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Forms Used By The District

For Health related forms - Visit the Health Services Section

For Transportation related forms - Visit the Transportation Section

Change of Address
Form for notifying enrollment center of change of address for a student
Credible Coverage Disclosure Notice
Custody Affidavit R102
Required form for filing of Custody/Guardianship
E-Backpack: Request To Distribute Flyers
An approval form for organizations to distribute information to students through the Electronic Backpack on our website or in school offices
Information Release Consent
Gives district permission to release and/or obtain student information (e.g., medical, psychological, psychiatric, social).
Intra-District Enrollment (School-to-School)
Notifies district of intent to enroll a student in a Worthington School other than the one to which the student is assigned. Note: You still must live within the Worthington School District boundaries to take advantage of intra-district open enrollment
OHSAA International Student Eligibility
Completed by international/foreign exchange students who are competing in athletics
OHSAA Physical Form (English)
OHSAA Physical Form (Spanish)
Optional Student Accident Insurance Plans
Student accident insurance plans available to Worthington School District families
Over-The-Counter Medication Usage
Gives permission for high school students to carry and self-administer over-the-counter, non-prescription medication
Prescription Medication Authorization Form
Approval to have school nurses administer prescription medication to students.
Released Time Religious Instruction
Student Waiver of Liability and Acceptance of Terms & Conditions for Permission to Participate in Released Time for Religious Instruction
Shared Residency Affidavit
Required form when sharing a residence with a individual or family within the Worthington School District
Student Health History
Work Permit Directions & Application
Three sections that must be completed (one by family, one by employer; one by physician) to obtain Work Permit for minors
Worthington Student Immunization Record