Athletic Forms

2024-2025

To be eligible for participation in interscholastic athletics, a student in upcoming grades 7-12 must have on file with the school district a signed physical form  & KSHSAA Parent/Student Sign off before the official first day of practices in August. The annual history and the physical examination shall not be taken earlier than May 1 preceding the school year for which it is applicable. Forms linked below.


KSHSAA Sports Physicals

KSHSAA Sports Physicals (Spanish)

Concussion Information Release Form  

Concussion Information Release Form (Spanish) 

Grace Med - Dental Screenings

All children are offered annual school-based dental screenings to comply with Kansas State Statute 72-6251. Our district utilizes GraceMed Health Clinic's services for dental screenings at school. The scheduled date for your building will be posted here as it becomes available.


SCREENING DATES

HARPER ELEMENTARY:       12/12/2024

ANTHONY ELEMENTARY:   12/16/2024

CHAPARRAL Jr/Sr High:      12/17/2024

Screenings are vital in maintaining optimal oral health, allowing for early detection of gum disease and cavities. 

All students will receive a dental screening unless the school nurse receives an "OPT OUT" request.

WHAT IS A SCREENING? Screenings are quick and painless. A member of the Grace Med team will visually inspect your student's mouth, teeth, and gums for signs of oral disease or potential oral health issues.

If any concerns are noted during the screening, a copy of the results will be sent home. No sign-up is required for the screenings only. Please contact your school nurse if you wish to opt out of the screening. 

GraceMed also offers expanded care services in schools, including cleanings, sealants, and fluoride varnish. While all children are welcome to participate in this program, there is a special focus on those who may not receive dental care outside of school. No child will be denied services based on insurance status or ability to pay; however, any available insurance will be billed. If you wish for your child to obtain expanded care services from the team of hygienists, please complete the consent form by selecting here ➡️ Dental Care Consent Form. You can complete and submit it online, print off a form to complete and submit to your school office or obtain a paper copy from your school office. A report on expanded care received will be mailed to the primary address on file.



          Health Office Staff         

Anthony Elementary

Teresa Cullop

Nurse Para

Chaparral Jr/Sr High

Rachel Hadsall RN

District Nurse

Harper Elementary

Amabelly Barrera

Nurse Para