This year, for the second time, Agnon’s Back-to-School forms are coming to you in digitized, rather than paper, form. There are three different types of forms:
- Totally digital forms you fill out online. When you click “submit,” the information you’ve entered will be saved (securely) in a database in the Agnon Office.
- Purely informational forms which require no response from you, but which you may download and keep if you’d like to.
- Forms which must be printed, signed and turned in to the office because the State of Ohio requires Agnon to keep hard copies of parent signatures on file in the office. If you do not have a home printer, copies of forms will be available for pick up in the Agnon office.
One special form: The Emergency Medical Authorization form requires you to submit information online AND sign a printed copy.This procedure is more convenient than the previous method, which required parents to fill out and sign three copies for each child. Now,
- You will input the information for each child ONCE in an online form by Friday, August 19.
- The office will print out three copies for each child, which you will sign in the office any day before the first day of school on Tues., August 23.
Plan to stop by the Agnon Office before Aug. 23rd to sign your Medical Authorization Forms; bring your ID badge in to be renewed for the current year.
| Form | Instructions | |
| Forms for All Grades (Move On – 8th Grade) | ||
| Ο | Emergency Medical Authorization Card | Parent signature must be on file in office. Instructions: |
| Ο | Parent signature must be on file in office. Print, fill out (including copies of license & insurance), and bring to office by Aug. 23 | |
| Ο | Free and Reduced Price Lunches | Qualifying families should print, fill out, and bring to office by Aug. 23 |
| Ο | Grandparent / Special Person Info | Fill out online by Aug. 23 |
| Ο | Medicine Administration Form | Parent signature must be on file in office. |
| Ο | Synagogue Affiliation & Email Address | Fill out online by Aug. 23 |
| Ο | The Chesed Fund | Print, fill out, and bring to office by Aug. 23 |
| Ο | Sign-Up for Volunteer Opportunities | Fill out online |
| Ο | Volunteer Hours Log | Fill out online |
| Ο | Grant Funding Assistance | Fill out online |
| Ο | Medical History Form for early childhood, kindergarten and new students | Print, have doctor sign, and bring to office by Aug. 23 |
| PLUS | ||
| Add these forms for Move On, Pre-School, Pre-Kindergarten | ||
| Ο | Early Childhood Roster Permission | Parent signature must be on file in office. |
| Ο | Immunization Regulations for Early Childhood | Read, print or save for future reference |
| Ο | Preschool- 4th Grade Extended Care | Fill out online by Aug. 23 |
| Ο | Supply Lists | Printable |
| Add these forms for Kindergarten – 3rd Grade | ||
| Ο | Immunization Regulations for K-8 | Read, print or save for future reference |
| Ο | Preschool- 4th Grade Extended Care | Fill out online by Aug. 23 |
| Ο | Yearbook form | If you don’t want a yearbook, print, fill out, and bring to office by Aug. 23 |
| Ο | Supply Lists: Kindergarten, 1st grade, 2nd grade, 3rd grade | Printable |
| Add these forms for 4th Grade | ||
| Ο | Acceptable Computer Use Policy | Parents & students read. Print or save for future reference |
| Ο | Acceptable Use Policy Agreement | Parent & child signatures must be on file in office. Print, fill out, and bring to the office by Aug. 23 |
| Ο | Preschool- 4th Grade Extended Care | Fill out online by Aug. 23 |
| Ο | Immunization Regulations for K-8 | Read, print or save for future reference |
| Ο | 4th Grade Supply List | Printable |
| Add these forms for 5th Grade | ||
| Ο | Acceptable Computer Use Policy | Parents & students read. Print or save for future reference |
| Ο | Acceptable Use Policy Agreement | Parent & child signatures must be on file in office. Print, fill out, and bring to the office by Aug. 23 |
| Ο | Ohio Immunization Regulations, K-8 | Read, print or save for future reference |
| Ο | 5th Grade Supply List | Printable |
| Add these forms for 6th, 7th & 8th Grades | ||
| Ο | Acceptable Computer Use Policy | Parents & students read. Print or save for future reference |
| Ο | Acceptable Use Policy Agreement | Parent & child signatures must be on file in office. |
| Ο | Athletic Forms | Parent signature must be on file in office. Print, fill out, and bring to Judy Fitzmaurice by Sept. 1 |
| Ο | Immunization Regulations for K-8 | Read, print or save for future reference |
| Ο | If you don’t want a yearbook, print, fill out, and bring to office by Aug. 23 | |
| Ο | Middle School Supply Lists | Printable |


