- Clear Creek Amana CSD
- Forms / Handbooks
FORMS
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Certificate of Immunization and Requirements
To be completed by a physician. Must have required immunizations prior to the first day of school. Grades 1-6; updated immunizations should be sent to the schools IF the student has received any.Certificate of Immunization Exemption - Religious
Certificate of Immunization Exemption - Medical
Must be signed by physicianConcussion/Brain Injury Form for Athletics - English
Concussion/Brain Injury Form for Athletics - Spanish
Required for grades 7-12 if participating in athleticsDental Screening Certificate
Required for all students entering Kindergarten and 9th gradeDiet Modification Form
For special medical dietary needsFree and Reduced Meal and Fee Information
Iowa Athletic Preparticipation Physical Examination Form
Required for grades 7-12 if participating in athleticsMedication Self-Administration Consent Form
Photo Directory Release Form Policy 506.2E1
Student Health History and Medical Exam Form
Vision Screening Form
Required for Kindergarten