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    • Private Physical Exam Form

      Private Physical Exam Form

      Private Physical Exam Form2021.pdf 194.87 KB (Last Modified on March 29, 2021)
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    • Private Dental Exam Form

      Private Dental Exam Form

      Private Dental Exam2021.pdf 322.31 KB (Last Modified on March 29, 2021)
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      Medication Authorization Form

      Medication Authorization Form21.pdf 595.48 KB (Last Modified on March 31, 2021)
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    • Emergency Form in English

      Emergency Form in English

      Copy_of_EMERGENCY_CARD_2011-121.pdf 170.5 KB (Last Modified on November 3, 2020)
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    • Emergency Card - Nepali

      Emergency Card - Nepali

      EMERGENCY_CARD_2010-FINAL_Nepali_remove_anbesol.pdf 266.12 KB (Last Modified on November 3, 2020)
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    • Emergency Card - Spanish (Latin America)

      Emergency Card - Spanish (Latin America)

      EMERGENCY_CARD_2010-FINAL_Spanish_-Latin_America_-removed_anbesol.pdf 33.04 KB (Last Modified on November 3, 2020)
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    • Emergency Form - Arabic

      Emergency Form - Arabic

      Copy_of_EMERGENCY_CARD_2010-FINAL_Arabic_remove_anbesol.pdf 344.57 KB (Last Modified on November 3, 2020)
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    • Emergency Form - Burmese

      Emergency Form - Burmese

      EMERGENCY_CARD_2010-FINAL_Burmese_revove_anbesol.pdf 58.61 KB (Last Modified on November 3, 2020)
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    • Emergency Form - Chinese

      Emergency Form - Chinese

      EMERGENCY_CARD_2010-FINAL_Chinese_-remove_anbesol.pdf 304.18 KB (Last Modified on November 3, 2020)
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    • Emergency Form - French (Traditional)

      Emergency Form - French (Traditional)

      EMERGENCY_CARD_2010-FINAL_French_-_Europe-_remove_anbesol.pdf 70.42 KB (Last Modified on November 3, 2020)
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    The Harrisburg School District does not discriminate on the basis of race, color, religious creed, ancestry, age, familial status, sex, national origin, sexual orientation, or disability. The policy of equal opportunity and equitable treatment applies to every aspect of school district operations and activities, including admissions and employment practices. This policy shall be made known to all persons and organizations associated with the Harrisburg School District, to all Educational Placement Services, the Pennsylvania Bureau of Employment Security and all recruiting sources. Any student, parent, employee, or citizen who feels that they have been denied fair treatment or equal opportunity in any aspect of School District operations or activities because of race, color, religious creed, ancestry, age, familial status, sex, national origin, sexual orientation, or disability should contact the Title IX Compliance Coordinator, Heidi Zula, at the Harrisburg School District Administration Building, 1601 State Street, Harrisburg, PA 17103 or phone (717) 703-4121. The Harrisburg School District is an Equal Opportunity Employer. Auxiliary aids and services are available upon request.
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