St. Luke School † Beavercreek, Ohio

Forms from the Office

Clinic Forms	Date
Ohio Department of Health Authorization for Student Possession and Use of an Asthma Inhaler	March 2007
Ohio Department of Health Authorization for Student Possession and Use of an Epinephrine Autoinjector	March 2007
Kindergarten Health Screening	March 2001
Physician's Request for Administration of Medication by School Personnel	Fall 2006

2010-2011 Forms	Date
2010-11 Registration Forms Packet	March 2010
Kindergarten Registration Form	March 2010
Kindergarten Health Screening	March 2001
New Student Registration Form	March 2010
Archdiocese of Cincinnati Responsible Use of Technology Policy - User Agreement Form	August 2009
Emergency Medical Authorization	August 2010
Early Dismissal Emergency Form	August 2010
Release of Students Form	August 2010
Directory Permission Form	August 2010
Handbook Agreement Form	August 2010
OneCall Registration Form	August 2010

Office Forms	Date
Boxtops for Education	Fall 2006
Child Protection Decree Memo	Fall 2006