Incoming Parents (SY 2020-2021)
From: Debi Neretich, RN, CPNP, CSN School Nurse
All registration paperwork must be completed and returned for approval.
The following is to be returned to Debby Cuozzo in the Main Office firstname.lastname@example.org 973-334-4162 ext 369
❏ Student Registration form
❏ Child’s Birth Certificate
❏ Parent Inventory form-green form
The following is to be returned to John Murray in the Board Office email@example.com
973-334-4162 ext 325
❏ Proof of Residency paperwork
The following is to be returned to Debi Neretich RN- Nurse’s office firstname.lastname@example.org 973-334-4162 ext 361
❏ Child’s Immunization Record-white paper
❏ History/Physical Examination (on school form only)-white paper
❏ Health History form-pink paper
If your child’s physical is not scheduled to be done until later in the year (adhering to your insurance company’s schedule) the form MUST be completed using the last examination(must be dated no earlier than September 4, 2019). No student can start without having a physical on record – there will be NO EXCEPTIONS
If your child will require medication while in school, forms are available in the Nurse’s Office. Please note that medication administration requires both parent and physician signatures. If your child has a food allergy or other chronic health issues, please notify me upon registration.
Students are not officially registered until ALL of their paperwork is complete and submitted.
As you complete each piece of documentation please submit that paperwork in a timely manner, as this will ensure your child’s registration and that a homeroom can be assigned.
Please feel free to call me at extension 361 if you have any questions or concerns.
Debi Neretich, RN, CPNP, CSN
Student Registration Form (pdf)
History and Physical exam form (pdf)
PARENT INVENTORY FORM (pdf)
HEALTH HISTORY (pdf)