for Kindergarten and 9th grade only)
New Students Only - Race & Ethnicity
(each student needs to have one of these on file)
Parent/Spectator Expectations
Mandatory Immunization Requirement for All Students Entering The Seventh Grade
Preschool - 12th Grade Supply List 2017-2018
Certificate of Vision Screening for kindergarten & 3rd grade - this is a must for these two grades
Elementary- 712-379-3116
Junior High- 712-379-3114
High School- 712-379-3114
To email staff:
Visit Our Staff Directory
712-379-3200
Essex Community School District
111 Forbes St.
Essex, IA 51638 | View Map
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