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Central Dauphin School District

600 Rutherford Road Harrisburg, PA 17109 • 717.545.4703

Quality to the Core

District Forms

Authorization for School Medication

DPS-232 Authorization for School Medication.pdf 139.57 KB (Last Modified on August 23, 2023)

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Bring Your Own Device Waiver Form

BYODWaiverForm.pdf 128.83 KB (Last Modified on October 28, 2015)

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Dental Form

Report of Dental Examination

DPS-231 Report of Dental Examination.pdf 98.64 KB (Last Modified on August 23, 2023)

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District Device Insurance Form

Chromebook insurance form for families

Central Dauphin School District Device Protection Plan Flyer.pdf 218.18 KB (Last Modified on August 10, 2022)

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Educational Trip Form

Educational Trip Form PS3.pdf 49.29 KB (Last Modified on October 28, 2015)

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Facility Rental Agreement Packet, Usage Memo and Related Policies

Forms and policies to rent District facilities.

Facility Rental Packet Complete.pdf 244.02 KB (Last Modified on October 11, 2016)

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Free and Reduced Lunch Application - USE LINK BELOW

Free and Reduced Lunch Application - Use this link that directs to current page information

(Last Modified about a minute ago)

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Health Forms - Visit Link Below

For a comprehensive list of health forms visit: https://www.cdschools.org/Page/257

(Last Modified about a minute ago)

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Media Release Form

Media version FINAL 8.6.13.pdf 143.86 KB (Last Modified on October 28, 2015)

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Open Records Fee Structure

Open Records Fee Structure.pdf 60.76 KB (Last Modified on October 28, 2015)

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Open Records Request Form

This form or the PA OOR form is required for all OOR requests. All other submissions will not be recognized.

Open Records Request Form.pdf 94.46 KB (Last Modified on October 7, 2020)

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Physical Examination of a Pupil of School Age

Private Physician's Report of Physical Examination of a Pupil of School Age

Private Physician Physical Form.pdf 172.41 KB (Last Modified on July 19, 2017)

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Religious Instruction - Student Release

Religious Inst. Release.pdf 48.84 KB (Last Modified on July 18, 2017)

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Religious Observance Excuse Form

Religious Observance Excuse.pdf 70.01 KB (Last Modified on May 5, 2022)

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Transcript Release Form

DPS-242 Request to Release HS Transcript.pdf 114.3 KB (Last Modified on August 23, 2023)

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Veteran Diploma Project Application

Click HERE.

(Last Modified about a minute ago)

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