Health
Center Forms | Returning
Students | New
Students | All Students |
Scheduling – All Returning Students
Annual Mailings & Forms
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Forms that must be returned |
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Information for parent reference |
Health Center Documents |
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New
Parent Check List (updated 6/10/11) |
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Returning Students Parent Check List - US (updated 6/10/11) |
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Returning Students Parent Check List - International (updated 6/10/11) |
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Authorization
of Medical Treatment All students must complete this form; no student
will be allowed to register until this form is completed
and on file. Return this form to the Health Center
by July 15th (returning students: please make sure your information is updated). (updated 3/3/11 for the
2011-2012 school year) |
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Medical
Form A Physicians Report Must
be completed by all students every year. Return
this form to the Health Center by July 15th. (updated 3/3/11 for the
2011-2012 school year) |
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Medical
Form B Medical History To be completed
by new students and parents and reviewed
by your physician. Return this form to the Health
Center by July 15th. (updated 3/3/11) |
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Release
of information form New students only. (posted 3/3/11) |
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Group
Immunization Patient Informed Consent Form Consent
form to administer FLUOGEN (Influenza Virus Vaccine,
Trivalent, Types A and B). (posted 3/3/11) |
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Authorization
for Administration of Medication We require a physicians written order to administer
medications for all students who take prescription medications. (posted 3/3/11) |
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Dispense
Medication form (posted 3/3/11) |
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Concussion and Head Injury Fact Sheet and Parent/Guardian Acknowledgement Contains
information concerning definitions, signs and symptoms of concussion and a required form indicating you have received and understand this information. (posted 6/9/11) |
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Epi
Pen Policy Required for all students who carry an Epi-Pen. (updated 4/14/11) |
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Meningococcal
Disease and HPV Virus Info Frequently
asked questions, information sheet. (posted 3/3/11) |
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Prescription
Medication, Health Record Information Contains
important information concerning medication and the Health
Center’s dispensing policies as well as health record
information. (posted 3/3/11) |
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Student Injury and Sickness Insurance Brochure Designed exclusively for students attending Blair Academy in New Jersey,
underwritten by: UnitedHealthcare Insurance Company
(posted 8/1/11) |
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| Returning
Students |
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Student
And Parent Data - Returning Students To
be filled out by all parents of returning students. Note: if you have already completed a Student and Parent Data form for the upcoming academic year, please do not complete another one unless you have changes to report. (updated
7/13/11 for the 2011-2012 school year) |
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| New
Students |
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Student
And Parent Data - New Students To
be filled out by all parents of new students. (updated
7/13/11 for the 2011-2012 school year) |
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New
Parent Questionnaire Please return
this questionnaire to the Assistant Headmaster for Student
Affairs by August 1. All parents of new students. (updated
5/19/09) |
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Dress
Code and Other Information on What to Bring to School (updated
7/1/10) |
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Forms that must be returned |
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Information for parent reference |
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| All
Students |
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School
Rules: All students should read the Blair Academy Expectations, Social Expectations, School Rules and Disciplinary Procedures, sent during the summer mailing, sign and return this form to
the Student Affairs Office by August 15. (updated
for the 2011-2012 school year) |
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Student Handbook for the 2011-2012 school year (posted 9/22/11) |
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Student Injury & Sickness
Plan: Blair Academy requires that all students be covered by a comprehensive injury and sickness plan that meets the high cost of medical services and is accepted by local providers and practitioners. Insurance is available to purchase. Information
Outline and Enrollment
Form (outline updated 5/19/09, enrollment updated 7/12/10 for the
2010-2011 school year). |
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Payment Options: Please
click here to read a summary of several alternative
payment plans to assist you in managing costs. Use the following worksheet
to plan out a 10-month payment plan through Tuition
Management Systems (TMS) (summary updated 2/10, TMS updated
5/19/09). |
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Day Student Transportation
forms: NJ resident day students are eligible for transportation
reimbursement. Please
review the letter (updated 5/19/09 for the 2009-2010 school
year) to ensure you meet these conditions before you fill
out the application
form. (updated 5/19/09) |
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Liability Release
Form (updated
for the 2011-2012 school year) |
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Riding
Permission: Permission
form for boarding students regarding vehicles driven by persons other
than Blair Academy staff. (updated
for the 2011-2012 school year) |
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Emergency
Contact: For families living outside the continental US. (updated
6/21/10 for the 2010-2011 school year) |
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Weekend
Departures: Grants standing permission for boarding students to come home on any weekend for which he/she qualifies. (updated
for the 2011-2012 school year) |
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Web
Photo Permission: The School will assume that
we have permission to post photos of all students unless
this form is returned specifying otherwise. (updated
5/09) |
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Chaplain's
Letter and Optional
Religious Identification Form: Information about spiritual life at Blair. (updated
6/6/11) |
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Parent Volunteering: Click
for information or to sign
up online. (updated for the 2010-2011 school year) |
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Computer Information
Sheet: General Information About Computers and Phones at Blair Academy (updated 3/09) |
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Seniors
only |
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Memo
Regarding Student Records: Information on obtaining copies of transcripts. |
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Class
of 2011 Yearbook Letter: Each senior (including post-graduates) has a half page in the yearbook to design with personal comments and photographs or artwork. (updated
4/2/10) |
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Forms that must be returned |
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Information for parent reference |
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| Scheduling – All Students |
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Course
Catalog 2011-2012 Academic Year (updated
7/15/11) |
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| English and History |
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Summer
Reading and Vocabulary 2011 (updated 6/9/11 for
the 2011-2012 school year) |
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Senior
English Elective Sign up Sheet (updated
5/19/11 for the 2011-2012 school year) |
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| Foreign Language |
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Foreign
Language Selection For new students (instructions). Please
return this form to the registrar's office as soon
as possible for scheduling purposes. To help you in selecting the level best for you, these are the topics that were covered in Spanish
1, Spanish
2, French
1, and French
2. (updated
5/19/11) |
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Summer Work for Languages: what
is required of new and returning students:
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Form for those who need help with language placement (posted
5/19/11) |
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| Athletics |
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Athletics/
P.E.: All students must successfully complete sports/physical activity requirements during each season of each school year to receive a diploma. Information sheet for 2011-12 (updated
5/11/10) |
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Music
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Instrumental
Music brochure: Contains information
regarding instrumental and vocal classes and lessons,
including registration forms. (updated 5/13/11) |
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Miscellaneous
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Driver's
Education Registration: Classroom instruction
which meets New Jersey State requirements. NJ residents only. (updated
6/6/11) |
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