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HEALTH FORMS DUE!
The Administration requires that all Band and Color Guard students
have a physical examination, and that a standard health form be kept on
file with the school nurse. Any physical exam performed after
February 2005 will be acceptable. Also required is a combined
health and permission slip that must be notarized. This form
is maintained in the band office and taken along on all trips.
You
will need Adobe Acrobat Reader. Click the icon if you don't already
have this.
The required forms are as follows:
|
1. |
Parkway School District Physical Examination
form - Each student needs to have a physical exam
performed by a physician as of February 2005 or later. Requires parent/guardian signature,
signature of student, and the physician must sign this form. Mail
this form to the school nurse (see below).
Click here to view and print this form (requires Adobe Acrobat 4.0 or higher and is legal sized
paper)) |
|
2. |
Permission and Health form - This form
must be NOTARIZED. It allows the band director to receive
emergency medical treatment for your child if necessary. This
form always accompanies the band where ever it goes. Mail this
form to the Director (see below). Click here
to view and print this
form. (requires Adobe Acrobat 4.0 or higher). |
|
3. |
Student Emergency Card - This form also travels with the band and provides
emergency contact numbers for the Band Director should it be
necessary to contact you. Must be
signed by the parent/guardian. Mail this form to the Director (see below). Click here to view and print this
form. (requires Adobe Acrobat 4.0 or higher). |
|
4. |
Health
Update form - This form provides an update of your
student's health as well as information about the routine
medications that they take. Mail this form to the Director
(see below). Click here
to view and print this form. (requires
Adobe Acrobat 4.0 or higher). |
Please mail the Physical
Exam Form to:
|
Ms. Lois Burch, Nurse |
|
Parkway West High School |
|
14653 Clayton Road |
|
Ballwin, MO 63011 |
| |
Please mail all other forms to:
| Mr. Ben
Pyatt, Director |
Parkway
West HS
14653 Clayton Road |
| Ballwin,
MO 63011 |
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