Forms 2010-11
Below are links to forms to be filled out and returned to the appropriate school divisions.
PLEASE NOTE: Transportation forms must be returned by Friday, June 18, 2010. Non-transportation forms must be returned to the appropriate location by Monday, July 5, 2010.
- Arrival/Dismissal form--Early Childhood & Lower School students only (Due by Friday, June 18, 2010 if requesting yellow bus)
- Grade 6 Bus form (Due by Friday, June 18, 2010)
- Emergency Information--one form per building
- Personal Health History--one form per student, filled out by parent and physician
- Parent and Prescribers' OTC Authorization--one form per student, filled out by parent and physician, for OTC medications that school administers
- Prescribed Medication Permission--one form per student, filled out by parent when student is prescribed medication that school administers
- Photo Consent--one form per student
- Trip Consent--one form per student
- Self-Medication Release--High School students only, Epi-pen/inhaler only
Please return all other forms by Monday, July 5, 2010 to:
Early Childhood and Lower School
Attention: Dana Moshen
270 West 89th Street, New York, NY 10024
danamo@heschel.org
Middle School
Attention: Linda Michelson
314 West 91st Street, New York, NY 10024
lindami@heschel.org
High School
Attention: Barbara Lewis
20 West End Avenue, New York, NY 10023
barbarale@heschel.org
Questions/Concerns: Please contact Dana Moshen 212-595-7087, ext. 12233, or via email to danamo@heschel.org.
