North Polk Community School District

New Student Forms- Mandatory

1. Proof of Residency: such as a recent utility bill, bank statement, Polk County assessor page, or signed lease agreement.

2. Proof of Age: birth certificate, hospital certificate of birth, US passport, adoption papers, custody documents, or student's driver's license.

3. Home Language Survey

4. Immunization Records that would need to be completed by the doctor's office (the doctor's office will be able to print a completed one.)

5. Internet Use Policy and Procedures

State Immunization Requirements and Forms

1. State Immunization Checklist by Ages

• Vision Screening Form (Required for KG and 3rd)
• Student Vision Card (Required for KG and 3rd).
• Dental Screening Form (Required for KG and 9th)

7th through 12th Grade Athletic/Activities Forms**

1. Athletic Physical Form (needs updated annually and submitted to the school nurse)

2. Code of Conduct (can be reviewed in the online registration each year)

3. Heads up: Concussion in Sports (can be reviewed in the online registration each year)

**All three above are required to participate in North Polk Athletics 

Medicine Given at School

1. Prescribed Prescription Medicine Given at School Form

2. Incidental Medicine Permission Form (ex = student has a headache - are you ok giving them Tylenol or Ibuprofen)

Elementary After-School Plans

Central Elementary After School Plan

West Elementary After School Plan

Big Creek Elementary After School Plan

Getting to Know your Student- Elementary

Getting to Know Your Student

Busing/Address Change Forms

1. Change of Address Form

2. Busing Request -  Add or Change -Transportation Forms