Staff            Media Center

ESSEX COMMUNITY

SCHOOL DISTRICT

To view forms, click on one of the links below:

2018-2019 - Registration Form Information

Free/Reduced Meal Application

Open Enrollment Application Form 2018-2019

TDap and Meningococcal Requirement for 7th and 12th grade
(students will not be allowed to enter school without this form completed).

Asthma Action Plan Form

Medication Administration Authorization Form

Physical Form: See Concussion Statement

Physical Activity Contract/Heatlhy Kids Act

Concussion Statement
(This must be signed and dated by parent before any participation in an activity).

Consent for Medical Treatment
(This must be filled out for all athletic and extra-curricular events or your child cannot be treated).

Pre-Excuse Form

Personal Information Sheet

Student Directory Authorization

Internet & Technology Permission

Statement of Understanding & Acceptance of Activities Handbook

PaySchool Online Payment Process System

Annual Health History

Certificate of Dental Screening
(for Kindergarten and 9th grade only)

New Students Only - Race & Ethnicity
(each student needs to have one of these on file)

Parent/Spectator Expectations

Mandatory Immunization Requirement for All Students Entering The Seventh Grade

Preschool - 12th Grade Supply List 2018-2019

Certificate of Vision Screening for kindergarten & 3rd grade - this is a must for these two grades

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Contact Us

Elementary- 712-379-3116
Junior High- 712-379-3114
High School- 712-379-3114

To email staff:
Visit Our Staff Directory

FAX

712-379-3200

Address

Essex Community School District
111 Forbes St.
Essex, IA 51638 | View Map

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