2020-21 School Forms, Summer Reading, and Supply Lists

Admissions Forms - please print, fill out, and return to SA
Admissions Application K-Grade 12
View | Download
Admissions Application Pre-K
View | Download
Athletics Forms - please print, fill out, and return to SA
Concussion Information Sheet
View | Download *PARENTS/STUDENTS: Please read, sign and keep a copy. You must turn in a signed copy prior to the start of practice.
VHSL Athletic Physical Form
View | Download *All Student Athletes MUST submit a new VHSL Physical Examination Form, effective May 1st – June 30th of each school year.
ParentsWeb Instructions
Students – ParentsWeb Instructions

View | Download


Parents – ParentsWeb Instructions

View | Download

Pre-K School Forms - please print, fill out, and return to SA

Student Medical Forms

It is very important to maintain a student’s current contact information at all times in the school clinic should an emergency arise. These forms include important emergency instructions, contact information, and medical data provided by the students’ parents or legal guardians and primary care physician. All required school forms can be printed from the school website or requested from the school’s clinic/front office. Parents/Legal Guardians are required to submit completed school medical forms as specified by the students grade level or enrollment status by the first day of school. These forms are as follows:

Newly Enrolled Students and Kindergarten:

  • Student Medical Information (Students will not be administered medication without a completed form).
  • HIPAA (Health Insurance Portability and Accountability Act) Compliant Authorization
  • Permission for Health Screening/Discussions
  • Copy of current immunizations OR Religious Exemption Affidavit
  • Copy of a physician health physical. Virginia requires this form to be completed no longer than one year before entry to Kindergarten.

Forms required for students who are NOT newly enrolled, but are entering grades 3rd, 6th, or 9th OR if you need to update your student’s health status:

  • Student Medical Information
  • HIPAA Compliant Authorization
  • Permission for Health Screening/Discussions 
  • Copy of current immunizations OR Religious Exemption Affidavit
  • Authorization for the Administration of Medication by School Personnel Form (Complete only for students who need the nurse to administer prescription or a non-prescription medication not provided by the school).

Required every school year for ALL students:

  • HIPAA Compliant Form 
  • Permission for Health Screening/Discussions (Student will not participate unless form is completed with specific appropriate response and a parent’s signature). 
  • Authorization for the Administration of Medication by School Personnel (Complete only for students who need the nurse to administer prescription or a non-prescription medication not provided by the school).
  • VA Asthma Action Plan (This form must be completed by a physician each school year if your child has been diagnosed with asthma)
Student Medical Information Form
Pre-K

View | Download

*School requires a new form per student each year.

HIPAA Compliant Authorization
Pre-K

View | Download

Authorization for the Administration of Medication by School Personnel
Pre-K

View | Download

*Only fill out for students who need the nurse to administer a regular prescription.

VA Asthma Action Plan
Pre-K

View | Download

Commonwealth of virginia school entrance health form
pre-k

View | Download


 

Extended Care Registration and Information Form (TBD for 20-21 School Year)
Pre-K

View | Download

*Complete only if your family requires after-school care.

 

Information and Emergency Form
Pre-K

View | Download

*School requires a new form per student each year.

 

Photo Videotape Release Form (To be updated for 2020-21)
Pre-K

View | Download


 

Request for Bus Service
Pre-K

View | Download

*Complete only if your family requires BUS SERVICE.

school messenger contact form and instructions
Pre-K

View | Download

k-12 School Forms - please print, fill out, and return to SA

Student Medical Forms

It is very important to maintain a student’s current contact information at all times in the school clinic should an emergency arise. These forms include important emergency instructions, contact information, and medical data provided by the students’ parents or legal guardians and primary care physician. All required school forms can be printed from the school website or requested from the school’s clinic/front office. Parents/Legal Guardians are required to submit completed school medical forms as specified by the students grade level or enrollment status by the first day of school. These forms are as follows:

Newly Enrolled Students and Kindergarten:

  • Student Medical Information (Students will not be administered medication without a completed form).
  • HIPAA (Health Insurance Portability and Accountability Act) Compliant Authorization
  • Permission for Health Screening/Discussions
  • Copy of current immunizations OR Religious Exemption Affidavit
  • Copy of a physician health physical. Virginia requires this form to be completed no longer than one year before entry to Kindergarten.

Forms required for students who are NOT newly enrolled, but are entering grades 3rd, 6th, or 9th OR if you need to update your student’s health status:

  • Student Medical Information
  • HIPAA Compliant Authorization
  • Permission for Health Screening/Discussions 
  • Copy of current immunizations OR Religious Exemption Affidavit
  • Authorization for the Administration of Medication by School Personnel Form (Complete only for students who need the nurse to administer prescription or a non-prescription medication not provided by the school).

Required every school year for ALL students:

  • HIPAA Compliant Form 
  • Permission for Health Screening/Discussions (Student will not participate unless form is completed with specific appropriate response and a parent’s signature). 
  • Authorization for the Administration of Medication by School Personnel (Complete only for students who need the nurse to administer prescription or a non-prescription medication not provided by the school).
  • VA Asthma Action Plan (This form must be completed by a physician each school year if your child has been diagnosed with asthma)
Student Medical Information Form
K-grade 12

View | Download

*School requires a new form per student each year.

HIpaa compliant authorization
K-Grade 12

View | Download

Permission Form for Health Screening/discussions
K-Grade 12

View | Download

*SA requires a signed form for each student, each year
Authorization for the Administration of Medication by School Personnel
K-Grade 12

View | Download

*Complete only for students who need the nurse to administer a regular prescription

VA Asthma Action Plan
K-Grade 12

View | Download

Commonwealth of virginia school entrance health form
K-Grade 12

View | Download

*required for all students entering kindergarten
Information and Emergency Form for K-12

View | Download


 

Extended Care Registration and Information Form (TBD for 20-21 School year)
K-Grade 6

View | Download

*Complete only if your family requires after-school care.

 

Google Apps for education acceptable use policy
K-Grade 12 

View | Download

*SA requires a signed form for each student

 

Photo Videotape Release Form (To be updated for 2020-21)
K-Grade 12

View | Download


 

Request for Bus Service
K-Grade 12

View | Download

*Complete only if your family requires BUS SERVICE

school messenger contact form and instructions
K-Grade 12

View | Download

Summer Reading
Lower School Summer Reading (To be updated for 2020-21)

View | Download


Middle School Summer Reading

View | Download

Upper School Summer Reading

View | Download

Supply and Textbook Lists
PreK – 5th Grade Supply List

View | Download


 

Middle School Supply/Textbook List (To be updated for 2020-21)

View | Download


 

Upper School Supply/Textbook List (To be updated for 2020-21)

View | Download

ParentsWeb

Parents may check their student's grades by logging into ParentsWeb.

UPCOMING EVENTS

July 12, 2020
  • Varsity Athletics Banquet Parade
    July 12, 2020 @ 6:00 pm - 7:00 pm
    See more details

July 13, 2020
August 3, 2020
August 4, 2020

DIRECTIONS TO EVENTS