All School Forms

All School Forms

On this page you will find documents required for student event participation as well as a collection of general forms for students and parents. Please note that while some forms may be completed online, others may require printing and physical submission.

If you have any questions, please call the Providence Academy Main Office at  or send us an email.

Upper School Forms

General Upper School Forms

Summer and Advanced Programs

  • 2021-2022 Summer Required Reading
  • Students enrolled in Structures of Algebra II 2021-2022
  • Students enrolled in Algebra II or Honors 2021-2022
  • Students enrolled in Calculus I or II 2021-2022
  • Students enrolled in PreCalculus or Honors 2021-2022
  • Students enrolled in Geometry or Honors 2021-2022
  • Students enrolled in Probability and Statistics 2021-2022
  • Selected Summer Enrichment Programs

Academic Disciplinary Guidelines

Health Office Forms

Student Health Forms

For students new to Providence Academy, the following health forms are required prior to starting the school year.


Kindergarten through 12

Medication At School

All medication must be kept in the health office during the school day. Students need a signed medication authorization form to receive medication from the health office. These forms are submitted yearly. Acetaminophen and ibuprofen may be given to students in grades 6-12 with a parent signature. All other medications, prescription or over-the-counter, require physician and parent signature. EpiPens and albuterol inhalers may be self carried when a medication authorization is on file. Albuterol inhalers for students in Lower School are kept in the health office.


Please submit an updated copy of your child’s Asthma Action Plan and the Asthma Individual Health Plan each year. Students in grades 6-12 who self carry their albuterol will need to complete the Student Inhaler Agreement. If your physician has not provided you with an Asthma Action Plan and your child may need albuterol or other medication for their asthma, please complete the medication authorization form.

Food Allergies

Please submit an updated copy of your child’s Anaphylaxis Action Plan and Allergic Reaction Questionnaire each year.  If your physician’s office has their own version of the Anaphylaxis Action Plan, that is acceptable.


Please submit an updated Treatment Authorization Form from you child’s physician each school year. A meeting with the school nurse will be arranged before the start of the year. In addition, parents will complete a new Diabetic Emergency Plan each year.


Please submit an updated copy of your child’s Seizure Action Plan and Parent Questionnaire each year.

Flu Clinic

Information related to the Flu Clinic, and forms required before attending, may be found on the dedicated Flu Clinic page.


Parent Enrichment

Parent Enrichment Program Forms