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Muhlenberg Elementary Center

Supplemental Forms A

The following forms are required if student is registered during the school year.

IPM (Integrated Pest Management) Registry Form

reg_ipm.pdf 18.41 KB (Last Modified on June 7, 2013)

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Supplemental Forms B

The following forms are not required for registration but may be necessary under certain circumstances.

1302 Affidavit

Affidavitfor1302.pdf 108.92 KB (Last Modified on February 27, 2015)

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1302 Application

1302Application.pdf 137.32 KB (Last Modified on February 27, 2015)

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Authorization for Medication Form

MedicationAuthorizationForm.pdf 97.31 KB (Last Modified on June 7, 2013)

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Authorization to Release Information

Authorization_to_Release_Information.pdf 144.75 KB (Last Modified on September 26, 2023)

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Certificate of Residency

Certificate of Residency.pdf 142.69 KB (Last Modified on February 27, 2015)

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Parental Registration Statement

Parental Registration Statement.pdf 134.94 KB (Last Modified on February 27, 2015)

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Request for Student Records

Request for Student Records.pdf 73.04 KB (Last Modified on October 26, 2023)

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Residency Verification

Residency Verification.pdf 203.09 KB (Last Modified on February 27, 2015)

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Residency Verification (Spanish)

Verificacion de Residencia.pdf 234.54 KB (Last Modified on January 24, 2025)

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Student Withdrawal Form (7-12)

STUDENT_WITHDRAWAL_FORM_MHS-MJHS.docx 20.92 KB (Last Modified on January 24, 2025)

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Student Withdrawal Form (K-6)

STUDENT_WITHDRAWAL_FORM_COLE-MEC.docx 20.8 KB (Last Modified on February 3, 2021)

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Transportation Form

reg_transportation.pdf 9.90 KB (Last Modified on June 7, 2013)

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