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Forms

All Scholar-Athletes participating a sport at John Adams Academy must have athletic clearance paperwork on file - Athletic Clearance Instructions

All High School scholars must have a physical signed by a doctor prior to participation - 
Preparticipation Physical Exam Form

Anaphylaxis Action Care Plan & History Please complete and return this form if your child has an allergy and/or requires an epi pen due to allergic reactions.
Asthma Action Plan Please complete these forms if your scholar has asthma.
Diabetes Medical Management Plan Please complete these forms if your scholar has diabetes.
Medication Administration Form & Policy In order for your scholar to receive medication on campus, JAA must receive this form from the physician each year. The Medication Policy below explains the requirements for administering medication of any kind at school (or during school-sponsored activities such as field trips). Please be aware this not only applies to normal prescription medications, but also medications like Motrin, Benadryl, medicated lip balm, Tums, etc. Discuss with your physician any medication that might be needed at school and have the physician fill out the Medication Release Form and deliver it to the main office. Please read the entire policy. All medications must be checked in at the main office by the parent / guardian or responsible adult, even if the medication is being kept in his / her backpack.
Seizure & Epilepsy Forms Please complete these forms if your scholar has a history of seizures or has been diagnosed with epilepsy.

Kindergarten & 1st Grade

Health Examination for School Entry The Health Examination Form to be completed and submitted prior to entry into first grade.
Oral Health Assessment/Waiver Form To be completed by oral health professional and submitted by May 30th of the Kindergarten year.
  • Scholar must be in good academic standing.
  • Please bring completed form, signed by parent and supervisor at work, to the front office.
  • Permit will be signed by administration, copied to be kept on file at the Academy, and original will be returned to scholar. 
  • Work permits will be returned within one business day (24 hour period).

Work Permit Request & Information