Registration forms - St. Mary's Central High School

2012-13 St. Mary’s Central High School SubstanceAbuse Free School Contractual CovenantWe, the undersigned, acknowledge the conditions set forth in the SMCHS Substance Abuse Freeschool policy. We further agree that we will abide by the stipulations set forth by the policy, asinterpreted by the school board and administration.Parent SignatureDateStudent # 1 SignatureDateStudent # 2 SignatureDateStudent # 3 SignatureDate***************************************************************************2012-13 St. Mary’s Central High SchoolAdministrating MedicationAdministration of prescribed or other medication during the school day:1. Any medication, which is prescribed by a physician to be administrated at school, should bebrought to the Main Office. The medication must be accompanied by a signed request fromthe parent or guardian and include the specific instructions for its administration.2. Pain reliever (Tylenol) or any other over-the-counter medications (cough, cold, sore throattablets, etc) will not be available or administered by office personnel.Parent SignatureDate