120 E. Washington, Derby, KS 67037 | Phone: 316-788-8400

additional links

Student Forms
Complete the forms below IF they are are applicable to your student. 

• Athletic Forms (Pre-Participation Exam, Concussion Form, Standard of Conduct Form)
• Student Medical History
• Health Assessment (Physical Form for Students under age 9) 
• Vaccination (Kansas Certificate of Immunizations - KCI) 
• Administration of School Supplied Acetaminophen (Tylenol) and Ibuprofen (Advil) for Middle School and High School Students
• Free/Reduced Lunch Application and Consent for Disclosure
• Meal Modification Form 
• Optional Low-Cost Chromebook Student Device Insurance (Grades 6-12)

* Make sure to visit your school's enrollment website for school-specific forms and information.
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